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Animal Complaint Submission Form

City of Racine Public Health Department

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Environmental Health

Animal Complaint Submission Form:

Animal Complaint Form

"*" indicates required fields

Contact:

Name*
First Last
Address
Street Address City State / Province / Region ZIP / Postal Code Country

Phone Number*
Email Address

Complaint Information:
Complaint type*
Date of complaint*
DD dash MM dash YYYY

Complaint Address*
Street Address City State / Province / Region ZIP / Postal Code Country

Animal Owner (If known)
Number of Animals
Type of Animals*
Animal Description
Describe the complaint
Call (262)636-9203 for further assistance
Only click "Submit Form" once
Any information provided on this form may be subject to disclosure under Wisconsin’s Public Records laws, in accordance with Wis. Stats. §§ 19.31-19.39.
Name
This field is for validation purposes and should be left unchanged.

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