Please make sure that all pet and veterinarian information is accurate and up to date. Include the name(s) your account is or was in.

We check references carefully. Records are usually maintained for 10-15 +- years, we will check a reference dating back this many years previous. If you have moved and/or have changed veterinarians, please make sure to include additional or previous vets. Otherwise, the info we receive might be incomplete. i.e. without a record transfer, an office may not list an animal as spayed if they did not perform the procedure. Information from veterinarians is completely confidential and may not be discussed with the applicant once the reference check is completed.

We require all household pets to be spayed/neutered and up to date on vaccines as appropriate.

By completing and submitting this application form I/We hereby authorize any veterinarian(s) named below to release all information and records concerning past or present care of any animals.

We may need you to call your vets office to release the records.

PLEASE LIST ALL VET CLINICS USED NAME AND NUMBER BELOW