Initial Information

Contact Person's Name

Contact Person's #

Contact Person's Email

Address/Crossroads of Horse(s)
Number of Horses

Investigation Findings

Date/Time of Inspection

Horse Questions

Please complete the following questions for each horse involved. Tap "Add Horse" to fill out information for each additional horse.

Horse
Sex of Horse
Body Score

Any Known/Obvious Health Concerns

What?

Age of Horse (estimate)

Breed of Horse (if known)

Photo(s) of Horse
Sound?
General Attitude & Demeanor

Appetite

Drinking
Manure Amount
Manure Appearance
Urine Amount
Urine Appearance
Current Coggins?
Photo of current coggins

General Comments

Please complete the following questions for each horse involved. Tap "Add Horse" to fill out information for each additional horse.

Horse
Sex of Horse
Body Score

Any Known/Obvious Health Concerns

What?

Age of Horse (estimate)

Breed of Horse (if known)

Photo(s) of Horse
Sound?
General Attitude & Demeanor

Appetite

Drinking
Manure Amount
Manure Appearance
Urine Amount
Urine Appearance
Current Coggins?
Photo of current coggins

General Comments

Please complete the following questions for each horse involved. Tap "Add PIG" to fill out information for each additional PIG.

PIG
Sex of PIG
Body Score

Any Known/Obvious Health Concerns

What?

Age of PIG (estimate)

Breed of PIG (if known)

Photo(s) of PIG
Sound?
General Attitude & Demeanor

Appetite

Drinking
Manure Amount
Manure Appearance
Urine Amount
Urine Appearance
Current Coggins?
Photo of current coggins

General Comments

Final

Additional Information Regarding Rescue/Investigation

Please sign below that the information submitted is accurate to the best of your knowledge.
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.