This form should be completed if you or an immediate family member are offering assistance. 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.

Your Email *
Your Name or Organization Name *
Address *
United States County *
City *
Phone Number *
Can you receive text messages at the above number? *
Category of Help *
Description of Help Offered *
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