Pet Surrender Form Template
A free sample pet surrender form for shelters and rescues. Owners share the pet's history and behavior, then sign over ownership online.
Customize the pages and design to fit your needs.
About this template
Owners share why they're surrendering, the pet's health, habits and behavior, and upload vet records. They sign over ownership online, and your intake team gets the full history before the pet arrives.
Common uses
- Animal shelters and humane societies
- Rescues taking owner surrenders
- Rehoming programs
Key features
- Health, behavior and bite history
- Vet record upload
- Signed transfer of ownership
What this template asks
What's your full name?
Short Text
What's your email address?
Email
What's your phone number?
Phone
What's your home address?
Short Text
What's your pet's name?
Short Text
What kind of animal is it?
Single Choice · Dog, Cat, Rabbit, Another animal
What breed, age and sex is your pet?
Short Text
Why are you surrendering your pet?
Single Choice · Moving, Landlord or housing rules, Cost of care, Behavior, Allergies, New baby or family change, Another reason
How does your pet get along with others?
Multiple Choice · Good with dogs, Good with cats, Good with children, Not good with dogs, Not good with cats, Not good with children, Not sure
Has your pet ever bitten a person or another animal?
Yes / No
Describe your pet's health, habits and behavior
Long Text
Upload vet and vaccine records
File · Optional
Owner surrender
Agreement text, accepted with “I agree”
Sign the surrender form
Signature
How to use this template
Copy it
Select Use template and a copy opens in your workspace as an unpublished draft.
Make it yours
Edit any question or answer, choose a theme, and add your logo.
Share it
Publish, then send the link, show a QR code, or embed the form on your site. Responses arrive in Submissions.
Owner surrender
Signers read this text in the form before they accept it. Edit the bracketed details to match your business, and have the wording reviewed for your situation.
Please read this before you sign.
This agreement is between [Shelter or rescue name] (the "Shelter") and the owner named in this form.
- Ownership. I am the legal owner of the pet named above, or I have the owner's authority to surrender it.
- Transfer. I give up all ownership of the pet to the Shelter. The Shelter may place, treat or care for the pet as it decides is best.
- Final. I understand the Shelter does not share where the pet goes and is not required to return the pet to me.
- History. I have told the Shelter everything I know about the pet's health and behavior, including any bites in the last [number] days.
- Fee. I agree to the surrender fee of [amount], if the Shelter charges one.
- Release. I release the Shelter from claims about the care, placement or outcome of the pet.
By signing below, I confirm that the information in this form is true and I surrender ownership of the pet.
Frequently asked questions
What should a pet surrender form include?
Owner details, the pet's species, breed, age and sex, the reason for surrender, how it gets along with others, bite history, health and vet records.
Does the owner sign over ownership?
Yes. The owner signs a transfer of ownership online, saved as a PDF with an audit trail. It's a sample to start from, not legal advice.
Can owners fill it in before they bring the pet in?
Yes. Send the link when they call, so your intake team has the full history before the pet arrives.