Sterilization Update/Deposit Refund Request

Instructions


Please complete the following short form to tell us whether your dog has been spayed or neutered.

Contact Information


Reason for Not Spaying or Neutering









Proof of Sterilization


Signature


By submitting this request, I certify that the above information is true and correct under the penalties of perjury. I understand that pursuant to Section 24. STERILIZATION STATUS, I must use this form to request a refund and proof of sterilization, my deposit refund request must be completed within 30 days of sterilzation, and that I must complete the sterilization surgery by the date specified. Otherwise, the deposit will be considered a donation to HADR. 

If you are using a phone or tablet to complete this application, simply sign your name below. If you are using a computer, use your mouse to write your name below.


Click submit once. It may take up to 30 seconds for the screen to change. Do not click submit more than once.


Thank You!

Please click the Submit button below.

⬇️