Lost Dog Form - ROAM BC

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Category*

Dog's name*

Date dog was last seen*

Time dog was last seen*

:

Actual location dog was lost from*

Enter an address or approximate location

Where dog was last seen*

Enter an address or approximate location

Map

You can drag and drop the marker to improve accuracy

Other sightings

Collar?*

Yes
No

Tags?*

Yes
No

Tag details

PR - ROAM Internal use only*

Yes
No

PR - Password*

Breed, colours, general description*

Age

If unsure, provide your best guess. Specify months or years.

Gender*

Male
Female
Unsure

Spayed / Neutered*

Yes
No
Unsure

General Health*

Chip?*

Yes
No

Chip details

Tattoo?*

Yes
No

Tattoo details

Number of years with owner

Specify months or years.

Likes, fears, and temperament*

Owner's name*

Owner's phone number*

Confirm phone number*

Owner's street address*

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

This information will be used only to aid in reuniting the owner with their missing pet and will remain strictly confidential.

Owner's email address*

Enter Email Confirm Email

If you pre-registered your dog, be sure to use the same email so that we can look up your information.

Picture*

Accepted file types: jpg, jpeg, png, gif.

Supported formats: JPEG, PNG, GIF
Maximum file size: 5MB

Updated picture

Accepted file types: jpg, jpeg, png, gif.

You may upload a new photo of your dog if you do not want us to use the one on file.
Supported formats: JPEG, PNG, GIF
Maximum file size: 5MB

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Geocoder

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Geocoder

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Geocoder

Report a Lost Dog