Equine Rescue & Protection Humane Society Inc. of the U.S.
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NEGLECT FORM

PLEASE REPORT: ABUSE,NEGLECT,AND CRULETY


    All Information is kept Confetial:
 When Reporting a case please have all information complete and rember it is Spring time and it will be muddy and wet in all areas. Please do not say horses are standing in Mudd.


   NAME:____________________________________________________________

   PHONE:_________________________________________________

   ADDRESS:_________________________________________________________


   CITY & STATE:____________________________________________________


   WHAT IS YOUR CONCERN?________________________________________________


   _______________________________________________________________________-

   PLEASE GIVE DISCRIPTION AND MARKINGS OF ALL EQUINES:____________________

   ________________________________________________________________________

   __________________________________________________________________________

   ____________________________________________________________________________-

   DATE & TIME:________________________________________________________

   LOCATION OF ANIMALS:________________________________________________-

   _______________________________________________________________________-


   Thank you from all of the animals that you helped!

   God Bless You
   Equine Rescue & Protection Humane Society Inc. of the U.S.
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