Report animal cruelty form Report animal cruelty form Please use this form for reporting cruelty only Please only supply the information requested for each heading in as much detail as possible, failure to do so may result in a delay dealing with your concerns. Your contact information Name * Name First First Last Last Email * Phone * Note - Your details will remain confidential and you will only be contacted if further information is needed to be able to deal with your concerns in a timely fashion Your complaint Name of the person complained of (if known) Their address Their address Their address Their address City City County County Eircode Eircode Location of animal (if different from above) * Detailed directions to location of animal * Allegation / Complaint being made * Conditions being kept in Condition of Animal No Food No Water No Shelter Injured Animal Possible abandonment Other Please provide detail * Species of animal * Dog Cat Horse Donkey Bird Other Animal species Type and description of animal * Does the animal look like it is getting a nutritionally adequate diet to stay healthy? * Yes, the animal is of healthy weight No, the animal is underweight No, the animal is very underweight I do not know Are there any signs of injury or illness? * Yes No I do not know Please provide details of the injuries you see Conditions animal(s) are kept in * Clean Slightly Dirty Filthy I do not know Does the animal have water provided? * Yes No I do not know Does the animal have access to some form of shelter? * Yes No I do not know Do you have any other information that you think might help? Due to limited resources the CSPCA is unable to provide Inspectorate cover in all areas and, on occasions may need to pass on your information to another welfare organisation or enforcement agency, do you give permission for us to pass on your details? Yes No CAPTCHA If you are human, leave this field blank. Submit Δ
