Animal Cruelty Report Form

Section 1: Complainant Details

Full Name *

Contact / WhatsApp Number *

Email *

State *
JohorKedahKelantanMelakaNegeri SembilanPahangPerakPerlisPulau PinangSabahSarawakSelangorTerengganuWilayah Persekutuan Kuala LumpurWilayah Persekutuan PutrajayaWilayah Persekutuan Labuan

City / Town / Area *

Section 2: Animal and Incident Details

Animal Type *
DogCatBirdWildlifeOther

If Wildlife / Other, Please specify

Number of Animals Involved *
12–56–10More than 10Unsure

Current Condition of the Animal *
InjuredBleedingWeak / sickDeadStarving / malnourishedNo food or waterNo shelter / exposed to weatherTied / chained / confinedAbandonedPoisonedShot / suspected shootingBurnedBeatenPregnant / nursingPuppies / kittens involvedOtherUnsure

If Current Condition of the Animal is Others, Please specify

Is the Animal Still at the Same Location? *
YesNoUnsure

Section 3: What Happened

Brief Details of the Animal Cruelty Case *

Full Incident Address / Location *

Google Maps Link / Pin Location

Incident Date *

Incident Time *

Is This a One-Time or Repeated Incident? *
One-time incidentRepeated incidentOngoing daily / frequentlyUnsure

Section 4: Perpetrator / Person Involved Details

Name of Perpetrator / Person Involved, if known

Relationship to the Animal
OwnerNeighbourTenantShop / business operatorBreederPet shopSecurity guardContractorAuthority / enforcement personnelUnknown personOtherUnsure

Perpetrator’s address / vehicle number / workplace / identifying details, if known

Any other identifying details

Section 5: Witness / Reporting Source Details

Witness name, if different from complainant

Witness contact number, if available

Additional witness information

Are You the Main Eyewitness? *
Yes, I personally witnessed itNo, someone informed meNo, I saw it onlineI am reporting on behalf of someone elseUnsure

Are There Other Witnesses?
YesNoUnsure

Witness Details, If Any

Section 6: Evidence

Type of Evidence Available *
PhotoVideoScreenshotCCTVVet reportPolice reportDVS reportWitness statementLocation pinNo evidence yetOther

Upload Photos / Videos / Documents

Evidence Link or WhatsApp Submission

If your video or evidence file is too large, please upload it to Google Drive, Dropbox, iCloud, OneDrive, or another cloud storage platform and paste the shareable link here. Alternatively, you may send photos/videos/evidence via WhatsApp to SAFM Hotline: 013-706 6770. Please include your full name and SAFM Case ID, if available, when sending evidence through WhatsApp.

Evidence Notes

Section 7: Department of Veterinary Services / Jabatan Perkhidmatan Veterinar Malaysia (DVS) Report Status

Have You Filed an Official Report with DVS? *
YesNoNot yet, but I will report after submitting this formI need guidance

DVS Report Number, If Available

Upload DVS Report Screenshot / Confirmation, If Available

DVS Reporting Acknowledgement
I understand that SAFM may guide me to file an official animal cruelty complaint with DVS, and I will provide the DVS report number to SAFM after the report is submitted.

Section 8: Consent and SAFM Data Use

Consent and Declaration *

I confirm that the information provided in this report is true and accurate to the best of my knowledge.

I understand that Persatuan Haiwan Terbiar Malaysia SAFM may review the information and evidence submitted, contact me for further details, and where necessary, share relevant case information with DVS, police, local authorities, legal advisors, advocates and solicitors, veterinary professionals or animal welfare partners for case review, referral, follow-up, advisory, advocacy or legal purposes.

I understand that submitting this SAFM report does not replace an official complaint to DVS, police or the relevant local authority where enforcement action is required.

I agree to submit this Animal Cruelty Report to SAFM.

Permission to Use Photos / Videos for Public Awareness, If Needed *
Yes, with my name hiddenYes, but please ask me firstNo

Note: Where needed, SAFM may hide or blur names, faces, vehicle plates, house numbers or other identifying details before public use.