01 Adoption Application

East Providence Animal Control Center

FOR STAFF USE Staff member processesing: 
Notes: SCORE:


62 Commercial Way
East Providence, RI 02914

Adoption Application

Please fill out all lines that have an *

If you have any questions please email:

Please use the following format 248-555-1212
Please enter correctly as this is the main way we will contact you
Driver's license or State ID# - List State if other than RI


name of the employee and their relation.





If you have never owned a pet please tell us where you would go.
Again if you have never owned a pet please list where you would go


Name of your landlord or the owner of the property you live at if it's anyone other than you.
Your residence land-owner's contact information.



If you answered 'other' to where your new cat will be staying, please explain where the cat will be kept or be allowed to go.



i.e. your pet was stray/impounded, barking complaint, etc.
Give an explanation of the previous contact with Animal Control, approximately when it occurred, and in which City or Town.




Please sign