Equine Cruelty Complaint Form

Home About Us Report Abuse Sponsors Store

Meetings Legislation Grants By-Laws/Strategic Plan

Equine Cruelty Complaint Form

Home > Equine Cruelty Complaint Form

Equine Cruelty Complaint Form

Witness Information
Have you filed a complaint or report with any other agency, individual or nonprofit?*
- Yes
- No
If yes, what is the name of the agency?*
Did you personally witness the situation you are reporting?*
- Yes
- No
When did you witness the situation?*
When did you last see the equine?*
In what county do you believe the equine to be currently located?*
Equine Description
Color (very important)
Apparent breed
Equine name (if known)
Number of equines being reported on
Physical condition of the equine(s) from your observations (or from others if you are reporting others' observations)
Select all that apply:
Skin/Coat Condition
- Hair Loss
- Excessive flies/ticks, etc.
- Sores
- Excessive mats in coat
- Other
If "Other" please explain:
Physical Condition
- -- Thin? --
- Ribs Showing
- Backbone Showing
- Hip bones showing
- -- Injured --
- Shot
- Beaten
- Over heated
- Unable to stand
- Stabbed
- Bleeding
- Halter Embedded
- Cut
- Limping and/or fractures
- Eye/Ear Infections
- Other
If "Other" please explain:
If applicable, where is the equine injured?
- Head
- Rear
- Back
- Tail
- Legs
Describe the condition of the equine's environment:
Shelter
- None
- Available
If "Available" please describe:
Water
- None
- Clean/fresh water
- Dirty
Food
- None
- Always available
- Spoiled
- Other
If "Other" please explain:
Sanitation
- Feces
- Wet/muddy
- Trash
- Toxic Waste
Confinement
Please describe:
Hazards
Other details about the equine's environment:
Offender's Information
Name
FirstLast
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone
Offender’s description
What is your relationship to the Offender, if any?
Vehicle description
(if any associated with the offender or equine):
Car, Truck or Van?
Vehicle color
Vehicle make & model
License Plate:
Your Information
(NCHC does not disclose complainant information to anyone other than the relevant agency, individual or nonprofit to whom NCHC forwards the equine cruelty complaint form):
Name
FirstLast
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone
Email
Other/Additional Information
To upload a digital picture:
File
Select an image file (File requirements: .jpg or a .gif extension, under 2 MB in size)

The official site of the North Carolina Horse Council

Equine Cruelty Complaint Form

Equine Cruelty Complaint Form

Witness Information

Equine Description

Describe the condition of the equine's environment:

Offender's Information

Vehicle description

Your Information

To upload a digital picture: