Return to Owner Form (Found)
PUBLIC ANIMAL WELFARE SERVICES
I have claimed ownership of this animal this day from the Floyd County Animal Control Facility and hereby agree to the following terms and conditions.
1) I agree to pay any applicable impound fees,housing fees, and medical expenses that have accrued while this animal has been in custody
2) I understand that the Animal Control Department houses many animals with unknown medical backgrounds and that during the time while this animal was housed, it was susceptible to many diseases. I understand that the Animal Control Department holds no liability for this animals health once it has been released to the owner.
3) I agree to have this animal inoculated against rabies by a licensed veterinarian at my expense by the date indicated on this form. Failure to do so could result in a citation for non-compliance being issued. If inoculation is up to date, I agree to provide proof of this having been done by one of these methods: 1) mailing to 99 North Ave, Rome GA 30161 2) faxing to 706-233-0032 3) emailing to april.burns-smith@floydcountyga.org OR 4) providing it in person. Please provide a copy of this Return to Owner form with the copy of the rabies vaccination certificate so that we can accurately update our records.
First Name
*
Last Name
*
Address
*
City
*
State
*
GA
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
*
Phone Number
*
Email
Driver's License No.
*
Select Choose File and Take Picture of your Driver’s License
*
I HAVE READ AND AGREE TO THE TERMS AND CONDITIONS HEREIN.
Signature
*
Clear