Adoption Application for Illinois Union County Animal Control
Thank you so much for your interest in adopting one of our animals at Union County Animal Control.
* Please fill out the application below.
* Please call us at 618-833-4915 and leave a voicemail and let us know you submitted an application and which
of our adoptees you are interested inr! The Return call from an officer will show up as a restricted number.
Thank you so much for considering adoption from UCAC!!
First and Last Name *
Your answer
Address, City, State, Zip *
Your answer
Phone number *
Your answer
Email address: *
Your answer
The pets name you are interested in ( if known) :
Your answer
I live in *
If you rent, please provide the name, phone & e-mail of your landlord:
Your answer
How many people live in the household? Please state name and ages. *
Your answer
Please tell us about the pets you currently have in your home ( Type, Age, Breed, Neutered or Spayed) *
Your answer
*DOGS* I have or will plan to install/use the following for my adopted dog *
*DOGS* I can/will commit to: ( some dogs may need potty training, socialization, etc.) *
*DOGS* Where will my adopted dog stay when I’m not at home: *
*CATS* Is your adopted cat going to be indoors or outdoors? *
How many hours daily will your adopted pet be alone? *
Your answer
Name of Vet you use now and have used with past pets. Please include their address and phone number *
Your answer
Please provide your Drivers License number and birthdate for background check. *
Your answer
I agree that if the pet I am adopting is not spayed or neutered, I have 30 days of adoption to have the surgery done by my vet and will send that information to Union County Animal Control within that 30 days. *
I agree to have the pet I adopted receive their rabies shot within 30 days of adoption and I will send that information to Union County Animal Control within that 30 days. *
I certify that I have never been convicted of animal cruelty, neglect or abandonment. *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy