Explain the reasons for complaint and date on which the facts are produced:
POLICE CONTACTED (MUST INCLUDE ADDRESS POSITION AND / OR POLICE STATION, AND TIME AND DATE OF COMMUNICATION):
INCLUDE THE PAPER PRESENTED TO THE PUBLIC INSTITUTION, CORRECTLY SEALED FOR IT, GIVING CHECK IN:
EXACT ADDRESS WHERE IS THE ANIMAL (MUST INCLUDE PROVINCE, VILLAGE, ROADS AND ACCESS ROADS):
CURRENT STATUS OF ANIMAL (AND ENVIRONMENT):
CHARACTERISTISC OF WHERE YOU ARE (EXAMPLE: FENCED AREA OR NOT, RUBBISH, CLOSE TO HIGHWAYS, ETC.):
PICTURES ( AT LEAST FOUR AND MUST INCLUDE CLOSE ANIMAL IMAGES, FULL BODY, INJURIES AND LAND-ENVIRONMENT):