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Small Animal Surrender Request
El Paso Animal Services only accepts animals from El Paso County, Texas. If you are an El Paso County resident in need of assistance, please complete the following form. You should only submit one form per pet you are requesting to surrender to El Paso Animal Services.
It is important that the answers provided for surrender questionnaires and assessments are honest and detailed. This information is all El Paso Animal Services has to help set the pet up for success while in our care and in-depth information allows us to find the best outcome for the pet.
Once you have submitted your questionnaire, our Pet Resource team will contact you to gather any additional information and discuss what options are best for you and your pet. If you have any questions, please email
Pethelpline@elpasotexas.gov
. Thank you.
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Owner Information
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Step
1
of 5
Owner Information
Owner Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
*
Email
*
Email
Confirm Email
Have you ever used any of our programs or services before?
*
Yes
No
Next
Pet Information
Pet Name
*
Species
*
Hamster/Gerbil
Rabbit
Guinea Pig
Ferret
Amphibian
Snake
Rat
Reptile
Turtle/tortoise
Bird
Other
Sex
*
Male - intact
Male - Neutered
Female - Spayed
Female - intact
Unknown
have a your
Age
*
Weight
*
Color(s)
*
Distinguishing marks
*
Has your pet been vaccinated in the last 12 months?
*
Yes
No
Unknown
Is your pet microchipped?
*
Yes
No
Unknown
Does your pet have any allergies or medical conditions?
*
Where did you get your pet from?
*
El Paso Animal Services
Animal shelter or rescue
Friend/relative
Found/stray
Born in care
Craigslist/Facebook
Breeder
Another owner rehoming the animal
Other
When did you get your pet?
*
How often is your pet fed?
*
Once a day
Twice a day
All day (free fed)
Other
What are you currently feeding your pet?
*
Is your pet on any medications or special diet?
*
Is your pet offered fruits and vegetables?
*
Yes
No
Are you willing to provide a cage, food and bedding at time of surrender?
*
Yes
No
Please upload a photo of your pet
*
Drag & Drop Files,
Choose Files to Upload
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Next
Pet Behavior Information
Where has your pet been living primarily?
*
Indoors in a cage / hutch / aquarium
Indoors confined to a room
Indoors free to ram
Outdoors in a cage / hutch / aquarium
Garage
Other
Is your pet litter box trained?
*
Yes
No
Does your pet like to be petted?
*
Yes
No
Sometimes
How often do you trim your pet's nails?
*
Regular basis
Somewhat regular basis
Rarely
Never
What size is your pet's cage or enclosure?
*
How often is your pet provided out-of-cage time?
*
Has your pet lived and interacted with other animals?
*
Yes
No
Does your pet have any "bad habits?" If there aren't any, enter "none"
*
What types of people has your pet lived and interacted with?
*
Infants/Toddlers
Small Children
Teenagers
Adult Males
Adult Females
Adult Non-Binary
Seniors/Elderly
Persons with an assistance device (wheelchair, walker, cane, etc.)
Has your pet bitten a person in the last ten (10) days?
*
Yes
No
Please tell us something unique, interesting, or fun about your pet, his/her traits, or personality that we can tell potential adopters or rescue partners.
*
How would you best describe your pet’s personality most of the time?
If there is any other information that you would like us to know about your pet that may help us find the best placement options for this animal, please enter it below:
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Next
Reason for Surrender
What is the reason for needing to re-home or surrender your pet?
*
Allergic to animal
Cannot afford
Death of owner/family
Health of owner/family
Not a good fit with the household
Housing issues-eviction
Housing issues-moving/relocation
Behavior challenges
Change in lifestyle
Health of animal
Cost of pet
Housing restrictions
Other
Have you taken any steps to resolve or remedy the reasons that are causing you to re-home your pet?
*
Yes
No
Are you willing to hold onto your pet until it can be adopted?
Yes
No
Maybe
If we could provide you with any of the following resources, would you be able to keep your pet?
*
Cage / enclosure / habitat
Flea/tick prevention
Spay/neuter
Microchip
Temporary boarding
Pet food
Vaccinations
Pet medical assistance
Pet rent/pet deposit assistance
None of these
Other
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Next
Agreement
I am the owner or authorized agent/designee for the owner of the animal described above.
*
I agree
The information provided in this questionnaire is accurate and true to the best of my knowledge.
*
I agree
I understand that by submitting this questionnaire, it does not guarantee an appointment to surrender my animal(s) to El Paso Animal Services.
*
I agree
I acknowledge that by completing this questionnaire, I am requesting pet surrender support and/or services through El Paso Animal Services and that I will be contacted at a later date to discuss my pet(s), and if necessary, schedule an intake appointment.
*
I agree
I acknowledge that if I am scheduled for a surrender intake appointment, complete surrender fees will be required at the time of the appointment.
*
I agree
DISCLAIMER: El Paso Animal Services strives to find placement for all animals that enter into our care, however we may elect euthanasia on the animal(s) you are relinquishing if it is determined to be in the best interest of the animal or the organization. We reserve the right to elect euthanasia without notification, if we see fit.
*
I agree
Signature
*
Clear Signature
Submit
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