About this template
An Animal Surrender Form is an essential tool for animal shelters, rescue groups, and humane societies managing pet intakes. When owners must relinquish a pet, gathering comprehensive behavioral, medical, and lifestyle background is vital to providing proper care and determining the best placement path.
This template collects structured data covering contact details, the pet's daily routines, temperament around people and other animals, bite history, training levels, and comprehensive veterinary records. By capturing these insights upfront, shelter staff can anticipate special needs, manage safety protocols, and match the animal with a suitable foster or adoptive home much faster.
Doc2Form lets you instantly convert this template into a ready-to-use Google Form, ensuring your intake team receives structured responses right in your connected Google Sheets. Customize questions, share securely with surrendering owners, and streamline your rescue operations from day one.
Key features
- Capture complete medical history and vaccination records in one submission.
- Assess behavioral traits, triggers, and compatibility with other pets.
- Record daily habits, feeding schedules, and housetraining status.
- Collect photo and document links to keep intake files fully organized.
Use cases
Managing owner-surrender appointments at community animal shelters.
Collecting foster or rescue intake questionnaires for incoming dogs a…
Collecting foster or rescue intake questionnaires for incoming dogs and cats.
Gathering background profiles for municipal animal control facilities.
What this form collects
- Full Name (Short answer)Enter your first and last name.
- Phone Number (Short answer)Best number to reach you regarding this surrender request.
- Email Address (Short answer)We will send updates and follow-up questions here.
- Home Address (Paragraph)Street address, city, state, and ZIP code.
- Surrender Needed By (Date) (Date)When do you need to complete the surrender process?
- Pet's Name (Short answer)What is your pet's call name?
- Pet's Sex (Multiple choice)Select male or female.
- Pet's Age (Short answer)Estimated age in years and months.
- Breed Status (Short answer)Is your pet purebred, mixed breed, or unknown?
- How Long Have You Owned This Pet? (Short answer)State how long the animal has been in your care.
- Source / Where Acquired (Short answer)Where did you get this pet? (e.g., breeder, shelter, found as stray)
- Reason for Surrender (Paragraph)Please explain honestly why you are surrendering your pet so we can better plan their placement.
- Household Members (Paragraph)List ages and genders of all humans living in the home.
- Other Animals in Home (Paragraph)List any other dogs, cats, or pets currently living with you.
- Houstrained Status (Multiple choice)Is your pet house-trained?
- Primary Living Location (Multiple choice)Where does your pet spend most of their time?
- Hours Left Alone Per Day (Short answer)Average number of hours your pet is left alone daily.
- Bit or Attacked a Person Status (Multiple choice)Has this pet ever bitten or attacked a person?
- Person Bite/Attack Details (Paragraph)If yes, please describe the circumstances, severity, and date.
- Spayed / Neutered Status (Multiple choice)Is your pet spayed or neutered?
- Vaccinations Current Status (Multiple choice)Are your pet's core vaccinations up to date?
- Microchipped Status (Multiple choice)Does your pet have an active microchip?
- Known Health Problems (Paragraph)Describe any chronic illnesses, injuries, or ongoing medical conditions.
- Current Medications (Paragraph)List any medications, supplements, or special diets your pet currently requires.
- Veterinarian Contact Info (Paragraph)Provide the name, clinic address, and phone number of your regular veterinarian.
- Full Body Photo Upload (Paragraph)Please paste a link to your file (Google Drive, Dropbox, etc.) or describe the document you wish to attach.
- Medical / Vet Records Upload (Paragraph)Please paste a link to your file (Google Drive, Dropbox, etc.) or describe the document you wish to attach.
FAQ
How can I customize this animal surrender form?
Once loaded into Google Forms via Doc2Form, you can freely edit questions, add your organization's logo, adjust branding, and add or remove fields to match your shelter's specific intake policies.
Where do the form submissions go?
All responses flow directly into a Google Sheet linked to your form, giving your shelter staff an organized, searchable database of every surrendered animal.
Can pet owners attach medical records and photos?
Yes. The form includes dedicated spaces for owners to paste links to vet records, full-body photos, and headshots stored in cloud drives like Google Drive or Dropbox.
Is this form template free to use?
Yes, this template is completely free to convert and use via Doc2Form and Google Forms.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.