Animal Surrender Form
Please fill out this form if you are wanting to surrender your domesticated animal to the Stafford County Animal Shelter.
Finder's Name
*
First Name
Last Name
Finder's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Where the stray was found at:
*
Physical address or best approximation
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Animal Information
Type of Domesticated Animal:
*
Cats
Dogs
Other
Gender of Animal
*
Male
Male Neutered
Female
Female Spayed
Otherwise Unknown
Hair of Animal
*
Short Hair
Medium Hair
Long Hair
Have you checked the animal for microchip?
*
Yes
No
Is your feline declawed?
*
Yes
No
Does the dog behave well in the car?
*
Yes
No
If yes, please explain the behavior in the car:
*
Breed of Animal (if known)
N/A if you don't know
Name of Animal (if known)
Approximate Age of Animal (if known)
How long has the animal been in your possession?
*
Did you feel this animal, and if so what kind of food?
Has it seen a veterinarian?
*
Yes
No
If yes, who?
*
Does the animal have any medical issues that you are aware of?
*
Yes
No
If yes, list them here:
Has this animal been around any other animals? (if known)
*
Cats
Dogs
None
Other
Is this animal friendly with:
*
Cats
Dogs
None
Other
Has the animal been around any of the following:
*
Young Children (0-10yrs)
Older Children (10+ yrs)
No Children
Does the animal do well with children?
*
Yes
No
If no, explain why:
*
Has this animal bit or scratched you in the past 10 days?
*
Yes
No
Does the animal show any irritation or aggression in any situation (Food, toys, strangers, etc)
*
Yes
No
If yes, what is that behavior:
*
How well does the animal react to being handled and/or picked up?
*
Please describe the behavior of the animal (feral, aggressive, friendly, etc.)
*
Please upload photo(s) of the animal:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: