Community Service Form

We’re happy to have you serve your court ordered community service with Life is Better Rescue. For our records, please complete the following in addition to our various waivers. We collect this information for audit purposes only; we will not share this information with outside parties unless required by a court order.

First Name *

Last Name *

Address *

City *

State *

ZIP *

Email *

Please attach a copy of your state issued identification. *

DOC Identification Number

Parole Officer Name

Parole Officer Phone Number

Date *

Using your mouse or trackpad, please sign your name. You may hit clear to try again. Please click the submit button at bottom of page once you are done.

Signature *