Animal Impound Report Type* Impound Quarantine DOA Is the Animal at Hopkins Pet Hospital?* Yes No Case # Impound # Date Reported Time Reported Location Picked Up Reporting Officer Animal Owner Name (Last, First Middle) Owner DOB Owner Address Owner Phone Owner Alt. Phone Animal Breed Animal Name Animal Sex Animal Age Vet Tags Other Tags Collar Type Choke Chain Leather Nylon None Other Other Collar Type Animal Color Black Brown Grey Orange Red Tan White Yellow Injured Yes No Where Treated Comments