Assessment Request Form
Please use this form to request assessments. Please note we ONLY offer this service to registered rescues with a Unique Rescue Reference Number (URRN). To get one please register your rescue using the rescue registration form.
RESCUE Information
URRN (required) *
Your answer
Rescue Name (required) *
Your answer
Tagable Contact - This MUST be a member of our Homecheck Group and must be the name on the facebook profile in order to be tagged (required) *
Your answer
ANIMAL Information
Animals Name (required) *
Your answer
Approximate Age (required) *
Your answer
Sex *
Breed (required) *
Your answer
Animals Origin (Required) *
Any known behaviour issues? (required) *
Your answer
Reason for surrender and any other information (required) *
Your answer
Owners Details (required)
Name (required) *
Your answer
Address (required) *
Your answer
Postcode (required) *
Your answer
Telephone Number (required) *
Your answer
ASSESSMENT and DISCLAIMER
Assessment required i.e., urgent, asap, no rush, 2 weeks etc (required) *
Your answer
By submitting this information, you are giving us permission to pass any details included in this form on to our assessor(s) to ensure we can provide a timely and professional service to you and your client. *
Required
Whilst every effort will be made to ensure we provide a thorough and experienced assessment based upon the details you have provided, we The Animal Team, nor our volunteer/s will be held responsible/liable for any adverse situation arising from future behaviour of the animal assessed following our visit. Nor will we be held liable for any injuries to persons, other animals, property or possessions at any time. Please check the box to confirm you have read, understood and agreed to the above. *
Required
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