Animal Surrender & Rehoming | Fox Valley Humane Association

Surrendering Your Pet

We understand the decision to surrender your pet is not an easy one and you might be considering surrendering for a variety of reasons. FVHA believes in caring for pets and their people and we would love to get to know you and your pet and figure out how we can best help you. We may be able to offer assistance so you can keep your pet in home or help you rehome your pet directly to a new home.

If you are interested in using the services of FVHA to rehome your pet, we ask that you fill out the surrender intake questionnaire below providing information on your pet’s behaviors and lifestyle questions. This is to aid us in getting to know your pet in order to best set them up for success and find them the right home. After completing the questionnaire, a member of our team will contact you in 48-72 hours. If you feel immediate action needs to be taken, please complete this survey and then call us at 920-733-1717, ext 100 to request assistance.

FVHA practices a managed admission model and we intake all owner surrenders by appointment only. This insures we have adequate space and resources to ensure that your pet is getting the care they need while they are at our shelter.

Dog Surrender Questionnaire Cat Surrender Questionnaire Critter Surrender Questionnaire

Dog Surrender Questionnaire

Thank you for inquiring about using the services of the Fox Valley Humane Association to rehome your pet. Please fill out the below information and a member of our care staff team will contact you in 48-72 hours. The Fox Valley Humane Association aims to help as many animals as possible, for this reason, we focus on accepting at-risk strays and local owner surrenders. We help dogs, cats, rabbits, guinea pigs, birds, and other small mammals.

General Info

Name *

Name

First

Last

Street Address *

City *

State *

Zip Code *

Phone *

What is your preferred contact method? *

Phone Call

No Preference

Dog & Household Information

What have you already done to try and find your dog a new home? *

Dogs's Name *

Age *

Sex *

Female

Spayed Female

Male

Neutered Male

Unknown

Breed *

How long have you had your dog? *

Where did you get your pet? *

Born in Home

Breeder

Friend or Relative

Pet Store

Fox Valley Humane Association

Another Shelter

OtherOther

What shelter/rescue did you adopt your pet from? *

What specifically influenced your decision to surrender your dog? *

If we could help you resolve this issue, would you consider keeping your dog? *

Yes

Maybe

Please describe the human family members your dog has lived with. *

Adult Men

Adult Women

Teenager(s)

Elderly Men

Elderly Women

Children/Toddlers

OtherOther

Would you recommend placing this dog in a home with children? If so, what ages would be best? *

Your dog lives with or has lived with the following: *

Male Dog(s)

Female Dog(s)

Cats

Small Mammals (Rabbit, Guinea Pig, Hamster, Etc.)

Farm Animals

OtherOther

Please describe how your dog interacts with cats? (Chases, Co-Exists, Etc.) *

Describe your dog's behavior when it is around other dogs. *

Is Never Around Other Dogs

Great With All Dogs

Great With Most Dogs

Selective- Good With Some But Not All

Ignores or Indifferent

Shy/Timid

OtherOther

What vaccinations is your dog current on that you can provide documentation of? *

Bordetella

Distemper/Parvo

Leptospirosis

Lyme Disease

Rabies

Unknown/Needs Vaccinations

What veterinary clinic do you take your dog to for medical care? *

Does your dog have any health concerns? *

Yes

Please describe any/all known health issues and medications below: *

Has your dog ever bitten a person or got in a dog fight with another dog resulting in an injury? *

Yes

I Don't Know

If you answered yes to the above question, describe the circumstances: *

How would you describe your pet's personality? What would you want someone else to know about your pet? *

Picture(s) of Your Pet

Maximum file size: 67.11MB

Signature *

Date *

Captcha

If you are human, leave this field blank.

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Cat Surrender Questionnaire

General Info

Name *

Name

First

Last

Street Address *

City *

State *

Zip Code *

Phone *

What is your preferred contact method? *

Phone Call

No Preference

Cat & Household Information

What have you already done to try and find your cat a new home? *

Cats's Name *

Age *

Sex *

Female

Spayed Female

Male

Neutered Male

Unknown

Is your cat declawed? *

Not Declawed

Front Declawed

Four Paw Declawed

Breed *

How long have you had your cat? *

Where did you get your pet? *

Born in Home

Breeder

Found as a Stray

Friend or Relative

Pet Store

Fox Valley Humane Association

Another Shelter

OtherOther

What shelter/rescue did you adopt your pet from? *

What specifically influenced your decision to surrender your cat? *

If we could help you resolve this issue, would you consider keeping your cat? *

Yes

Maybe

Please describe the human family members your cat has lived with. *

Adult Men

Adult Women

Teenager(s)

Elderly Men

Elderly Women

Children/Toddlers

How would you describe your household? *

Busy, Active and Noisy

Average

Quiet

Would you recommend placing your cat in a home with children? If so, what ages would be best? *

Your cat lives with or has lived with the following: *

Other Cats

Dogs

Small Mammals (Rabbit, Guinea Pig, Hamster, Etc.)

OtherOther

Describe your cat's behavior when it is around other cats. *

Genuinely Enjoys Other Cats

Ignores or Indifferent

Is Never Around Other Cats

Good With Some Cats

Shy/Timid

OtherOther

What vaccinations is your cat current on that you can provide documentation of? *

Distemper

Feline Leukemia

Rabies

Unknown/Needs Vaccinations

What veterinary clinic do you take your cat to for medical care? *

Does your cat have any health concerns? *

Yes

Please describe any/all known health issues and medications below: *

Does your cat ever inappropriately urinate or defecate outside the box? *

Yes

If yes, please describe the inappropriate elimination. *

Urinating Outside of the Box

Defecating Outside of the Box

Both Urinating and Defecating Outside of the Box

Has your cat been seen by the veterinarian for inappropriate elimiation? *

Yes

When was your cat seen by a veterinarian for inappropriate elimination? *

What tested were performed and/or recommendations were given by your veterinarian for the inappropriate elimination?

Does your cat have a tendency to scratch and/or bite? *

Yes

I Don't Know

If you answered yes to the above question, describe the circumstances: *

How would you describe your pet's personality? What would you want someone else to know about your pet? *

Picture(s) of Your Pet

Maximum file size: 67.11MB

Signature *

Date *

Captcha

If you are human, leave this field blank.

Start Over

Critter Surrender Questionnaire

General Info

Name *

Name

First

Last

Street Address *

City *

State *

Zip Code *

Phone *

Critter Information

What have you already done to try and find your critter a new home? *

Critter's Name *

Age *

Sex *

Female

Spayed Female

Male

Neutered Male

Unknown

Species (Rabbit, Guinea Pig, Bird, Etc.) *

How long have you had this pet? *

Where did you get your pet? *

Born in Home

Friend or Relative

Pet Store

Fox Valley Humane Association

Another Shelter

OtherOther

What specifically influenced your decision to surrender your pet? *

If we could help you resolve this issue, would you consider keeping your pet? *

Yes

Maybe

Does your pet have any health concerns? *

Yes

Please describe any/all known health issues and medications below: *

How would you describe your pet's personality? What would you want someone else to know about your pet? *

Picture(s) of Your Pet

Maximum file size: 67.11MB

Signature *

Date *

reCAPTCHA

If you are human, leave this field blank.

Start Over

Rehoming is hard, let us help you.

We strongly encourage you to do your best to place your pet directly into a new home in order to limit stress and provide them with their best chance for successful placement. Please visit our Rehoming Resources Page to review additional options available to rehome your pet before contacting us or while awaiting your surrender appointment date.