Form Center

2. Fields marked with an * are required to print this form. Anonymous submissions are not accepted.
4. Your Last Name*
5. Your First Name*
7. Phone Number
8. Email Address
10. Your Address
    Please enter your residential address.
12. Street Number
13. Street Name
14. Apt./Unit #
16. City (Antioch excluded)
    Antioch residents, please contact Antioch Animal Services at 925-779-6989
17. State
18. Zip
20. Animal Type *
21. Location*
    Please provide either the direct address or the cross street information
23. Photo
    If you have a photo, please upload it here.
24. Notes
    Is there any other information we should know?
26. We prioritize all of our Field Service calls based on public safety. Deceased animal reports will be handled as quickly as possible, though it may take up to seven days for removal. Please note that CCAS will not conduct deceased animal pickups in areas that pose a safety risk to our officers. These areas include crawl spaces, cliffs, condemned buildings and other unsafe locations. *Please Note: CCAS will not conduct deceased wild animal pickups on private property.
28. Click submit when you are done
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field