Skip to content

Search for:

2086814788
hsuv@hsuv.org

~ Mon-Sat 8 am to 8 pm ~

HOME
ADOPT
SERVICES
ABOUT
GET INVOLVED
DONATE

Close Button

HOME
ADOPT
ABOUT

Close Button

SERVICES
GET INVOLVED
DONATE

Close Button

Cat Owner Intake Form

If more than one animal needing rehomed,
please fill out a form for EACH animal.

After submitting the form, please email us a photo
of the animal at HSUVCATS@HSUV.ORG

Name *

First

Last

Phone *

Email *

Cat Location *

Please give an address

Is the animal *

Your pet
Someone elses

If other, please explain:

Was this animal

Adopted through HSUV
Adopted through another shelter
Bought/Given privately
Other

Why are you needing to rehome the animal?

Pet Name *

Age

Gender

Male
Female

Spayed/Neutered?

Yes
No

Microchipped

Yes
No

Up to date on vaccinations?

Yes
No

When and where were the vaccines administered?

Which vaccines were administered?

Rhinotracheitis
Calicivirus
Chlamydophila
Panleukopenia
Feline Leukemia
Rabies
Other/Unknown

Has this cat been seen by a vet clinic? If so do we have permission to contact about medical history?

How long have you owned this pet?

Does well with

Other cats
Dogs
Kids

Does NOT do well with

Other cats
Dogs
Kids

If so, please explain reaction

Is the animal

Indoor
Outdoor
Both

Litter Trained?

Yes
No

Any behavioral issues? If yes, please explain…

Has the cat ever bitten or scratched? If so what were the circumstances?

Please explain any medical issues or concerns

Sick, pregnant, injured, nursing kittens, etc.

Would you be open to owner fostering until adoption?

Yes
No

How soon do you need to have the cat placed?

Please describe the cat's appearance and personality

I acknowledge that filling out this form doesn't mean HSUV can take the animal but is to help HSUV determine if there is a foster home fitting for the animals needs. I understand that it may take time for HSUV to find a foster and sometimes no foster will become available, but HSUV's animal coordinator will be in touch as soon as possible. *

I Understand

E Signature *

First

Last

Date

FOLLOW US ON SOCIAL MEDIA!
______________

______________

THANK YOU TO ALL OF OUR SUPPORTERS!

Pet WordPress Theme ©HSUV-Humane Society of the Upper Valley

Scroll Up