Use this form to report abuse/neglect. All reports are anonymous; your name and contact information are not required and will NEVER be shared. If you provide your name and contact information it is ONLY for internal use by the UCHS.

An EXACT address of the animal is required; the form cannot be submitted without this information. Provide other information as completely as possible.

This form is for residents of Union and Logan counties in Ohio ONLY.

THANK YOU!
Your Name:
Your Phone Number or Email address:
Date and Time Animal was Observed:
EXACT Address of the Animal: (REQUIRED)
What was the closest cross street?
City/Town/Township:
County:
Union | Logan
Breed or Best Description:
Color/Markings:
Sex:
Male | Female | Don’t Know
Collar?
Don’t Know | No | Yes   Color of Collar:
Describe the conditions/situation prompting this report:
Have you reported this animal before?
No | Yes   When?
Sheriff Called?
No | Yes, Union County. | Yes, Logan County   Date Called:
Enter the letters you see in the graphic below:

When you’ve completed the form, press SEND REPORT TO UCHS


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