Sterilization Update/Deposit Refund Request


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

Contact Information

Enter your first name
Enter your Last Name
Enter your mailing address.
Enter your city.
Select your state.
Enter you zip code.
Please enter your phone number so we can update our records.
Use format:

Reason for Not Spaying or Neutering

Proof of Sterilization

Take a picture of the vet receipt or record showing that your dog was altered. Be sure it includes the date and the animal hospital where it was done.
Select Yes if you need to add more documents.


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.

Sign Here

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.