Animal Surrender Request

Animal Surrender Request
Please read the undertaking letter prior to filling out this form by clicking on the link below

Animal Surrender Undertaking letter
Name

First NameLast Name
Email
example@example.com
Phone Number
Format: (050) 000-0000.
Age
Choose your Nationality
Location / City
Choose your Emirate
Tell us about the Animal
Source of the Animal
Select Animal Type

CatsDogsBirdsRabitsReptilesOther
Animal Age
Animal Breed
Animal gender

MaleFemale
How long is the Animal with you?
Is the Animal?

TESTED FOR COMMON DISEASESVACCINATEDSPAYED/NEUTEREDMICROCHIPPED
Which Disease ?
Any disability ?

One eyeFully blind3 legged2 LeggedLower limbs paralysisFully paralyzedUrinary incontinenceStool incontinence4 teeth or less
Any special condition ?

FIVFELVFIPDiabetesCancerKidney FailureLiver Failure
Is the animal aggressive ?*

YesNo
REASON OF ABANDONING
PERSONAL

LEAVING THE COUNTRYMOVING TO ANOTHER HOME ( Pets Not Allowed )MOVING TO ANOTHER HOME ( Smaller Flat )MARRIAGE - SPOUSE DOES NOT WANT PETSDIVORCEPREGNANCY / BIRTH OF A CHILDHEALTH ISSUESOTHER FAMILY MEMBER DOES NOT WANT THE PETFEARCHANGED YOUR MIND ABOUT HAVING A PETNEED HELPFINANCIAL ISSUESOther
RELATED TO THE ANIMAL

BEHAVIOUR PROBLEMSSICKNESSNOT GETTING ALONG WITH OTHER PETS IN THE HOME
How Long can you keep the animal before surrendering it ?
What's the best place you suggest for the animal ?

HomeFarmSafe place in the city
ARE YOU READY TO SUPPORT THE BOARDING/FOSTERING OF YOUR PET UNTIL WE FIND ANOTHER HOME FOR IT?

YesNo
HOW CAN YOU SUPPORT?
ONE TIME FEE CAT 6,000 AED, DOG 15,000 AED

Pet Surrender Fees
Please Upload 3 Clear Photos of your Animal

Upload from your Phone or Computer Max 3 Images
Cancelof
Please Note:

In case u face any errors in submitting ur request please email us at info@salamaw.ae
Should be Empty:

Animal Surrender Request

Tell us about the Animal

REASON OF ABANDONING

ONE TIME FEE CAT 6,000 AED, DOG 15,000 AED