Animal Related Activity or Complaint

PLEASE USE THIS FORM TO REPORT ANY NON-EMERGENT ANIMAL RELATED ACTIVITY OR COMPLAINT FOR VERMILION COUNTY ILLINOIS

These forms are monitored during regular business hours ONLY. Monday-Friday 830am-430pm. If you have an animal related emergency during regular business hours, call 217-431-2660 and select Animal Control, Option 1, to speak to a staff member at Vermilion County Department of Animal Regulation. If you have an emergency after-hours, emergencies only, call 911. Again, if this is an emergency, please call 911.

AGREEMENT WHEN COMPLETING THIS FORM

I, being of sound mind and body do hereby declare that the information I have provided in this report is true and correct to the best of my knowledge.
I authorize that the situation I am reporting on, is located in or was found in Vermilion County Illinois and understand that Vermilion County Dept of Animal Regulation only responds to calls for service in Vermilion County Illinois.
I agree to be as accurate and detailed as possible in outlining the concern or incident as it unfolded. Include facts regarding: date, time, location, identity of persons and animals present, behaviors exhibited.
I acknowledge that pleas/demands for action do not constitute evidence and do not further an investigation.
If applicable, please attach any photos or videos of the situation, photos or videos of the animal (s), and/or medical documentation of injuries to you or your pet.
I understand that if I am reporting an animal bite to a human or animal to animal bite and need immediate assistance, I should call 217-431-2660 option 1, or 911 after hours.
If this incident was reported to a police agency, please specify the agency and the case number so we can obtain the report. Please provide a copy of the report, if possible.

Do you agree to the above complaint agreement?

Yes

First Name

Last Name

Phone/Mobile

Current Address

Address Line 1

Address Line 2

City

State

Zip Code

You selected "other" on the question above. Please explain.

Date / Time of incident:

Incident Address or Intersection:

Address Line 1

City

PERSON RESPONSIBLE FOR INCIDENT OCCURING AND/OR OWNER INFORMATION, IF KNOWN:

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

If there are any other persons involved, please list known information here:

Describe Animal(s) Involved (Name, Breed, Sex, Age, Color):

Describe the Incident or Concern (Date, Time, Location, Describe What You Saw):

Please upload any photos, documents, videos you may have pertaining to this report.

Choose File