Surrender Request Form

This form is for request to surrender an animal into the care of our rescue. Our foster coordinator is on vacation until Sunday, June 11. Applications will be reviewed in order and contact after then.

How many animals will you request to surrender? *
First & Last Name *
Address *
City, State, Zip Code *
Contact Phone Number *
Contact Phone 2
emailaddress *
Messenger User Name
Animal Name *
Species *
Breed *
Breed 2
Color *
Age *
Weight Guess *
Sex *
Did you adopt this animal from the Miami Animal Alliance? *
Why are you requesting to surrender this animal? *
How long have you had this animal? *
Where does this animal spend the majority of its time? *
Where does this animal sleep? *
Has this animal lived with/been around kids? *
Cats *
Dogs *
Other adults? *
Does this animal do well with all the above? *
If answered no, please explain.
Is there anything a foster or adopter should know/prepare for/be aware of? *
If yes, please explain
Have their been any recent changes the animals environment? *
Please explain if yes
In your words, what is an ideal home for this animal? *
Health Inventory: spay/neutered? *
Heartworm or fiv/flev tested? *
Up to date on vaccines? *
If no, Please explain which are overdue
Leash trained? *
Crate trained? *
Potty/litter box trained? *
If no, please explain
Any aggression? *
If yes to aggression, please explain, especially if biting.
How would you describe their personality? *
Does this animal spray, mark territory or hike leg? *
Is the animal a chewer or have destructive behaviors? *
If a yes to chewer or destructive, please explain.
Does this animal have seperation anxiety? *
If yes to seperation anxiety, please explain
Is this animal healthy and free of health concerns? *
If this animal has health concerns, please describe
Has this animal received vetting? *
Do you have health records? *
If no to vetting or health records, please explain.
Are you willing to foster this animal till adopted? *
If you are not willing to foster, please explain
Is your animal toy aggressive? *
If toy aggressive. Please explain.
How does your animal react to bathing? Petting/handling/hugging, etc? *
Has the animal been permitted on furniture? *
How does your animal react to the car? *
Does your animal know any commands? Please list *
Does this animal need muzzled at the vet? *
Pictures are very important. *
Pictures
I certify that the answers I have given are complete, true and not misleading in any way. I do understand that this is a request for surrender of a cat/dog or litter of either to the Miami Animal Alliance for vetting, care and adoption. It is a request and not a confirmed reservation or release of an animal from your care. We will contact you as we have available resources or within 48 hours if this is a request to return a Miami Animal Alliance adopted animal. *