Note - Your details will remain confidential and you will only be contacted if further information is needed to be able to deal with your concerns in a timely fashion.
Name of the person complained of: (if known)
Their address
Address 1* :
Address 2:
Town:
County:
Carlow
Cavan
Clare
Cork
Donegal
Dublin
Galway
Kerry
Kerry
Kildare
Kilkenny
Laois
Leitrim
Limerick
Longford
Louth
Mayo
Meath
Monaghan
Offaly
Roscommon
Sligo
Tipperary
Waterford
Westmeath
Wexford
Wicklow
Location of animal (if different from above)
Address 1* :
Address 2:
Town:
County:*
Carlow
Cavan
Clare
Cork
Donegal
Dublin
Galway
Kerry
Kerry
Kildare
Kilkenny
Laois
Leitrim
Limerick
Longford
Louth
Mayo
Meath
Monaghan
Offaly
Roscommon
Sligo
Tipperary
Waterford
Westmeath
Wexford
Wicklow
Detailed directions to location of animal:
Allegation / Complaint beng made:
Conditions being kept in
Condition of Animal
No Food
No Water
No Shelter
Injured Animal
Possible abandonment
Type of animal:
Dog
Cat
Horse
Pony
Donkey
Bird
Other
Type and description of animal: (if known)
Does the animal look like it is getting a nutritionally adequate diet to stay healthy?
Yes, the animal is of healthy weight
No, the animal is underweight
No, the animal is very underweight
Are there any signs of injury or illness?
No
Yes
If 'yes' please provide details:
Conditions animal(s) are kept in:
Clean
Slightly Dirty
Filthy
Does the animal have water provided?:
yes
no
Does the animal have access to some form of shelter?:
yes
no
Any additional information which you feel may be of assistance?:
Due to limited resources the ISPCA is unable to provide Inspectorate cover in all areas and, on occasions may need to pass on your information to another welfare organisation or enforcement agency, do you give permission for us to pass on your details?
yes
no