DCAS Rescue Application

Thank you for applying for approval to rescue animals from DeKalb County Animal Services (DCAS). Please complete this form and attach a copy of your Georgia Department of Agriculture shelter license. If you are an out-of-state rescue, please attach your required state's paperwork to operate your rescue or shelter. Incorrect information or failure to maintain minimum city, county or state requirements will result in the removal of the organization from consideration for future rescue animals.

Name of Rescue Organization, Humane Society or Shelter

President of Organization

Address of Organization

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Organization Website Address

Primary Contact Name

Cell Phone

Email Address

example@example.com

What pet species does your organization accept?

DogsCatsRabbitsOther

If you are a purebred rescue group, would you consider rescuing a close mix?

YesNo

Would you accept sick, ages, or injured animals?

SickAgedInjuredNo

Do you spay/neuter all animals before release to a new adoptive home?

YesNo

Please provide the name and phone number of a veterinarian that you use:

Name

Phone Number

Under what circumstances would you euthanize a pet in your program?

Would you euthanize a pet who develops a treatable illness (ex: upper respiratory illness, mange)?

YesNo

If you rescue dogs, do you treat heartworm positive dogs for heartworm disease?

YesNo

What is your adoption fee and what services do you provide for that fee?

What is your adoption return policy?

Please list the name and phone number of your local animal control agency:

Name

Phone Number

Do we have your permission to share your organization's name in social media posts or with our volunteers and foster parents who inquire about which rescue organization pulls a specific pet?

YesNo

If you are out-of-state, are you able to provide transportation for rescued pets?

YesNo

Please attach your Georgia Department of Agriculture Kennel License or other state requirements.*

Please attach your Agency Transfer Authorization Document or other additional documents.

DeKalb County Animal Services (DCAS) requires that all animals rescued from or transferred from DCAS must be spayed or neutered and micro chipped before release to a new adoptive home. By signing below, you are agreeing to spay/neuter all animals taken from DCAS prior to release, and you are confirming that the above and attached information is complete and accurate to the best of your knowledge.

Primary Contact Signature

Title

Date