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Sturgeon Lake Cree Nation/Valleyview Wildfire Pet Assistance Request
CURRENTLY SERVING RESIDENTS OF STURGEON LAKE CREE NATION/VALLEYVIEW
Your Nation has requested support for companion animal disaster response.
If you have EVACUATED
(with pets or left them behind)
or NEED TO EVACUATE with your pets and need supplies/temporary care
, please submit this request and we will help as best we can through the
ALBERTA ANIMAL DISASTER RESPONSE (AADR)
. A collaborative organizational effort between the Alberta Animal Rescue Crew Society - AARCS, the Canadian Animal Task Force - CATF.
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By completing this request form - you are registering your information to the
Alberta Animal Disaster Response Team
. This request will automatically be submitted to the Pet Assistance Program. You will then be contacted in regards to your submission as soon as information becomes available.
This information is being collected in accordance with sections 33(b) and 33(c) of the Alberta Freedom of Information and Protection of Privacy Act.
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* Indicates required question
Personal Information:
Please provide as much information as possible.
Type of Request:
*
My animal(s) are still at my residence, and I have been evacuated.
I've been evacuated and have my animal(s) with me and require assistance.
My animals and I have been evacuated but my animals have been placed elsewhere.
I have a safe place for my animal but need supplies.
Are you trying to locate your animals?
*
If they have been placed elsewhere for temporary care
Yes, please help me locate them
No, I know where they are but need support
First Name:
*
Your answer
Last Name:
*
Your answer
Your Current Location:
*
Include City / Town / First Nation
Your answer
Owners Full Home Address:
*
Your answer
Current (Temporary) Address if applicable:
Your answer
Best Way to Reach You:
*
CHECK ALL THAT APPLY
Phone Call
Text
Email
Required
Contact Mobile Number:
*
Your answer
Contact Email Address:
*
Your answer
Request for Assistance
Please provide as much information as possible.
What is the reason for your request?
*
My Animal is Still at My Home Residence and Needs Support
Cat Food Needed
Dog Food Needed
Pet Supplies Needed
None
Other:
Required
What type of food are you already feeding?
Your answer
Other Notes or Specific Request:
Your answer
IF YOUR ANIMALS ARE STILL AT HOME. Are your animals located at the address provided above? If no, please list current address below.
Your answer
Directions / description of property:
Your answer
Animals location within the home:
Has FULL ACCESS of residence
MAIN LEVEL
UPPER LEVEL
BASEMENT
Animal(s) is KENNELED
UNSURE
Other:
Total number of animals in need of assistance within the home?
Your answer
Types/species of animals in the home (please mark all that apply):
Dog
Cat
Small Animal
Reptiles/Exotics
Other:
Pet Information
Please provide as much information as possible.
How many Pets are you Requesting for?
*
Your answer
Are your Pets Spayed / Neutered?
*
Yes
No
Other:
LIST: Pet name, sex (M/F), species, size, age and breed of all your pets. Separate each pet with a comma:
*
Pet Name / Sex / Species / Size / Age / Breed example: Sage / F / Dog / Small / 3 years / Sheltie x
Your answer
Please describe any special colours/markings:
*
Your answer
Please mark any IMPORTANT additional information about your animal(s):
*
NONE
Animal(s) have a HEALTH CONDITION
Animal(s) require MEDICATIONS
Animal(s) have AGGRESSION / or are a BITE RISK
Animal(s) have any OTHER BEHAVIORAL ISSUES
Other:
Required
Please describe (in detail) any of the marked boxes above:
Your answer
Will your animal(s) REQUIRE temporary placement?
*
Yes, please
No, I have a place for them
Any additional comments you would like to add?
Your answer
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