Owner Surrender Appointment - Gwinnett County

Owner Surrender Appointment Request Form

We strongly encourage you to attempt to rehome your pet yourself. This can be completed by contacting family, friends and co-workers. If that is not successful, we would recommend that you attempt to find a rescue group to take your pet before bringing it to the shelter. You may view a list of resources on line at www.spotsociety.org. If you have considered all options and are a Gwinnett County resident, please complete this form.

Fields marked are required.

Owner's Name

Address

Phone Number

Email Address

Pet Name

Age of Animal:

Type Of Animal

Breed

Is the animal Spayed/Neutered? (Fixed?)

Is the animal up-to-date on vaccinations?

Why do you want to give up this pet? Please be specific.

How long have you owned your pet?

Please describe the pet's temperament

Where did you get the pet from?

Is the animal sick, injured or does it have any known health problems?

Please describe the issue in detail

Is the pet good with children?

Is the pet good with dogs?

Is the pet good with cats?

Where does the pet stay during the day?

Where does the pet stay at night?

Has the pet ever shown signs of aggression towards people or other animals?

If yes, please explain in detail.

If it is a cat, is it having litterbox problems?

If it is a dog, is it housebroken?

Has the pet bitten anyone in the past 10 days?

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Owner Surrender Appointment Request Form