Surrender Your Dog

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At the Routt County Humane Society, we understand that there are many reasons why you may need to surrender your cat. We want to respect your decision and treat you and your cat with compassion and empathy during this process. We will take animals from all walks of life that we are contractually allowed, however if you got your cat from another organization, we recommend checking with them first, as continuity of care can make a cat’s journey easier overall and allow them to have a more complete medical and behavioral history. Please complete the cat surrender form below, then a humane society representative will contact you to discuss next steps.

We accept animals from within our service area, though space limitations may prevent us from taking them immediately. In rare cases, we may be able to accept animals from outside our service area, depending on available space and while still meeting our contractual obligations.

While we understand this process is difficult and emotional, we encourage complete honesty as this will help us better understand your cat and find them appropriate placement where they will be safe, happy, and comfortable.

If you are able to rehome your pet yourself, we recommend Rehome by Adopt a Pet. You can submit your pet’s profile, review applications and be guided through the adoption process. If you would like to do this rather than bring your pet into the humane society, reach out to us for a referral code to reduce/waive the listing fee. For more information on Rehome, click here.

Dog Surrender Questionnaire

This form is to gather all information available for a dog being brought into the shelter through the surrender program.

"*" indicates required fields

Step 1 of 2

Dog's Name*

Dog's name

Nickname Names

Nicknames

Breed*

Color*

Age*

Date of Birth

Gender*

I certify that I own the described animal above and I hereby surrender all rights to, and ownership of the animal described below to the Routt County Humane Society. The undersigned further agrees that the disposition of the animal described be at the sole discretion of RCHS. All fees and donations are non-refundable. The Routt County Humane Society is an Open Admission Shelter and accepts all animals into the shelter. Animals that are adoptable shall remain in the program until adopted. There is no predetermined time limit and we do not euthanize for time or space.

I hereby state that to the best of my knowledge; this animal has not bitten any person or animal in the last 10 days.*

I certify that the above statement is true.

I certify that the above statement is false.

Please explain the situation when the bite occured.*

I hereby state that to the best of my knowledge; this animal has not been in contact with or bitten by wildlife in the last month.*

I certify that the above statement is true.

I certify that the above statement is false.

Please explain the situation when the contact/bite with wildlife occured.*

I hereby state that this animal is not involved in an active court case or citation.*

I certify that the above statement is true.

I certify that the above statement is false.

Please explain the court case or citation.*

I have read and understand this information. I am completely relinquishing this animal(s) and will not reclaim my animal(s).*

I certify that the above statement is true.

OWNER INFORMATION

Name*

First Last

Spouse Name

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Signature

970-879-RCHS (7247)

Surrender Your Dog

Dog Surrender Questionnaire

ANIMAL HISTORY

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ANIMAL INTERACTIONS

MEDICAL HISTORY

HOUSEHOLD HISTORY

HUMANE SOCIETY HOURS

WELLNESS CLINIC HOURS

Resources

Shelter Address:

Mailing Address:

Wellness Clinic/RCHS Offices:

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