Official State of Nevada Forms

Name

Phone Number/Email Address

Address

Street Address 1

Street Address 2

City

State

Zip Code

Number of sick animals and type, for example, domestic animals, pets or birds.

Number of dead animals, and type, for example, domestic animals, pets or birds.

Number and type of animals on premise.

Description or explanation of observations and veterinary contact information, if applicable.

Report Sick Animals