Animal cruelty e-complaint form

E-complaint forms are reviewed daily Monday to Friday excluding public holidays. If you are reporting an emergency situation, please call
the RSPCA on 03 9224 2222.

Please note that all personal information is protected by the Privacy Act.

* Indicates a required field

Your Details Your details are important to us as an Inspector often needs to talk to you to obtain further details that only you may have. This information is protected under the Privacy Act. All information you can provide further assists our Inspectors with their investigations. If you do not wish to provide your details please call the RSPCA on 03 9224 2222 to make your complaint over the phone anonymously.
Your first name:*					Relationship to owner:	Family Neighbour Friend Passerby Other (please specify)
Your surname: *
Your phone number:*
Your email address:*

Date & Time Information
Date witnessed:					Time witnessed:

Animal Location/Address Information
Street Number:					If no street number is known please provide directions to property:
Street Name:*
Nearest Intersection:
Suburb/Town:*					Owner Name: (If known)

Complaint Details
Type of animal:*					Number of animals:*
Colour/markings:

For the following questions, please select N/A if the information does not apply to this complaint, or if you are not sure of the answer.
		YES	NO	N/A			YES	NO	N/A
Are bones visible?*	Hips				Does the animal have any: *	Food
	Ribs					Water
	Spine					Shelter
Did you observe the above first hand?

Nature of complaint
What is happening?
How long has it been going on for?
How often does this occur?
Vehicle registration details: (if applicable)

If you have any supporting documents (such as photographs), please check this box keep them on file as an Inspector will be in contact with you to arrange delivery of them by email or post.

If you would like to contact the RSPCA by phone to register a cruelty complaint please call:

(03) 9224 2222

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