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2. Date and Time Animal Went Missing*
   Date and Time Animal Went Missing

   Date and Time Animal Went Missing
3. Date and Time Reported*
   Date and Time Reported

   Date and Time Reported
5. First Name*
6. Last Name*
8. Address1*
10. Address Lost From*
12. City*
13. State*
14. Zip*
16. Contact Phone Number*
18. Email
22. Animal Information
    Please help to fill out as much information as possible about the animal that has gone missing.
24. Animal Type*
    -- Select One --DogPuppyCatKittenOther
25. Other
    Please Explain
26. Sex*

    1. Male Intact
    2. Male Neutered
    3. Female Intact
    4. Female Spayed
    5. Unsure

    *If you are not sure if the animal is Fixed ( Spayed or Neutered) please select the INTACT Option. If Unsure all together please select unsure - it happens it's okay.
28. Name*
    Please Also Provide -a Nickname or a Name on a tag.
29. Age*
    -- Select One --0-6 Months6-12 Months1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years21+ Years
30. Breed*
    If Multiple Breeds Please Provide What are Known.
32. Color*
    Please List all Colors
33. Markings*
    Missing toe, Nic in the Ear, Broken Tail, White Patches, One Different Colored Eye *Anything to help identify*
34. Eye Color*
    Are Both the Same?
36. Tortoiseshell Colors
    
38. Cattle Dog Color Variations
    
40. Tail*

    1. Docked (Stub)
    2. Short
    3. Long
    4. Poofy - Husky Like
41. Ears*

    1. Erect
    2. Droopy
    3. One up, One Down
    4. Frostbitten
44. Declawed*

    1. Yes - All 4's
    2. Yes - Front Claws
    3. No
    4. Unsure
    5. N\A

    This is not common and is a very important trait to tell some cats all the same color apart!
45. Cat Hair Length*

    1. Domestic Short Hair
    2. Domestic Medium Hair
    3. Domestic Long Hair
    4. Hairless
    5. N\A
47. Collar Color*
    Any special decoration? Bones, rhinestones, phone numbers, skulls, etc. If None - please say N\A or Unsure.
48. Tags?*

    1. Yes
    2. No
    3. Unsure
50. Microchipped?*
    Please explain if they may be microchipped and if the name were to link to an old last name, number, shelter, etc. Sometimes microchips are not updated making it hard to find a current owner and any information can help.
51. Current Rabies*

    1. Yes
    2. No
    3. Unsure
53. Veterinarian*
    Current Vet Used and Person Animal is registered too. If unsure please provide to the best of your abilities
55. Picture
    Please provide a picture of your animal if you have one.
59. Contact the shelter
    Please contact the shelter with any further information at 406-497-6528. Additional resources are on the Lost Animal Page. *If this is a case of believed theft please contact the police after submitting this form*
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61. 1. Receive an email copy of this form.
62. Email address

    This field is not part of the form submission.

63. Submit

* indicates a required field