This form should be completed if you or an immediate family member are needing rescue help for your pet. Please complete the form only once.

If a human is in distress and in need of emergency assistance, you should call 9-1-1.

Read the fine print: is not liable for damages, including loss of life, limb, animals or property. This website is not affiliated with any government organization. It is an animal loving, volunteer-run website. Please do not wait for rescue: if someone else shows up first, go with them! Rescues are not guaranteed. Call 911 for emergencies.

We are not affiliated with any organizations. We are volunteers. Anyone can use this form. Any questions, please contact

Data Collection
Any data collected by these forms will be forwarded to animal rescue groups coordinating dispatch.

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Email *
Owner - First and Last Name *
Address *
City *
Zip Code *
Owner Phone number / Can you receive text messages? *
I am the owner of this address and give my consent for a rescuer to break in to retrieve my animal. *
Please give a description of Animals needing Rescue: Dogs, Cats, Horses, Wildlife, Livestock, Etc. How many? (Names & Ages if applicable)
Where can the animal be found at the home? Is the animal in a particular room, upstairs or outside? Is there a carrier or leash/collar at the home - If so, where? How should the rescuer access the property? Last time given food/water?
Additional Info:
Is the Animal in immediate danger? *
Are there any humans at the home with the animal(s)? If so please describe situation. *
What is the circumstance at the location needing rescue?
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