Rescue Application Form

Rescue Application Form

Application to screen rescues for animal shelters to use to help assess if rescues are a good fit for their rescue program Form Preview
  • Application to Screen Rescues for YOUR RESCUE OR SHELTER NAME GOES HERE

  • Note: You'll need to edit the Setup & Embed feature and change the email that the completed form is sent to. Click: Setup & Embed

    Emails

    Notification

    Reply To & Recipient Settings

    Recipient Email <<

    DELETE THIS TEXT BEFORE YOU SAVE YOUR FORM AS IT'S ONLY NEEDED FOR YOUR FIRST SETUP.

  •  -  - Pick a Date
  • INFORMATION ABOUT YOUR RESCUE




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  • We request authorized puller information to prevent third-party individuals from falsely pulling animals under your rescue's name. Should your authorized puller contacts change, please notify us by submitting this form again and we will update our files.


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  • If your rescue does not have a federal EIN # and it's registered under an individual's social security number instead, please do not list that SS # in the EIN box below. Instead, just put this: SS#/private. We are not interested in receiving anyone's social security number. Please keep that information private.






  • REFERENCES: Please include your vet and local ACO as well as any shelters you regularly pull animals from.

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  • YOUR RESCUE'S PROCESSES AND POLICIES
















  • TRANSPORT INFORMATION

  • Should be Empty: