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Lost Pet Report Form

Use this form to report a lost pet within the City of Kalgoorlie-Boulder.

Pet Details

Type of Animal (Dog, Cat, Other)

Pet's Name

Breed

Colour/markings

Sex

Microchip Number (if known)

Registration number with the City (if known)

Collar/Tag details

Upload a recent photo

Last Seen

Date last seen

Time last seen (if known)

Location last seen (street/suburb)

Circumstances (e.g. gate left open, frightened by noise, slipped collar)

Temperament/medical needs (e.g. shy, may run if approached, requires medication)

Owner/Contact Details

Full Name

Address

Phone number

Alternate contact (optional)

Permissions

I authorise the City to share this report with local vets, shelters, and rescue groups*

Yes

Declaration

I declare the information provided is true. I understand this form does not guarantee my pet will be found and that the City may contact me for further details.*

Yes