STRAY - INTAKE FORM

DATE:_____________

BREED: ______________________________________________________ COLLAR: ______________

LOCATION FOUND: ___________________________________________________________________

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ID TAG INFORMATION RABIES TAG INFORMATION

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OWNER CONTACTED?: _______________________________________________________________

APROXIMATE AGE:________________ SEX:_______ ALTERED: ______ COLOR:______________

CONDITION OF ANIMAL: ______________________________________________________________

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DISPOSITION OF DOG: ________________________________________________________________

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ATTEMPTS TO UNITE WITH OWNER:

CONTACT FROM ID TAG: ________ CONTACT FROM RABIES TAG:__________

LOST/FOUND SIGNS ________ NEWSPAPER AD ________(IF YES, PLEASE ATTACH AD COPY)

CONTACT SHELTERS ________ CONTACT VETS: __________ OTHER: _____________________

TOTAL TIME HELD: ___________________________________________________________________

WAS DOG RETURNED TO OWNER: _________________ TURNED OVER TO RESCUE __________

DATE OF EITHER OF ABOVE: __________________________________________________________

COSTS INCURED WHILE HELD: ________________________________________________________

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COMMENTS: _________________________________________________________________________

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RESCUE AGENT: _____________________________________________________________________