2. 
3. Police Department | Animal Services Division
   1950 Stevenson Boulevard
   P.O. Box 5006
   Fremont, CA 94537-5006
   Phone: 510-790-6640
   Fax: 510-790-6632
   Website

5. If the request is urgent call 911 or Animal Services at 510-790-6640

7. Your Information

9. Your Name*
10. Phone*
12. Email*
13. Address
14. Zip Code

18. Owner Information

20. Name of Owner if Known
21. Address of Requested Animal Welfare Check*
23. Description/Comments
25. Image
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field