Critter Surrender Questionnaire

The decision to surrender a pet is not an easy one. Seattle Humane offers compassion and understanding to owners in need of relinquishing their animal(s) into our care. We strive to help every person that comes to us. Through the course of this process, we may recommend contacting other area shelters or rescues that are better suited to help you and your pet, based on specific needs.

The Pet Resource Center at Seattle Humane uses a waitlist for small animals. Our waitlist can be long and it is not uncommon for it to take longer than 1 month before we can schedule an appointment. Rehoming your pet on your own may be a great option for you and your animal. There are lot of groups on social media that focus on a particular species, neighborhood specific pages are also a valuable tool for rehoming pets. An internet search may reveal area rescues that can offer exactly what you need.

Once the waitlist gets to you, we will contact you to schedule an appointment. We schedule owner surrender appointments 1-2 weeks in advance. If you need to return a pet adopted from Seattle Humane during the previous 2 weeks, we can typically offer an appointment within a few days of receiving this completed form. Seattle Humane currently accepts the following species of small mammals: rabbits, guinea pigs, chinchillas, rats, mice, hamsters and gerbils. We do not accept ferrets, birds, fish or reptiles. If you need immediate assistance, we recommend contacting your municipal animal shelter here.

The form below is meant to capture your experience with your pet. Please provide as much detail as possible. Please complete one form for each animal you are looking for assistance with. Once we have received your completed questionnaire we will be in touch to discuss the next steps.

***If you prefer to complete the form by phone, please provide the best phone number to call as well as 1-2 preferred days and timeframe for a phone meeting. There is staff available 7 days per week. 8 am – 11 am, 11 am – 3 pm, 3 pm – 6 pm***

Date*

Your Name*

First Last

Preferred name

Please check one or more options for the set(s) of pronouns you want people to use to refer to you.

he, him, his
she, her, hers
they, them, theirs
other

If you selected other, please write the set(s) of pronouns you want people to use to refer to you.

Address

Street Address Address Line 2

No Address

City*

State*

Zip

Please enter your email address:*

Please enter your phone number if it is OK to leave a detailed message on the voicemail.

What is your timeline for surrendering?*

Seattle Humane schedules owner surrender appointments 1-2 weeks in advance. If you need immediate assistance, please contact your municipal shelter here.

General Information

Are you the owner of this pet?*

If no, please provide the full name and contact information for the owner of this pet.

Yes
No

Please provide full name and contact information of the owner

What challenges are you having with your pet(s)?*

Why are you interested in surrendering them?

If provided with a solution to the challenges you mentioned above, would you be interested in keeping your pet?*

Yes
No
Unsure

What steps, if any, have you taken to re-home your pet?*

Please indicate what species this pet is:

History

Pets Name*

Age*

Please include whether this is years or months.

Breed(s)*

Color(s)*

Size*

0-10 pounds
11-20 pounds
over 20 pounds

Sex*

Male
Female
Unsure

Spayed or neutered?*

Yes
No
Unsure

Is your pet microchipped?*

Yes
No
Unsure

Microchip number if known

How long have you had your pet?*

Please include whether this is years or months.

Where did you get your pet?*

For example: friend, Craigslist, stray, breeder, pet store, etc.

What history, if any, did you receive regarding this animal?

Has your pet been to a veterinarian while in your care?*

Yes
No

Name of Vet or Clinic

We will contact your vet to obtain medical records. This helps us triage incoming animals and have a thorough picture of how to best serve you and your pet.

Does your pet have any current medical conditions, illness or dietary requirements that you are aware of?*

Yes
No
Unsure

Please explain any medical conditions, illness or dietary requirements:

In the next section, questions are about your pet’s behavior while in your care.

How is your pet around people he/she knows?*

Check all that apply.

What does your pet’s daily diet consist of?*

Check all that apply.

If other, please explain:

Has your pet ever bitten a person?*

Please select yes if your pet has done this, even if they didn't break skin.

***If yes, please fill out our bite form.***

Yes
No

Has your pet fought with, or bitten another animal?*

Please select yes if your pet has done this, even if they didn't break skin.

***If yes, please fill out our animal fight form.***

Yes
No

Additional Info

Is there anything else the next adopter should know?

If you are surrendering 2 small mammals that are the same species and look alike, how do you tell them apart?

Optional: Add a photo of your pet