I Lost My Dog

Please thoroughly fill out the form below. We highly recommend uploading a photo of your pet. If you have any questions or issues with this form, please EMAIL us.

* = Required Field

    Date Lost (month/day/year)*

    City/State Lost*

    Dog's Name*

    Dog's Age (indicate years or months)*

    Breed*

    Coat Color*

    Gender*

    Collar*

    Collar Type

    Collar Color

    Tags

    Microchipped*

    Distinguishing Characteristics

    Other Information

    Contact Name*

    Contact Email

    Contact Phone*

    Check The Box Below If...

    I do NOT authorize NHS to give out my contact information to anyone who may have found my pet. Only NHS staff/volunteer(s) are allowed to contact me.