MDA Webforms | Operation-Bark-Alert

Please DO NOT include any personal, confidential, and/or sensitive information in your responses on this form (e.g. social security number, credit card information, health information, account number, etc.).

Help the Missouri Department of Agriculture crackdown on unlicensed breeders. If you know of an unlicensed breeder in Missouri putting the health and welfare of animals at risk.

Your Contact Information

Prefix

Last Name *

First Name *

Middle Initial

Suffix

Business Name

Address 1 *

Address 2

City *

State *

County

Zip Code *

zip plus four -

Primary Phone *

Phone Type Ext.

Alternate Phone 1

Phone Type Ext.

Alternate Phone 2

Phone Type Ext.

Alternate Phone 3

Phone Type Ext.

E-mail Address

Confirm E-mail Address

Information on Unlicensed Breeder

Breeder's Name *

Address 1 *

Address 2

City *

State *

Zip code *

Zip Code - zip plus four

County County

Primary Phone

Phone Type Ext.

Phone 1

Phone Type Ext.

Phone 2

Phone Type Ext.

Phone 3

Phone Type Ext.

Estimated Number of Animals on premises *

Dogs

Cats

Total

GPS coordinates, if available

Briefly describe the unlicensed breeder's premises. Include living conditions, comments etc. and provide directions to the location if necessary. *

Upload

Upload Name
JPEG , JPG , PDF

Number of uploads

Signature

I have read and understand the terms and policies.* Required

Legal Name*

Date 04/13/2026

Operation Bark Alert