Surrender Form_Small Mammal and Exotic

Phone

Email

What brings you to NOCO Humane to surrender your animal?

What is your animal's name?

What species and breed is your animal?

How old is your animal?

How did you acquire your animal?

How long have you owned?

Who is your veterinarian?

Has your animal been altered?

Any known medical issues, dietary restrictions, or prescriptions?

What type of housing does your animal use?

Approximate square feet of housing?

Bedding type:

Is your animal on a specific diet?

How does your animal consume water? (ex.: bottle, bowl, etc.)

What are your animal's favorite foods?

What are your animal's favorite activities?

Describe your animal's personality:

How is your animal with children?

How often was your animal handled and how do they do with being handled?

Have they lived with other animals of the same species? Other species?

Does your animal have specific fears to note?

Does your animal display any behaviors worth noting?

If you answered Yes to the question above, please describe the situation and how it happened:

To the above question, who or what type of people have these behaviors occurred with? (ie. Children, men, women, strangers, veterinarians, owner, one person in particular, etc.)

If yes to the question above, were there injuries from this altercation?

If applicable, did the injured animal require medical treatment? What degree of damage was done? (ie. stitches, amputation, etc.)

If applicable, how did you stop the altercation and how easily was the altercation stopped?

Is there anything else you would like to share about your animal?

Can we call you with follow up questions if needed?

Rehoming Your Small Mammal/Exotic Animal

Rehoming Your Small Mammal/Exotic Animal

Rehoming Your Small Mammal / Exotic Animal