DHA Intake Request
Thank you for reaching out to Delaware Humane Association. If you can complete the following form, we can let you know if we are able to help. Please note incomplete forms and/or animals with multiple attacks, bites, or serious behavior concerns will unfortunately not be considered.

**If you are requesting the intake of an animal that is loose, cannot be caught, or you are concerned for but are not the owner of, unfortunately, Delaware Humane Association does not have an animal control contract for the State of Delaware, so we do not have legal authority to do any kind of animal control or investigation of animal abuse. We also do not have the staffing or resources for this type of activity. Please call the Office of Animal Welfare at (302) 255-4646. For more information about who to contact about animal cruelty and control, please visit: animalservices.delaware.gov.

Every animal that DHA intakes is provided with a basic standard of care to prepare them for adoption. The costs can add up to a significant amount for DHA, and our adoption fees help us recover only a portion of these expenses. We have a recommended surrender fee of $75. For more information, please visit our website at delawarehumane.org.
Email *
Full Name *
Address - #, Street *
Address - City, State, Zip Code *
Phone Number (please list best number to reach you) *
Which DHA center are closest to (please keep in mind intakes occur at DHA Wilmington)? *
Are you looking to find placement for a cat or a dog? *
Required
What is your pet's name? *
Are they a male or female? *
Required
Are they fixed? *
How old are they? *
What breed are they (best guess)? *
How much do they weigh (best guess)? *
Are they up-to-date on vaccines (at least Rabies & distemper)? *
When was their last vet visit and where? Are they ok with vetting? *
Do they have any medical concerns or are they on any medications? If yes, please describe: *
Do they have any behavioral concerns? If yes, please describe: *
What is the reason you need to surrender? *
Required
Please explain in your own words why you need to surrender: *
Are there any resources we might be able to provide which might make you able to keep the cat or dog (such as food, a crate, help with behavior issues, vet care, etc)? *
When do you need to surrender (immediate or in the near future)? *
Where did you get the cat or dog (if from a rescue or shelter, please check your contract for conditions concerning rehoming)? *
How long have you had this animal? *
Have you tried rehoming the animal yourself (we have resources to help with this)? *
Have they ever bitten anyone or shown any aggression towards humans? If yes, was the bite in the last 10 days? *
Are they good with dogs, cats or kids? *
Required
Have they ever gone after or attacked another animal, dog or cat? If yes, please explain: *
Please specify if they lived with or had other interactions with DOGS, if known (include ages and as many details possible):
Please specify if they lived with or had other interactions with CATS, if known (include ages and as many details possible): *
Please specify if they lived with or had other interactions with KIDS, if known (include ages and as many details possible): *
How are they with meeting new people / visitors? *
Describe energy level: *
Where do they spend most of their time? *
Describe progress with house training / litter box use (feel free to include details such as on/off leash potty use, general "habit," litter/box type etc - these details can be helpful for anyone with questions): *
Describe progress with crate training (dogs only, include type) and where animal is primarily kept in home (include if baby gates were used, etc): *
Have they ever escaped your home or yard (if yes, how)? *
Do you have a fenced in yard (describe type/height)?
Do you take them for walks (dogs only, unless cat is leash trained)? How does he/she walk on leash?
How long are they left without people? Describe how they behave when left home alone (include tips if you have any): *
Describe how they behave in the car / getting into a carrier (include tips if you have any): *
Are they destructive at all? If yes, what things/how so? *
Do they have any other "naughty" behaviors? *
How do you correct unwanted behaviors? *
How do they respond to this correction? *
What commands do they know?
Have they had any formal training? If so, where?
Describe what they've been eating (include special diet/preferences/habits/favorite treats they have): *
What do they do when you or someone else goes near its food bowl?
What do they do if you or someone else tries to take away toys or rawhide?
What do they do if you or someone else tries to play rough with them? *
Have they ever growled or snarled at you or anyone else? If yes, please describe: *
Have they ever nipped, scratched or snapped at you or anyone else? If yes, please describe: *
Are they afraid of anything? If yes, please describe: *
Are they sensitive about being handled in any way? If yes, please describe: *
What are they accustomed to? *
Required
Describe traits, personality details, favorite toys/treats, etc: *
Describe any hurdles you have had and things staff/adopters should be mindful of (the more details, the better): *
Please feel free to include your own bio about your pet:
I understand/agree to the following: *
Yes
No
I am aware there is a recommended $75 fee to help DHA care for the animal I am looking to surrender.
I am the owner of the animal I am looking to surrender (DHA cannot accept if you are not the owner).
If the animal I am looking to surrender is not able to be handled or vetted, DHA will not be able to take them in.
While DHA will put forward their best efforts, I understand I am not guaranteed to be scheduled an appointment or have my animal intaken by DHA.
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