Report a missing dog

Please tick:	Mr Mrs Miss Ms
Your name:
Your address:
Home telephone number:
Mobile telephone number:
Your e-mail address:
Date:
Name of Dog:
Gender:	Dog Bitch
Breed / Description:
Age:
Date went missing:
Time went missing:
Where did the dog go missing from?
Was the dog wearing a collar?
Was the Dog wearing an ID tag?	Yes No
Has the dog been chipped?	Yes No
Data Protection Statement Any information that is voluntarily submitted through our online forms will only be used for the purpose or purpses for which it was intended. All information provided will be treated in accordance with the Data Protection Act 1998.

Newark & Sherwood District Council