Title Page

  • Conducted on

  • Personnel

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.

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