# 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.

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.

Canonical: https://reuily.com/templates/pet-surrender-form
Use this template: https://reuily.com/form/from-template/pet-surrender-form
Collections: Agreements & Waivers, Pets & Animals, Nonprofits, Veterinary Clinics
Last updated: 2026-10-24

## Questions

- Question 1: What's your full name? (Short Text, required)
- Question 2: What's your email address? (Email, required)
- Question 3: What's your phone number? (Phone, required)
- Question 4: What's your home address? (Short Text, required)
- Question 5: What's your pet's name? (Short Text, required)
- Question 6: What kind of animal is it? (Single Choice, required). Options: Dog; Cat; Rabbit; Another animal
- Question 7: What breed, age and sex is your pet? (Short Text, required)
- Question 8: Why are you surrendering your pet? (Single Choice, required). Options: Moving; Landlord or housing rules; Cost of care; Behavior; Allergies; New baby or family change; Another reason
- Question 9: How does your pet get along with others? (Multiple Choice, required). Options: Good with dogs; Good with cats; Good with children; Not good with dogs; Not good with cats; Not good with children; Not sure
- Question 10: Has your pet ever bitten a person or another animal? (Yes / No, required)
- Question 11: Describe your pet's health, habits and behavior (Long Text, required)
- Question 12: Upload vet and vaccine records (File, optional)
- Agreement: Owner surrender, accepted with "I agree" (full text below)
- Question 13: Sign the surrender form (Signature, required)

Signing records the signer's consent, email, IP address, browser and signing time, and each signer can download a signed PDF copy.

## Owner surrender

Please read this before you sign.

This agreement is between **[Shelter or rescue name]** (the "Shelter") and the owner named in this form.

1. **Ownership.** I am the legal owner of the pet named above, or I have the owner's authority to surrender it.
2. **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.
3. **Final.** I understand the Shelter does not share where the pet goes and is not required to return the pet to me.
4. **History.** I have told the Shelter everything I know about the pet's health and behavior, including any bites in the last **[number]** days.
5. **Fee.** I agree to the surrender fee of **[amount]**, if the Shelter charges one.
6. **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.

## 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

## 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.