Telephone Reference Check
Form used to verify Adopter's references.
Email address *
Applicant and Reference Information
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Adopter's Name:
Your answer
Reference Name
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Reference Address:
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Reference Telephone Number:
Your answer
How long have you known the Applicant:
Your answer
How do you know them?
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What animals does the Applicant have now?
Your answer
Describe interactions that you have seen between your friends and their or other people's animals.
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Where are these animals now? (If not present in home)
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Have they ever had any pets hit by a car or with a serious disease or injury? What were the circumstances and did they receive Veterinary care?
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How will others in the home feel about a new dog? Spouse, kids, parents, etc?
Your answer
Do the animals have free run of the secure yard when no one is home?
Is there a doggy door?
Do you have any concerns with them adopting another animal?
If you left this life and returned as a pet, would you want them to own you?
Status of this Reference:
By typing my name, I attest that I have completed this reference and based upon our conversation, believe that the adopter above should continue based upon the status above.
Your answer
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