HCHS Animal Surrender Request

Animal Surrender Request

Huntington County Humane Society

390 Thurman Poe Way
Huntington, Indiana 46750
260-356-0355

ANIMAL SURRENDER REQUEST

Please Tell Us About Your Pet 🐾

The information you provide helps HCHS understand your pet, evaluate your surrender request, and determine what options or resources may be available.

BEFORE YOU SUBMIT

Submitting this form does not mean Huntington County Humane Society has agreed to accept your pet.

Please do not bring your pet to the shelter unless a surrender appointment or other arrangements have been confirmed by HCHS staff.

Surrender requests are reviewed based on available space, resources, your pet's individual needs, and the circumstances surrounding your request.

Please check your spam/junk folder for communication from HCHS.

OWNER INFORMATION

First Name *

Last Name *

Street Adress *

City *

State *

Zip Code *

Email Address *

Confirm email *

Phone Number *

ABOUT YOUR PET

Pet's Name *

What kind of animal are you surrendering? *

Breed *

Gender

Neutered/Spayed? *

Has your pet had vaccinations? *

Did you obtain this animal through a shelter or rescue? If yes, please list which shelter/rescue. If no, enter N/A *

Approximately how old is your pet? *

Approximately how long have you had this pet? *

Does your pet currently have or have they previously had a veterinarian? *

Please provide the name and phone number of your veterinarian or clinic.

Do you authorize Huntington County Humane Society to contact your veterinarian and request your pet's medical records?

MEDICAL RECORDS

If your pet has received veterinary care, providing accurate clinic information may help HCHS obtain important vaccination and medical history if your pet is accepted into our care.

SURRENDER INFORMATION

Please tell us why you need to rehome/surrender this pet. Please be as descriptive as possible. *

How urgent is it for you to surrender your pet? *

Are there any circumstances in which you would be able to keep your pet if you received assistance? *

Could We Help You Keep Your Pet?

Huntington County Humane Society's STAY - Standing Together for Animals and You program was created to help pets remain safe, healthy, and loved with the families they already know.

Assistance may include pet food, low-cost spay/neuter, vaccinations and wellness services, short-term crisis fostering, training or behavioral support, and other resources based on eligibility and availability.

APPLY FOR STAY ASSISTANCE

The STAY application will open in a new tab so you do not lose the information entered on this surrender request.

BEHAVIOR & HEALTH

What are your pet's best traits? *

Tell us about your pet's behavior around children, dogs, cats, and other people. Are they potty trained, leash trained, or do they know any commands? *

Does your pet have any current health conditions? Please include illnesses, injuries, dietary needs, medications, or age-related conditions. *

Has your pet ever shown aggression toward a person or another animal? *

Please describe any aggression, growling, snapping, fighting, or other concerning behavior as completely as possible. If none, enter N/A. *

Has your pet ever bitten a person or another animal?

If your pet has ever bitten a person or animal, please describe what happened and whether medical or veterinary treatment was needed. If none, enter N/A. *

Does your pet have any likes, dislikes, fears, triggers, or favorite activities? *

What else would you like a future owner to know about your pet? *

Please upload a clear, recent photo of your pet. *

AGREEMENT & SIGNATURE

IMPORTANT INFORMATION Submitting this form is a request to surrender and does not guarantee that Huntington County Humane Society will be able to accept your pet.

Please do not bring your pet to the shelter unless an appointment or other surrender arrangements have been confirmed by HCHS staff.

The information you provide about your pet's medical history, behavior, aggression, and bite history is important for the safety and well-being of your pet, our staff, volunteers, other animals, and future adopters.

I hereby affirm that the information provided in this Animal Surrender Request is true, accurate, and complete to the best of my knowledge. I understand that Huntington County Humane Society will rely on this information when evaluating my surrender request and the needs of my animal. *

Owner Signature

Date *

Thank You for Reaching Out 🐾

Our team will review the information you provided and contact you regarding availability, possible resources, or next steps.

Submitting this request does not guarantee that HCHS will be able to accept your pet.

Could Help Allow You to Keep Your Pet?

HCHS's STAY - Standing Together for Animals and You program may be able to provide resources such as pet food, low-cost veterinary services, spay/neuter assistance, short-term crisis fostering, or behavioral support.

APPLY FOR STAY ASSISTANCE

Huntington County Humane Society

390 Thurman Poe Way • Huntington, Indiana 46750
260-356-0355

HUNTINGTON COUNTY HUMANE SOCIETY