ANIMAL SURRENDER REQUEST FORM

ANIMAL SURRENDER REQUEST FORM

If you feel the need to give up your pet, please provide the following information and return to us with a recent picture. If we are able to help at this time, we will contact you within 24-48 hours. We hope we can be of assistance to you. Filling out this form does not guarantee that we are able to help. You can use the same form for multiple pets. Please add that information in the notes section at the bottom.
Type of Pet you are looking to surrender:*

Dog(s)/PuppiesCat(s)Other
Is this a stray or your owned pet?*

Stray PetOwned PetReturning Adoption from All4Paws
Where did you find this pet?
Please include physical location address or a street name.
Pets Current Name
Pets Former All4Paws Name
Pets Age
Pet's Breed (Best Guess):
Why do you have to give up this pet?*
Please explain:*
What is the last date or time frame you can keep this pet?*
What other methods have you tried to place this pet?*
How did you acquire this pet?*
How long have you had this pet?*
Can you tell us a little about your pet’s personality:
Is your pet good with

CatsDogsKidsStrangersOther Pets
Where is your animal currently housed?*

InsideOutsideInside and Outside
Check All That Apply

My pet is housetrainedMy pet is crate trainedMy pet walks well on leashMy pet has bittenMy pet is possessive over food or toysMy does well in the carMy pet likes to play with toysMy pet is afraid of loud soundsMy pet jumps upMy pet knows how to sitOther
Is the cat/kitten

Able to be picked up by humansLitterbox trainedDeclawedNursing or in needing bottle-feedingHas litterbox issuesOther
Is this pet spayed/neutered?*

YesNoUnknown
Is this pet up to date on vaccines?

YesNo
Are you able to provide these records?

YesNo
Name of current veterinarian and phone #
Please upload a current photo or photos of your pet:

This will help us find a foster home more quickly!
Cancelof
Your Name*

First NameLast Name
Your Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Number
Your Email
Your Phone Number*

Area CodePhone Number
Is there any other information that you would like to share?
Please verify that you are human*
Should be Empty: