Cat Surrender Form
Yolo County Animal Services
Date
-
Month
-
Day
Year
Date
Owner's Name
First Name
Last Name
Owner's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Cat's Name:
Please upload a picture of your cat.
Browse Files
Drag and drop files here
Choose a file
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of
Cat's Age:
Cat's Color:
Cat's Gender
Please Select
Male
Female
Is your cat spayed or neutered
Please Select
Yes
No
Is your cat current on vaccines
Please Select
Yes
No
Unknown
How long have you had the cat?
Where did you get the cat?
Have you contacted the rescue or individual you got this cat from?
Reason for Surrender/Return - Please Describe below.
Please Select
Housing
Behavior
Medical Care
Other
If Behavioral, Housing, or other, please describe
If you are surrendering because of medical reasons please describe the cat's symptoms below and provide contact information for the veterinarian who last saw your cat, if applicable:
Has your cat bitten a person?
Please Select
yes
no
If your cat has bitten please describe the bite. Did it break the skin? What were the circumstances behind the bite?
When visitors come over, can they pet this cat?
Please Select
yes
no
Does this cat consistently use the litter box?
Please Select
yes
no
If no please describe
How would you describe your cat's behavior around children?
Please Select
Friendly
Fearful
Aggressive
Never been with children
Where did you keep your cat?
Outside
Inside
Inside and Outside
Have you tried to rehome this pet on your own
Please Select
yes
no
If yes, please describe what resources you used to rehome your cat i.e. Facebook, Craigslist, Nextdoor, family members, etc.
Does this cat have any health problems?
Please Select
yes
no
Has your cat been seen by a veterinarian?
Please Select
yes
no
If yes, please provide the vets/clinic contact information.
Has your cat lived with any of the following?
Dogs
Other Cats
Kids
Only Pet
Does your cat get along with other pets?
Please Select
Yes
No
Cats Only
Dog Only
Does this cat nip or scratch when being petted or played with?
Please Select
yes
no
Does this cat enjoy being held or carried?
Please Select
yes
no
Does this cat use a scratching post?
Please Select
yes
no
Does this cat scratch furniture?
Please Select
yes
no
Does this cat tolerate brushing?
Please Select
yes
no
Do you regularly trim this cat's nails?
Please Select
yes
no
Please tell us more about your cat's personality and unique likes and dislikes so we can find the best match for your cat?
Signature
Do we have your permission to post a rehoming animal bio with our partners?
Yes
NO
Submit
Should be Empty: