owners and pets information

1
Did you read the Eligibility Criteria and Privacy Policy before starting this form?* This field is required.
YESNO
2
Are you a Deported Pet Owner or a Shelter/Rescue/ Temporary Guardian* This field is required.
Deported Pet Owner
Shelter/Rescue/ Temporary Guardian
3
Pet Owner's Full Name or Organization Name* This field is required.
First Name
Last Name
4
Contact Phone Number* This field is required.
Please enter a valid phone number.
5
Email Address* This field is required.
example@example.com
6
WhatsApp (If preferred contact method)* This field is required.
7
Deportation Date (Owners) or Date of Intake (Guardians)* This field is required.
8
Address at the time of Deportation (Owners) or Location of Pet (Guardians)* This field is required.
9
Pet's Name* This field is required.
10
Pet Type* This field is required.
Dog
Cat
Bird
Rabbit
Other
11
Pet Age (years)* This field is required.
12
Pet Breed* This field is required.
13
Color of Pet* This field is required.
14
Pet Weight* This field is required.
15
Any obvious physical identification markers (e.g. missing teeth, fur patterns or spots, scars, desexed or intact)* This field is required.
16
Microchip number (if any)* This field is required.
17
Any medical history for the animal (Owner) or Current Condition of Animal (Guardians)* This field is required.
Huge
Large
Normal
Small
Ok
Ok
18
Social media links to any photos of pet* This field is required.
19
Current shelter or foster name (if known for Owner) or Whether the pet is at risk of euthanasia, adoption, or relocation (Guardians)* This field is required.
20
Address or region of pet (if known for Owner, If current location not known, the last known location of the pet)* This field is required.
21
Is pet classified as a banned breed?* This field is required.
22
Contact information of anyone left behind in the US (relatives, friends, landlord etc of owner)* This field is required.
23
Upload Animal Photo* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
24
For Owners: Proof of ownership (any of the following):Veterinary records in applicant’s name, Microchip registration, Adoption/rescue paperwork, Photographs of pet with owner (multiple over time preferred), Pet must have been in applicant’s care for at least 6 months before deportation (to prevent fraud or disputes).* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
25
For Owners: Does Applicant expresses intent to retain pet ownership?* This field is required.
Should be Empty: