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Owner Surrender Cat Form

Prior to surrendering your pet, consider exploring alternative options.
If you are unable to find a suitable new home for your pet, please complete the form for your cat. 

Kindly allow 24-48hrs for us to respond once the form is submitted. Additionally, any donation when relinquishing your cat to us would be highly valued and can contribute to the care of your animal.

Owner Surrender Request

Any necessary information marked as NA will not be taken into account. The Jefferson County Humane Society stipulates that individuals wishing to surrender an animal must reside in Jefferson County, unless prior arrangements have been made via email before

completing the surrender form.


Additionally, all individuals surrendering an animal must be able to provide valid proof of address.

Relationship to Owner? (Only Answer if Not the Owner)
Spouse/Partner
Parent/Grandparent
Sibling (Brother/Sister)
Neighbor
Friend or Other

Animal Information:

Spayed or Neutered?
Yes
No
Is this animal up-to-date on vaccinations?
Yes
No
Has this animal ever bitten anyone?
Yes
No
Has this animal shown aggression towards other animals?
Yes
No
Has this animal been around dogs?
Yes
No
Has this animal been around cats?
Yes
No
Has this animal been around kids?
Yes
No
Did this animal live Indoors or Outdoors?
Indoors Only
Outdoors Only
Outdoors with supervision
Has this animal been around farm animals?
Yes
No
Does this animal have any known fears or bad behaviors?
Does this animal have a health condition that disables them?
Yes
No
Date
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