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2. If an animal control issue needs immediate attention, please call the Polk County Dispatch at (515) 286-3333 rather than submitting a form.
4. Type of incident:*

   1. Injured animal
   2. Pick up animal
   3. Nuisance animal
   4. Too many animals
   5. Animal cruelty

   1. Stray animal
   2. Deceased animal
   3. Wildlife
   4. Other
6. Type of animal:

   1. Cat
   2. Dog
   3. Other
8. Number of animals:
10. Color of animal:

    1. Brown
    2. Black
    3. White
    4. Tan

    1. Red
    2. Gold
    3. Gray
    4. Other
12. Approximate size of the animal:

    1. Small (less than 20 pounds)
    2. Medium (20 to 50 pounds)
    3. Large (more than 50 pounds)
14. Please provide any additional details:
16. Please provide the address of where the incident occured: *
18. Your name: *
20. Your email address: *
22. Best phone number to reach you: *
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

* indicates a required field