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Home
Foster
Adopt
Pawsitive Placement Program
Pawsitive Placement Program Application
Volunteer
Clinic
Donate
Financial Accountability
Surrender
Canine Surrender Application
Feline Surrender Application
Board of Directors
Employment Application
Contact
Animal Surrender
Application
Information on surrendering an animal to HSSET. Please read carefully before continuing.
*
We are not an open intake facility. We are a no kill, non-profit, animal rescue and our space directly depends on adoptions. All intakes are scheduled by appointment and appointments are made based on open kennel availability. We do not euthanatize any of our shelter animals to make space for new animals needing to be surrendered. Because of this, the majority of the time we will not be able to assist you immediately. Please keep this in mind when choosing to attempt to surrender an animal to us. HSSET asks for a $25 surrender fee for single animals and a $10 surrender fee per animal for a litter of 2 or more animals to help offset the cost of their first vaccines and exam. Animals who are current on vaccinations with documentation will have their surrender fees waived.
I have read and understand this information on surrendering.
Your Contact Information
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
Animal Information
Is this a litter of puppies/kittens or a single animal?
*
Litter of puppies/kittens
Single animal
Animal's Name
*
If more than 1 animal, please separate names with a comma.
Cat or dog?
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Cat
Dog
Estimated Breed
*
Estimated Age
*
Animal's Gender
*
Female
Male
Spayed or Neutered?
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Yes
No
How long has this animal been in your care?
*
Why are you surrendering this animal?
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Is this animal a stray?
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Yes
No
Where did you find this animal?
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How long do you believe the above animal has been a stray?
Do you think the above animal may have an owner?
Animal's Health
List any known health issues
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Is this animal current on vaccinations?
*
Yes
No
Not sure / Don't know
Is this animal on regular heartworm prevention?
Yes
No
Not sure / Don't know
Veterinarian's Name
*
Animal's Behavior
Has this animal ever bitten anyone?
*
Yes
No
Not sure / Don't know
Where is this animal kept during the day?
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Where is this animal kept at night?
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How long is this animal left alone?
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Is this animal house / litter box trained?
*
Yes
No
Not sure / Don't Know
What type of other pets is this animal used to?
*
Around cats this animal can be…
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Around dogs this animal can be...
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Around children this animal can be...
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What type of household do you feel this animal would do best in?
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What commands does this animal know?
*
What types of activities does this animal enjoy?
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What is the activity level of this animal?
*
Is this animal used to being in a fenced backyard?
*
Yes
No
Not sure / Don't know
If this is a dog is it leash trained?
*
Yes
No
List any bad behaviors or habits this animal has.
*
When visitors come to the door the animal is
*
If someone comes close while they are eating, they will
*
The parts of their body they do NOT like to be touched or handled are
*
When they don’t like being touched they will
*
This animal is afraid of
*
Photo 1
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Accepted file types: jpg, gif, jpeg, png, bmp, Max. file size: 50 MB.
Photo 2
Accepted file types: jpg, gif, jpeg, png, bmp, Max. file size: 50 MB.
Photo 3
Accepted file types: jpg, gif, jpeg, png, bmp, Max. file size: 50 MB.
