Surrender Form_Barn Animal

Phone

Email

What brings you to NOCO Humane to surrender your barn animal?

What is your animal's name?

What breed is your animal's species and breed type?

How old is your barn animal?

How did you acquire your barn animal?

How long have you owned?

Who is your veterinarian?

Is your barn animal's rabies vaccine up to date? When did they last receive the rabies vaccine?

Any known medical issues, dietary restrictions, or prescriptions?

Has your barn animal been altered?

Did your barn animal ever need to quarantine due to HPAI? (Highly pathogenic avian influenza)

Is your barn animal on a specific diet?

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, bicyclists, 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 barn animal?

Can we call you with follow up questions if needed?

Rehoming Your Barn Animal

Rehoming Your Barn Animal

Rehoming Your Barn Animal