Euthanasia/Disposal Request
Kennel #
Activity #
Animal ID #
Received by Officer:
First
Last
Date
MM slash DD slash YYYY
Time
Hours
:
Minutes
Source
Field
OTC
Owner Information
Name
First
Last
Phone
Email
Driver's License #
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Animal Information
Animal Name
Type
Dog
Cat
Other
Is this pet microchipped?
Yes
No
If yes, to whom is the microchipped registered?
How was the pet obtained?
How long have your owned this pet?
Breed
Sex
Male
Female
Neutered
Spayed
Primary Color
Secondary Color
Markings
Collar Color
Other items on pet
I hereby relinquish all rights of ownership, custodianship, and privacy rights of the above-described animal to the Humane Society of the Pikes Peak Region (HSPPR) for euthanasia and/or disposal. I understand that there is no option for ashes returned or memorial products. By relinquishing this animal, I understand and agree that HSPPR may do a thorough and complete examination of the above-described animal as deemed necessary. This may include a post-mortem forensic examination administered by a licensed veterinarian. I am the rightful owner, have complete responsibility for this animal, am authorized to surrender this animal, and have the authority to act on behalf of this animal.
(Required)
By signing below
I hereby relinquish all rights of ownership, custodianship, and privacy rights of the above-described animal to the Humane Society of the Pikes Peak Region (HSPPR) for euthanasia and/or disposal. I understand that there is no option for ashes returned or memorial products. By relinquishing this animal, I understand and agree that HSPPR may do a thorough and complete examination of the above-described animal as deemed necessary. This may include a post-mortem forensic examination administered by a licensed veterinarian. I am the rightful owner, have complete responsibility for this animal, am authorized to surrender this animal, and have the authority to act on behalf of this animal.
Reason for the request to euthanize this animal:
Has this animal bitten a person with a break in the skin within the past (10) days?
No
Yes*
*If yes; there is a requirement for either the quarantine or testing of the biting animal. I understand that I am financially responsible for these costs and will be billed for these costs if I cannot pay today.
Electronic Signature
Date
MM slash DD slash YYYY
Requested Services & Fees
Euthanasia & Disposal Fee
Rabies Testing Fee
Disposal Only Fee
Transport Fee
Other Fees
Total Due
Total Paid
Payment Type
Cash
Credit
Last four digits on card
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