Home » Animal Care Services » Wildlife » Wildlife Incident Report

Wildlife Incident Report

Please use this form to report a contact or sighting of a coyote or group of coyotes, or other wildlife.

Date of Incident:

Time of Incident:

Street:

City:

Zipcode:

Name of Place (i.e. park name, name of business, school name, etc.):

 

Type of wildlife:

Type of wildlife activity:

# of wildlife:


Was there a threat to an animal (if yes, explain):


Was there a threat to a person (if yes, explain):


Was there any negative reinforcement action taken by you or anyone else (if yes, explain):


Please provide your contact information, should we need to reach you regarding your request.

Title

First Name*

Middle

Last*

Daytime Phone*

Ext

Evening Phone

Fax

Address*
 

City*

State*

Zip*

Email Address*