Animal Surrender Form

The Animal Surrender Form is a form that is used by individuals who are looking to surrender an animal to a shelter or rescue organization. This document provides basic information about the animal, such as the species, age, sex, and health status. It also provides contact information for the individual surrendering the animal.

3 minutes to complete


The Animal Surrender Form can be filled by individuals who meet the following criteria: The applicant must be the owner of the animal. The applicant must be aged 18 or over.


Questions for Animal Surrender Form



What is your name?

The answer should be a text input.

Phone Number

The answer should be a phone number.


The answer should be a text input.

What type of animal are you surrendering?

The answer should be a text input.

What is your animal's name?

The answer should be a text input.

How old is your animal?

The answer should be a text input.

Is your animal spayed/neutered?

The answer should be a text input.

Why are you surrendering your animal?

The answer should be a text input.

How long have you owned your animal?

The answer should be a text input.

How would you describe your animal's personality?

The answer should be a text input.

Does your animal have any medical conditions that we should be aware of?

The answer should be a text input.

Has your animal ever bitten or harmed anyone?

The answer should be a text input.

Is your animal up to date on vaccinations?

The answer should be a text input.

What is your animal's temperament?

The answer should be a text input.

Forms Similar to Animal Surrender Form

  • Dog Surrender Form
  • Cat Surrender Form
  • Bird Surrender Form
  • Reptile Surrender Form
  • Small Mammal Surrender Form

Here are some FAQs and additional information
Animal Surrender Form

What do the surrender fees cover?

The surrender fees cover the cost of the animal's initial health exam, initial vaccinations, spay/neuter surgery (if the animal is not already spayed/neutered), microchip, and any necessary treatment.

How do I surrender an animal?

The easiest way to surrender an animal is to bring it to your local animal shelter or rescue organization. Some organizations may require you to fill out a surrender form or provide proof of ownership.

Why should I surrender my animal?

There are many reasons why people surrender their animals. Some people are unable to care for their animal due to financial or personal circumstances. Others may need to surrender their animal because it is not a good fit for their home or lifestyle.

What happens to animals that are surrendered?

Most animals that are surrendered to shelters or rescue organizations are placed up for adoption. Some animals may be transferred to another organization or rescue group. Unfortunately, some animals may be euthanized if they are not adopted.

Want to use this template?

Loved by people at home
and at work

“BlockSurvey is a simple, effective, and scalable tool for creating surveys for leadership and learning assessment. It's one of this year's best buying choices. Each month, it keeps improving and strives to serve its customers needs.”
Nelson Emilio
Personal Branding Strategist
“I use BlockSurvey to get feedback about all my activities and events. It is really easy to get started and create my first surveys! Then I could see how easy it was to share them. Now I am thinking to use BlockSurvey also within my creative process as an author in order to listen and engage with my audience, knowing that anonymity provides the most sincere and reliable answers.”
Georgina García-Mauriño
Author & Designer
BlockSurvey social proof
G2 Crowd
4.8 Star Rating
BlockSurvey social proof
Editor's choice
BlockSurvey social proof
4.9 Star Rating

What's next? Try out templates like
Animal Surrender Form

1000+ Templates, 50+ Categories

Want to create secure online forms and surveys?

Join BlockSurvey.