Humane Society of Missouri - http://www.hsmo.org: Survey

Report a Lost Pet

We request that you fill out this Lost Pet Report form completely, providing as much detail as possible about your lost pet. We will contact you if and when a pet matching your pet's description is received in our adoption centers.
This information will only be on file at the Humane Society of Missouri; therefore, it is very important that your pet search includes the other animal shelters, veterinarians and emergency clinics in the St. Louis area.
After submitting this report, you will be redirected to a web page with detailed instructions for conducting a lost pet search.

1.

Owner information:

*

Name:

Title	First Required	Middle Required	Last Required

*

Email: Required

*

Street 1: Required

*

Street 2: Required

*

City/State/ZIP:

City Required	State Required	ZIP Required

*

Phone Number: Required

Yes, I would like to receive e-mail from Humane Society of Missouri - http://www.hsmo.org

Email Format:

Yes, I would like to receive postal mail from Humane Society of Missouri - http://www.hsmo.org

2.

Question - Not Required - Additional phone numbers(s) where owner can be reached:

3.

Question - Not Required - Name and phone number of contact person other than owner listed above: (Especially helpful if you are hard to reach)

*4.

Question - Required - Name of lost pet:

*5.

Question - Required - Type of animal lost: Dog
Cat
Rabbit
Bird
Other

*6.

Question - Required - Sex of animal: Male, neutered
Male, not neutered
Female, spayed
Female, not spayed

*7.

Question - Required - Age of animal: (Provide approximate age if exact age is not known)

*8.

Question - Required - Breed(s) of animal: (If mixed, please list breeds represented.)

9.

Question - Not Required - If mixed, what breed(s) does your animal most closely resemble? What are your pet's most distinctive features? Provide as much detail as possible.

(Maximum response 255 chars, approx. 5 rows of text)

*10.

Question - Required - Predominant color of animal:

11.

Question - Not Required - Secondary color(s) of animal:

12.

Question - Not Required - Distinguishing marks, such as crooked tail, one ear up/one ear down, etc. Please provide as much detail as possible.

(Maximum response 255 chars, approx. 5 rows of text)

*13.

Question - Required - Date last seen:

Month

Day

Year

*14.

Question - Required - Location last seen:

(Maximum response 255 chars, approx. 5 rows of text)

*15.

Question - Required - Is animal microchipped?

16.

Question - Not Required - Microchip number, if known:

*17.

Question - Required - Is animal wearing a collar and/or tags?

18.

Question - Not Required - Description of collar and/or tags, if applicable:

(Maximum response 255 chars, approx. 5 rows of text)

19.

Question - Not Required - Animal's personality: (Friendly, shy, aggressive, timid, etc.)

(Maximum response 255 chars, approx. 5 rows of text)

20.

Question - Not Required - How does your animal typically react to strangers?

(Maximum response 255 chars, approx. 5 rows of text)

21.

Question - Not Required - Animal's health issues, if applicable:

(Maximum response 255 chars, approx. 5 rows of text)

22.

Question - Not Required - Please provide any further information that could help us identify your pet.

(Maximum response 255 chars, approx. 5 rows of text)