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Pet Purchase Complaint Form
  1. Use CAPS' Pet Purchase Complaint Form to register a complaint concerning a companion animal purchased from a pet store, over the internet or from a breeder.

    Please fill out the complaint form as thoroughly as possible. Required fields are marked with an asterisk (*). We understand there are many questions, however in order for us to address a complaint we need this information.

    You may wish to take notes and gather the required information first before filling out the form.
  2. About You

  3. First Name(*)
    Required
  4. Last Name(*)
    Required
  5. Email Address(*)
    Invalid email address
  6. Address Line 1(*)
    Required
  7. Address Line 2
    Invalid Input
  8. City(*)
    Required
  9. State or Province
    Required
  10. Zip or Postal Code(*)
    Required
  11. Country(*)
    Required
  12. How should we contact you?
  13. About the Shop

  14. Shop Name (*)
    Required
  15. Shop Address Line 1(*)
    Address required.
  16. Shop Address Line 2
    Invalid Input
  17. Shop City(*)
    Required
  18. Shop State or Province
    Required
  19. Shop Zip or Postal Code(*)
    Required
  20. Shop Country(*)
    Required
  21. Name of shop country if other?
  22. Shop Website
    Invalid Input
  23. Shop Email Address
    Invalid email address.
  24. About the Breeder

  25. Breed of Dog(*)
    Required
  26. Sex(*)
    Required
  27. Enter your best guess if you don't know the date of birth or purchase
  28. Date of Birth (yyyy/mm/dd)(*)
    Required
  29. Date of Purchase (yyyy/mm/dd)(*)
    Required
  30. Date of Death (if applicable - yyyy/mm/dd)
    Invalid Input
  31. Price (if known)
    Invalid Input
  32. Breeder(*)
    Required (best guess if don't know)
  33. Broker
    Invalid Input
  34. Registry
    Invalid Input
  35. The Situation and Your Experience

  36. Diseases and Illnesses(*)
    Required Field
  37. When did illnesses begin and end?(*)
    Response required
  38. Hereditary Defects?
    Invalid Input
  39. Did the pet shop or kennel recommend this vet?(*)
    Required
  40. Veterinary expenses to date(*)
    Required
  41. How did you hear about this pet shop, kennel or online merchant?(*)
    Required
  42. Please describe the conditions in the pet shop or kennel, such as housing, space availability, food, water, bedding, cleanliness, temperature, health and demeanor of the animals, and exposure to illness and disease:
  43. Enter Description Here(*)
    Required field
  44. Was this an online purchase?
    Invalid Input
  45. Was this an Eastern European purchase?
    Invalid Input
  46. Complete this section only if this was an Eastern European Purchase

  47. Breeder's Name
    Shop Name
  48. Breeder's Email Address
    Invalid email address.
  49. Breeder's Address Line 1
    Address required.
  50. Breeders Address Line 2
    Invalid Input
  51. Breeder's City
    City Required
  52. Breeder's Zip or Postal Code
    Zip or Postal Code Required
  53. Breeder's Country
  54. Breeder's Website
    Invalid Input
  55. Can the dog be registered with an American registry (APRI, ACA, etc.)?
    Invalid Input
  56. Did the pet shop tell you that the dog could be registered with AKC?
    Invalid Input
  57. Did the pet shop promote the dog as coming from European championship lineage?
    Invalid Input
  58. Do you feel you paid more or were you told the dog was more expensive because the dog was imported?
    Invalid Input
  59. Enter the numbers
    Enter the numbers
    Refresh (new numbers)Invalid Input - numbers must match
  60.   

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