Wildlife Intake Form

Please be sure to call the Wildlife Center BEFORE filling out this form. If you have not yet called, please call 801-800-1776 for instructions.

Please complete the following wildlife intake form, only if you have first called and spoken with a staff member and have received a case number.

Assigned Intake ID#

This will be the ID that you were given over the phone. If you have not called the center first, please call 801-800-1776 before completing this form.

Animal Species (or best guess)

Name

First Name

Last Name

Address

City, State, & Zip Code (required)

Phone

(###)

###

####

I would like to receive email updates (if available) about the wildlife patient I am brining in to WCSL

I would like to be added to the mailing list (monthly newsletters, special events, etc.)

Our services are completely free to the public, however WCSL does not receive additional funding beyond private donors. Would you like to make a donation today?

Yes

Not Today

Was this animal found at the address you listed above, or a different address?

If the animal was not found at the address listed above, please provide the address, or best estimate (park name, nearest cross streets, etc.) of the place where the animal was found. This helps us reunite the animal with its family.

Yes, this animal was found at the address listed above

No, this animal was found at the address listed below

Name of Rescuer (if different from above)

if same as above, write N/A

First Name

Last Name

Date the animal was FOUND

YYYY

Address where the ANIMAL WAS FOUND

If the animal was found at the address listed above, write N/A

City, State, and Zip WHERE THE ANIMAL WAS FOUND

We like to recognize many of our wildlife rescuers via social media, as well as tag them when the animal is released. If you would like to be tagged in social media posts about this animal, please include your social media handles below. If not, you can leave this blank.

Details of any assistance that was given to the animal

Describe any contact with domestic animals, handling, and feeding. Describe anything that occurred while the animals was in your possession.