Feline Owner Surrender Application
Cats who have a history of non-use of the litterbox are unlikely to be re-homed through Pet Haven. Adopters and fosters want their homes to be free of urine marking, just as you do. Owners are encouraged to place their home in a ‘sanctuary’ if the cat has a history of peeing or pooping out of the litterbox.
Your Name *
Your answer
Date *
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Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone number *
Your answer
Email Address *
Your answer
Cat's Name *
Your answer
What is your cat's gender? *
Required
Did you adopt your cat from Pet Haven? *
Required
What is your cat's age? *
Required
Briefly describe your cat's appearance/breed. *
Your answer
Reason for surrendering your cat to Pet Haven: *
Your answer
Tell us about your cat
Where does this cat like to sleep? *
Required
Does your cat go outdoors? *
If your cat is an outdoor cat, how long does he/she spend outdoors?
Your answer
How long have you owned your cat? *
Your answer
Are there any special traits or habits that you would like Pet Haven to know about your cat?
Your answer
Litter Box History
Challenges surrounding litter box usage is one of the main reasons cats are surrendered. Please help us by giving as much detailed and accurate information as possible.
Does your cat use a litter box consistently? *
If your cat is not using his/her litter box consistently, please mark all that apply:
Does your cat have 24 hour access to a litter box in the home?
Is the litter box:
Is the cat particular about litter?
If yes, what type/brand?
Your answer
How often is the litter box scooped? *
Where is the litter box kept?
Your answer
If you have other cats, how many share a litter box?
If litter box accidents are an issue, when did they begin?
If litter box accidents are an issue, please mark changes that might have triggered inappropriate litter box use:
Please describe the measures you have taken to correct unwanted litter box behaviors. *
Your answer
Has your cat been to the veterinarian to rule out infection or underlying health issues?
If yes, what was the outcome?
Your answer
Medical History
Has your cat ever had surgery? If yes, please describe the surgery.
Your answer
How does your cat behave during visits to the vet?
Your answer
Is your cat up to date on the following (check all that apply)
Do you use a monthly flea preventative on your cat? *
If you do use a monthly flea preventative, please tell us what brand and when it was last applied. *
Personality
Does your cat get along well with: (Check all that apply)
Does your cat do any of the following? (check all that apply)
How would you describe your cat’s usual behavior? (check all that apply)
Does your cat give "love bites?" *
If your cat does bite, is skin routinely broken?
If you answered yes, what triggers your cat to bite?
Does your cat have a heightened prey drive? (For example, will your cat runs across a room to bite and claw at your ankles or legs?)
Is there anything else you would like to share with us about your cat?
Your answer
If you are surrendering your cat due to a behavior issue, please describe how you have worked to diminish your cat's problem behaviors.
Your answer
Are you interested in discussing alternatives to surrender with a Pet Haven representative? *
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