Pet retention contact form

Please enter the information requested below.

When you have completed all of the required fields of the form, click submit one time to send your request to Animal Services. We will get back to you as soon as we can.

You will need to have a photo of your pet available if you want to surrender an animal.

All fields below must be complete before sending the request so that we can better serve you.

Due to very high volume, the current surrender appointment wait time can be as long as 30 days.

Please note: This service is provided only to residents of Osceola County, Florida. To help us care for your surrendered pet, a donation of $20 at the time of surrender would be appreciated.

Please do not submit more than one copy of each request as it slows our processing.

Last name*

First name

Street Address*

City*

Osceola County city not listed*

Zip Code - 5 digits only

Email

Enter Email Confirm Email

Phone

I would like to*

Other - please explain

My current living situation is*

Proof of eviction is required before or during the appointment.

If not available for upload below, please bring a hard copy to the appointment (possible chance of appointment cancellation/denial if not present).

I will (please select one)

bring the eviction paperwork with me to the appointment.
upload the eviction paperwork here.

Upload eviction evidence here (optional)

We have a limited supply of pet food on hand at the shelter. Please send us the food request and, if the pet food that you are looking for is currently available, a Pet Retention Specialist will contact you by either phone or email for a pick up date and time.

Reason for surrender (please explain)*

Admin only

To acquire financing for pet medical needs, click the link below to go to ScratchPay, a program available at six participating area veterinarians. Should you choose this option, you will not need to submit this form.

ScratchPay Link

Veterinary services at a discounted rate are often available through the Pet Retention office. Please click Submit below to send us a request for information.

Shelter administration

Method of contact*

Contacting employee*

Client has an email address.*

Shelter to client contact date*

Time of contact*

: HH

MM

Shelter to client final contact date

Final appointment outcome

Outcome notes

Help with dog or cat food

Type of food requested

Quantity

Completed food requests

Date of pickup

Time of pick up

: HH

MM

Outcome

Help with medical/spay/neuter

Outcome

Date

Animal surrender information

Number of animals to be discussed*

1
2
3

Animal 1

Animal 1 species*

cat
dog

blank field for other type of animal

Animal 1 size*

small (less than 20 pounds)
medium (21 - 40 pounds)
large (41 - 60 pounds)
extra large (61 + pounds)

Animal 1 gender*

female
male

Animal 1 spayed*

no
yes

Animal 1 neutered*

no
yes

Animal 1 age*

baby, still nursing (puppy/kitten)
young (age 1-3 years old)
middle age (4-7 years old))
senior (8 years and older)

Animal 1 temperament/personality*

Select All
good with dogs/cats
good with dogs
good with cats
good with small animals
good with small children
none of the above

choose all that apply

Has animal 1 ever bitten anyone?*

Does animal 1 have any known medical issues?*

Explain animal 1 medical issues.

Animal 1's name*

Animal 1 photo*

Submit photo here

Dog breed 1*

(ex: beagle, labrador, poodle etc)

Animal 2

Animal 2 species*

cat
dog

blank field for other type of animal

Animal 2 size*

small (less than 20 pounds)
medium (21 - 40 pounds)
large (41 - 60 pounds)
extra large (61 + pounds)

Animal 2 gender*

female
male

Animal 2 spayed*

no
yes

Animal 2 neutered*

no
yes

Animal 2 age*

baby, still nursing (puppy/kitten)
young (age 1-3 years old)
middle age (4-7 years old))
senior (8 years and older)

Animal 2 temperament/personality*

Select All
good with dogs/cats
good with dogs
good with cats
good with small animals
good with small children
none of the above

choose all that apply

Has animal 2 ever bitten anyone?*

Does animal 2 have any known medical issues?*

Explain animal 2 medical issues.

Animal 2's name*

Animal 2 photo*

Submit photo here

Dog breed 2*

(ex: beagle, labrador, poodle etc)

Animal 3

Animal 3 species*

cat
dog

Animal 3 size*

small (less than 20 pounds)
medium (21 - 40 pounds)
large (41 - 60 pounds)
extra large (61 + pounds)

Animal 3 spayed/neutered*

female
male

Animal 3 age*

baby, still nursing (puppy/kitten)
young (age 1-3 years old)
middle age (4-7 years old))
senior (8 years and older)

Animal 3 temperament/personality*

Select All
good with dogs/cats
good with dogs
good with cats
good with small animals
good with small children
none of the above

choose all that apply

Has animal 3 ever bitten anyone?*

Does animal 3 have any known medical issues?*

Explain animal 3 medical issues.*

Animal 3's name*

Animal 3 photo*

Submit photo here

Dog breed 3*

(ex: beagle, labrador, poodle etc)

Kittens or puppies

If kittens or puppies, is mother being surrendered also?

yes
no

More owner details

How long have you had the animal(s)?*

Reason(s) for concern - click all that apply*

Other reason

If moving, why can't pet(s) go?

landlord does not allow
no space

How can we help you keep your animal(s)?*

Surrender necessary*

Appointment for surrender

Staff member making appointment

Reason for no surrender

Date of appointment

Time of appointment for surrender

: HH

MM

Email confirmation of appointment?

Additional appointments required.

Additional Appointments Information

Date of appointment 2

Time of appointment for surrender 2

: HH

MM

Info appt 2

Date of appointment 3

Time of appointment for surrender 3

: HH

MM

Info appt 3

Surrender outcome

Phone

This field is for validation purposes and should be left unchanged.

L.E.A.S.H.

Please enter the information requested below.

When you have completed all of the required fields of the form, click submit one time to send your request to Animal Services. We will get back to you as soon as we can.

You will need to have a photo of your pet available if you want to surrender an animal.

All fields below must be complete before sending the request so that we can better serve you.

Due to very high volume, the current surrender appointment wait time can be as long as 30 days.

Please note: This service is provided only to residents of Osceola County, Florida. To help us care for your surrendered pet, a donation of $20 at the time of surrender would be appreciated. Please do not submit more than one copy of each request as it slows our processing.

Proof of eviction is required before or during the appointment. If not available for upload below, please bring a hard copy to the appointment (possible chance of appointment cancellation/denial if not present).

We have a limited supply of pet food on hand at the shelter. Please send us the food request and, if the pet food that you are looking for is currently available, a Pet Retention Specialist will contact you by either phone or email for a pick up date and time.

To acquire financing for pet medical needs, click the link below to go to ScratchPay, a program available at six participating area veterinarians. Should you choose this option, you will not need to submit this form.

ScratchPay Link

Veterinary services at a discounted rate are often available through the Pet Retention office. Please click Submit below to send us a request for information.

Shelter administration

Help with dog or cat food

Help with medical/spay/neuter

Animal surrender information

Animal 1

Animal 2

Animal 3

Kittens or puppies

More owner details

Appointment for surrender

Additional Appointments Information

Please note: This service is provided only to residents of Osceola County, Florida. To help us care for your surrendered pet, a donation of $20 at the time of surrender would be appreciated.

Please do not submit more than one copy of each request as it slows our processing.

Proof of eviction is required before or during the appointment.

If not available for upload below, please bring a hard copy to the appointment (possible chance of appointment cancellation/denial if not present).