Your contact details

First Name* Please enter your first name

Last Name* Please enter your last name

Contact Number* Please enter your best contact number

Email Address* Please enter your email address

Where is the animal? Include street name & number and/or park/reserve name and/or nearest corner/intersection and/or landmarks.

Address* Please enter the Rescue Street

Suburb / Town* Please enter the Rescue Suburb

Wildlife Information

Species* -- Please select -- Bird Brushtail Possum Duck Echidna Flying-fox/Fruit Bat Kangaroo Koala Kookaburra Lizard - Blue Tongue Magpie Micro Bat Pacific Black Duck Plover/Masked Lapwing Possum Rainbow Lorikeet Raven Ringtail Possum Seagull Seal Snake Swan Turtle/Tortoise Wallaby Wombat Wood Duck Other or Unknown Please select Species

No. of Animals* Please enter the number of animals

Orphaned? Yes No Invalid Input

Cause for concern* -- Please select -- attack by cat attack by dog attack by other animal collided with window cruelty disease electrocution entangled fence entangled fishing line entangled netting entangled rubbish extreme weather found on the ground found within building hit by vehicle displaced native nuisance nuisance - swooping birds oil spill other pet trapped Please select the Cause

Please describe the situation* Please enter a Description

Please select the type of help you need* -- Please select -- Advice/Information Needed Carer Needed Pouch Check Needed Rescuer Needed Rescuer Needed - Contained Return to parents/nest Transporter Needed Return to Habitat Please make a selection

Before you click submit, can you tell us if you tried to phone our emergency number before you used this web form? -- Please select -- Yes, I tried to phone once Yes, I tried to phone more than once No, I didn't try to phone Invalid Input

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