Animal Control Intake Form

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Animal Control Officers, for all incoming animals, please complete as much of the following information as possible to assist us in properly handling and routing this animal while in the shelter.

Animal ID #s:

(If known)

Date

Species and number of each (list):

Location:

Kennel number, if already in shelter:

Description(s):

Approximate age(s):

Behavior status (feral, timid, defensive, etc.). Provide details to assist us in handling:

Medical concerns (known or suspected):

Animal microchipped? If yes, have you contacted the owner and attempted to return?

Animal wearing ID tag? If yes, have you contacted the owner and attempted to return?

Reason/goal for entering the shelter (confiscate, stray, nuisance, etc.). Include details to assist us in routing this animal:

Legal and ownership status of animal(s) and specific legal designations or restrictions:

Rabies exposure (did a bite or saliva contact with open wound occur requiring us to start a quarantine period)? Date of exposure?

If a bite or injury to animals or people occurred, include description and details to assist us in handling this animal:

Actions requested from shelter team (cruelty exam, wait for court, medical records, etc.):

Approved for foster care? Our medical protocol is to send all underage, medical, and long-term cases to foster for their mental and physical benefit (HB 1234 authorizes foster placement as meeting the minimum standard of care).

Additional information we need to know:

Animal Control Intake Form

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