Professional Duty Report

📋 Unilateral Report

Important: This is a serious action

Use this form ONLY when your professional, ethical, or legal duty requires documenting concerns about an animal without the owner's knowledge or consent.

Suspected puppy mill or backyard breeding operation
Signs of animal abuse or neglect
Stolen pet identified via microchip scan
Falsified health records discovered
Animal welfare concerns requiring documentation

This report will be permanently recorded

Your credentials, justification, and the pet's identification will be stored on the blockchain. This creates an immutable audit trail visible to anyone who looks up this pet.

Your Credentials

Veterinary License Number *

Clinic/Practice ID or NPI

Clinic/Practice Name *

City *

State/Region *

Your Name (DVM) *

Pet Identification

Provide at least one identifier. Microchip is preferred for traceability.

Microchip Number

NFT Mint Address (if known)

Report Details

Justification * (minimum 50 characters) 0 / 50 minimum characters

Additional Notes (optional)

I have also reported this to animal control or relevant authorities

I confirm that the information provided is accurate, I have personally examined this animal, and I understand this report will be permanently recorded on the blockchain as a unilateral professional duty report filed without owner consent.

I confirm that filing this report is necessary to fulfill my professional, ethical, or legal duty as a licensed veterinarian.

✅

Report Filed Successfully

Your professional duty report has been permanently recorded.

-

This report is now part of the pet's blockchain record and will be visible to anyone who looks up this animal's history.

❌ Error

Something went wrong

Please try again or contact support.