Pet Help Request Form

  • 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.
  • Format: (000) 000-0000.
  • What kind of pet assistance do you need?*
  • Please specify what type of medical assistance is needed:*

  • PLEASE READ DEKALB COUNTY RESIDENTS:

  • FREE spay/neuter and vaccine services are available to DeKalb County residents through LifeLine's S.N.I.P. program and mobile clinic. Please only apply for this program if you cannot afford to pay for services yourself at one of our low-cost clinics. Register at this link: https://form.jotform.com/240465875432158.

  • Pet Information

    Please complete the fields below about your pet
  • Species
  • Sex*
  • Is this pet spayed or neutered?
  • Is the pet up-to-date on vaccines?
  • Where does the pet stay during the day?
  • Where does the pet stay at night?

  • Pet Support

  • Are you seeking pet support due to a permanent life change?*
  • Are you seeking pet support due to the owner's death?*
  • Are you seeking pet support due to a short-term life change?*
  • Are you seeking pet support due to a housing reason?*
  • Are you seeking pet support due to not being able to afford one of the following?*
  • Are you seeking pet support due to the behavior of the pet? Please utilize this section only if the pet's behavior is a reason for requesting support. General behavior history notes (likes, dislikes, preferences, etc.) will be captured elsewhere.*
  • Are you seeking pet support due to owner/household factors?*
  • Are you seeking pet support due to not having time/being overwhelmed?*
  • If available, would any of these resources assist you with your pet? A shelter representative will contact you regarding current service availability, as they may be limited or unavailable at this time.*

  • Pet Rehoming

  • Where did you get the pet from originally?
  • Is the pet sick, injured, or have health issues?
  • Interaction with cats/dogs/children (Check all that apply)
  • Is this pet potty trained?
  • Is the cat trained to use the litter box?
  • Has this pet ever shown signs of aggression? (check all that apply)
  • Has this pet bitten anyone in the past 10 days?
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