What was the date of the sighting?
What time of day was the coyote sighting?
How many coyotes were there?
Did the coyote(s) approach you or a pet? Yes No
Was there physical contact with you or a pet? Yes No
Did the coyote(s) bite you or a pet? Yes No If Yes, please call 1-800-565-2224 immediately.
Was the coyote aggressive in some other way? Yes No
Please describe exactly what the animal did
Please select what best describes the location: Was this location urban or rural? Urban Rural Was this sighting on a school ground? Yes No Was the sighting near human residences, businesses or public buildings? Yes No Please estimate how close the coyote was to the buildings? Was the signting near a park or other recreational land? Yes No
What County was sighting in (ie. Halifax, Kings, Lunenburg):
Your contact information: Name:
Your civic address: E-mail (mandatory field): Phone Number:
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