Dog Lost Report

Date Dog Was Lost*

County where dog was lost*

Dauphin County Municipality dog was lost*

Cumberland County Municipality dog was lost*

Perry County Municipality dog was lost*

County where dog was lost*

Other Municipality*

Dog's Name*

Was your dog adopted from the Humane Society of Harrisburg Area?*

Yes
No
Unsure

Please provide the dog's name at the time of adoption from the Humane Society of Harrisburg Area. Please contact the Intake Center at 717.564.3320 after completing this report.*

Is your dog microchipped?*

Yes
No
Unsure

Microchip Number

Primary Breed*

Secondary Breed

Gender*

Color(s)*

Estimated Age

Identifying Features or Distinguishing Marks?

Please include at least one photo of the dog*

Drop files here or

Max. file size: 60 MB.

Owner's Information

Name*

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

In the event a private citizen finds your dog, do you give permission to the Humane Society of Harrisburg Area to share your contact information with the finder?*

Yes, I give permission to supply the finder with my contact information.
No, I prefer to only work through the Humane Society of Harrisburg Area.