Call Report A HAPI Trails Call Report A HAPI Trails Call Report HAPI TRAILS REPRESENTATIVE: HAPI TRAILS REPRESENTATIVE: First First Last Last CALLER INFORMATION: Date Time 121234567891011 : 0030 AMPM Name of Caller: Phone Address of Concern: Address of Concern: Address of Concern: Address of Concern: City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Horse(s) How many horses in question: Name of Owner: If known Name of Owner: If known First First Last Last Phone Date of visit: Time 121234567891011 : 0030 AMPM Did you meet caller at location? Yes No Did you meet owner at location? Yes No Did you see horse(s) in question? Yes No Did you approach/touch horse(s) in question? Yes No NOTE: TRESPASSING is NOT Allowed. You MUST have the owner’s permission to enter the property. Please describe horse/markings: Description/Remarks L: Description/Remarks R: Other identifying features, equipment, behaviors: Describe condition of horse: Based on the Henneke Scale and your assessment, how do you rate the horses’ condition: Henneke Scale: 1 – Poor 2 – Very Thin 3 – Thin 4 – Moderately Thin 5 – Moderate 6 – Moderately Fleshy 7 – Fleshy 8 – Fat 9 – Extremely Fat Can you tell if the horse is a Gelding Stallion Mare Pregnant Mare Elderly Yearling Foal PROPERTY INFORMATION: Does the horse have a covered shed or barn that can be used daily to get out of the weather? Barn Run in shed Trees Other How many horses share this shed/barn? How big is the shed/barn? How many acres of flat cleared pasture land is the horse kept on Are the horse’s surroundings clean and free of obstacles that could hurt the horse? Does the horse have at least 20 gallons of fresh water from buckets, troughs or running water? Yes No Describe water & food conditions: ASSISTANCE INFORMATION: Who is joining you as witness from HAPI Trails: Who is joining you as witness from HAPI Trails: First First Last Last Is Law Enforcement being called? Yes No Officer attending: Officer attending: First First Last Last Time of arrival: 121234567891011 : 0030 AMPM Officer response: Is Veterinarian being called? Yes No Veterinarian Name:_ Veterinarian Name:_ First First Last Last Time of arrival: 121234567891011 : 0030 AMPM Veterinarian assessment: Veterinarian and/or Officer recommendation: Perform follow-up visit Remove horse(s) Down horse(s) Your recommendation: Time Report is completed: 121234567891011 : 0030 AMPM Date for Follow-up if needed: Follow up Performend? Yes No By Who? Changes to horse/property if any: Next course of action: If you are human, leave this field blank. Submit Δ
