Form

Date Submitted*

/ Month / Day Year

Date Lost*

/ Month / Day Year

Breed of Dog*

IL City Lost In*

Zip Code*

Closest Intersection*

County where lost*

Area Lost:*

Urban Suburban Rural

Dog's Name*

Gender*

Male Neutered Male Female Spayed Female

Color or Markings*

Age*

Age Unit*

weeks months years

Weight*

in lbs

Dog's Demeanor*

Friendly Shy/Timid

Dog was :

Microchipped Wearing collar with tags Tattooed Dragging leash/chain/rope Wearing collar

Any information on how lost, description information.*

Contact's Name*

Contact's Phone Number*

Alternate Phone

Contact's Email address*

Alternate Email

How did you hear about Lost Dogs Illinois?

Internet Search Facebook Friend or Family Member Animal Shelter or Rescue Article or Flyer Other - Please explain below

Explain

Picture of Dog - A good picture, preferably a full body of your dog is important for flyers and on our posts. PLEASE crop out any distractions such as people, children furniture and other dogs. ( less than 2000kb)*

PLEASE NOTE: You will be redirected to our website (www.lostdogsillinois.org) where LDI's lost dog action plan, create your own flyer template and other resources are located to assist in the search of your lost dog. Your dog’s photo and information will be posted once on LDI’s Facebook page; will be placed in the appropriate missing album and kept in our system. If you have any questions, please contact lostdogsil@gmail.com

Notice of Privacy

Please be informed that by posting to the Lost Dogs Illinois Website or Facebook page and/or requesting that a message regarding your missing dog be posted, you are giving your consent to make certain private information available for public viewing and are acknowledging that you are the owner. If you are not the owner, you acknowledge that you have permission/consent from the owner to submit this form. This would include photo, name, phone number and/or email address. Please be advised that Lost Dogs Illinois, a registered 501(c)3 Non-Profit organization, not Facebook, is requesting this information in order to help facilitate the recovery of your missing dog by communicating your contact information to our Facebook page or website.

Note: Any advice or suggestion made by Lost Dogs Illinois is not paid-for professional advice and should be taken at owner's discretion.

Enter the message as it's shown*

LOST DOG FORM (you are the owner)