2. The purpose of this form is to provide an opportunity for Roseville residents to share their observations of wildlife activity in their neighborhoods. Information will be added to other data collected by the City. Residents may submit a single report or frequent reports that document local wildlife activities.
6. Observation/Incident Date*
7. Address of Observation/Incident*
9. Name*
10. Phone Number*
12. Email
16. Type of Report*

    Check all that apply

    1. General Observation
    2. Property Damage

    1. Other
20. Animal Observed*
22. Number of animals seen*
24. Please provide a detailed description of your observations*
28. Thank you for your information!
    We appreciate your assistance in documenting the wildlife activites in the City of Roseville.
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field