Animal Adoption Application

Stratford Animal Control

Cat/Small Animal Adoption Application
www.townofstratford.com/animalcontrol
Date*

MonthDayYear
Applications will only be accepted digitally through this online form.

Applications that are not completely filled out will not be processed. Applications will be kept on file for 60 days from date of submission. Please be sure to read the "terms and conditons" in full. Most answers to questions can be found there.
What is the name of the cat/kitten or type of pet you are applying for?*
Name*

First NameLast Name
Date of Birth (For ID purposes)*

MonthDayYear
Co-Applicant Name

First NameLast Name
Date of Birth (For ID purposes)

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
How did you hear about Stratford Animal Control?*
Do you own or rent?*

OwnRent
Type of Housing*

Single FamilyDuplexMultifamilyCondoOther
How long have you lived there?*
Number of adults in household (18+years):*
Relationship to you:
Number of children in household?*
Ages of children?
Is anyone in your house allergic to animals?*

YesNo
Why would you like to adopt a pet from us?*

Companion for selfCompanion for childCompanion for another petCompanion for another household memberGift
Employment Information*

RetiredEmployedOther
Explain "Other"
Employer
(We do not contact your employer)
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone
Please enter a valid phone number.
Length of Employment
How many pets do you currently have?*
How many pets have you had in the past?*
List Current Pets First:
Current or Past Pets
Current or Past Pets
Current or Past Pets
Current or Past Pets
Current or Past Pets
Current or Past Pets
Current or Past Pets
Current or Past Pets
Current or Past Pets
Current or Past Pets
Current or Past Pets
Current or Past Pets
Have you ever given away any pet or relinquished ownership rights to an animal shelter/animal control?*

YesNo
If yes, please explain:

0/100
Under what circumstances would you (or have you) euthanized a pet?*

0/100
Do you have a veterinarian?*

YesNo
Veterinarian Practice Name*
If you do not have a veterinarian, please provide info for the veterinarian that you plan to use.
Veterinarian Name*
If you do not have a veterinarian, please provide info for the veterinarian that you plan to use
Veterinarian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Veterinarian Phone Number*
If you do not have a veterinarian, please provide info for the veterinarian that you plan to use
What will you feed your new cat/kitten?*
Cat/Kitten Food is not an acceptable answer
How often will you feed your new cat/kitten?*
How much time will you allow your new pet to adjust to your new home?*
Are you able to afford a bill of $1000.00 (or more) for emergency veterinary care?*

YesNo
How much do you expect to spend on maintenance for your pet each year?*
Are you committed to providing a responsible home for your pet's entire life(15+) years?*

YesNo
Who will care for your pet in the event of your incapacitation?*
Who will care for your pet in in the case of an emergency?*
Who in the household will be the pets primary caregiver?*
Where will this pet be kept?*
Will this pet go outside?*

YesNo
Do you plan on declawing it?*

YesNo
If this is a small animal (not a cat) how will it be housed? Be very specific.

0/100
Upload a picture of the small animal (not a cat) habitat. If you do not have one yet please upload a picture of the one you plan to purchase.

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What would you do if your pet develops a problem with the issues listed below?
Accidents Outside the Box or Marking*
Aggression*
Biting*
Destructiveness*
Food Guarding*
Separation Anxiety*
Scratching Furniture*
Reactivity to Strangers*
Is there anything you would like to add?

0/100
Documents

Please provide your current pet(s) rabies vaccine certificate(s). If you currently own a pet your application will not be processed without it. (Click on "Browse Files" to select files on your device or Drag & Drop)
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Documents*

Please provide a copy of your mortgage statement, tax bill, lease or notarized landlord letter(including restrictions) proving that you own the property or you are allowed to have a pet. Condominium owners please provide a copy of your associations pet rules and regulations. In lieu of a mortgage statement, tax bill or landlord letter you may submit an ESA letter. Your application will not be processed without it. (Click on "Browse Files" to select files on your device or Drag & Drop). Please black out your financial or account information.
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Documents

Please provide a copy of you current dog(s) license(s). If you own a dog(s) your application will not be processed without it.(Click on "Browse Files" to select files on your device or Drag & Drop)
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How to Qualify for a Connecticut ESA:

To qualify for an emotional support animal, it is a pretty straightforward process. You must be seeing a mental health professional. He or she must be licensed. This person will certify that you have this disability and issue a recommendation letter to allow your animal to be an emotional support animal.

What your Connecticut emotional support must letter contain:

Your letter of recommendation is going to contain a few points. However, in order for it to be valid, it must be written within the past year and feature the doctor’s letterhead. This letter is going to provide others with the information below

·         You are a current patient of this provider.

·         You are being treated by this provider for mental or emotional disabilities.

·         Your disability restricts you from daily activities.

·         An emotional support animal is important for your treatment.

What Conditions Qualify You For an ESA:

·         Attention Deficit Disorder or ADD

·         Cognitive Disorders

·         Bipolar Disorder

·         Learning Disorders

·         Phobias and/or Fears

·         Gender Identity Crisis

·         Sexual Disorders ‘
Signature (Left Click on Mouse & Sign with Mouse)

Clear
DO NOT SUBMIT UNLESS YOU HAVE UPLOADED THE REQUIRED DOCUMENTS. YOUR APPLICATION WILL NOT BE REVIEWED AND YOU CAN NOT EMAIL THEM LATER. THANK YOU FOR UNDERSTANDING.
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Stratford Animal Control