EmailMe Form - Report Coyote Attacks in Ontario

Date of Attack or Approximate Date of Attack *
MM / DD / YYYY
Location of Attack (City or Town Name) *
Approximate Time of Attack *
HH : MM AM/PM
Age of Pet or livestock attacked
Victim Species *
Dog
Cat
Horse
Cow
Donkey
Chicken
Other Livestock
Duck
Llama or Alpaca
Other pet
Dog or Cats Name
This will not be published. It is simply for our own reference.
Breed of Dog
Leave blank if cat was the victim
Owner Name *
First Last
We will never post or share your name. We need this information for our data to be considered valid. No other reason.
Situation
Please provide details such as, dog on leash, dog or cat in own yard, fence height, walking on trails at ____ location etc.
Number of coyotes involved in this incident.
Weather at time of attack *
Pet Outcome (Check all that apply)
Taken and missing.
Remains or collar found
Injured
Required Minor Vet Treatment
Required Major Vet Treatment
Eaten
Died on the scene
Fatally wounded
Euthanized due to extent of injuries
Died at some time later due to complications from injuries
involvement of others
Other dog(s) arrived and engaged with coyotes
Human physical intervention
Human presence ended it
Coyote retreated on its own
Human presence did not seem to scare off coyote(s)
Additional coyotes arrived
Other
Check all that apply
Media Link
Social media or News Media Coverage
Prior sighting at location
Had you seen coyote(s) at this location before?
Sightings following attack
Did you see coyote(s) at this location in the days following the attack?
Was this attack witnessed or assumed? *
Yes it was witnessed
No it was assumed
Not witnessed but evidence seen- remains, tracks, sightings etc
Observation prior to attack
Were you concerned about coyotes in this area prior to the attack? Had you been seeing them? Did coyotes ever approach you or stalk you?
Email
This is optional. We promise we won't share it without your permission. We would like to be able to contact if you we had more questions.
Additional Information
Please provide any additional details that you want to share. We are so very sorry for your experience and thank you for sharing it.
CLICK ON PAW PRINT TO SUBMIT FORM
Thank you for participating.
Can we share a summary of this report but not your personal information?
Yes
No
Share would be most likely to Facebook and include the relative location but not your address.
File Upload- photos, vet reports, media articles or any other relative information.

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File format - pdf, jpg,png, doc, docx
Were any humans attacked?
Yes
No
Attempted