Pet Help Request Form
Please fill out this form and provide us with details on what you are seeking assistance with. We will do our best to help directly where we can, and if we cannot assist with your situation directly, we will point you in the direction of resources.
Name
*
First Name
Last Name
Address
*
Street Address & Apt/Suite/Unit
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
County
*
Please Select
DeKalb County
Fulton County
Other County
I adopted from LifeLine/Community Animal Center
I adopted from Fulton County Animal Services
I adopted from DeKalb County Animal Services
NOTE: We are only able to offer assistance to residents of Fulton and DeKalb counties, and those who adopted from a LifeLine shelter.
Phone Number
*
Please enter a valid phone number.
Email
example@example.com
How did you hear about this Form?
Shelter Staff in Person
Shelter Staff Phone/Text
Email
Website
Animal Services Officer
Back
Next
Pet Information
Please complete the fields below about your pet
Name
*
Species
Dog
Cat
Other
Breed
*
Age
*
Please include years or months
Sex
*
Female
Male
I don't know
Is this pet spayed or neutered?
Yes
No
I don't know
Is the pet up-to-date on vaccines?
Yes
No
I don't know
Where does the pet stay during the day?
Indoors
Outdoors
Where does the pet stay at night?
Indoors
Outdoors
Back
Next
Pet Assistance
What kind of pet assistance do you need?
Safety Net short-term pet foster care
Medical assistance
Housing
Training or behavior tips
Rehoming
Other
What kind of pet assistance do you need?
Safety Net short-term pet foster care
Please explain your situation in more detail:
Why do you want to rehome this pet?
*
Please describe in detail
How long have you had the pet?
Please include years/months.
Where did you get the pet from originally?
Family or friend
Breeder
Stray
LifeLine shelter
Other animal shelter
Rehomed pet
Craigslist
Other
Please specify:
Is the pet sick, injured, or have health issues?
Yes - sick
Yes - injured
Yes - health issues
No
Please describe the health issues:
Interaction with cats/dogs/children (Check all that apply)
This pet is good with other cats.
This pet is not good with other cats.
I don't know how this pet is with other cats.
This pet is good with other dogs.
This pet is not good with other dogs.
I don't know how this pet is with other dogs.
This pet is good with children.
This pet is not good with children.
I don't know how this pet is with children.
Please indicate the ages of children that the pet is good with
Please describe the pet's temperament
Is this pet potty trained?
Yes
No
Is the cat trained to use the litter box?
Yes
No
Has this pet ever shown signs of aggression? (check all that apply)
Yes - to people
Yes - to children
Yes - to dogs
Yes - to cats
No
Please explain the circumstances:
Has this pet bitten anyone in the past 10 days?
Yes
No
If you have a digital photo of your pet, please upload it here. (one photo is sufficient)
Browse Files
Drag and drop files here
Choose a file
JPG and PNG files are preferred.
Cancel
of
Please verify that you are a human
*
Submit
Should be Empty: