Pet Adoption Handover Checklist Form
Complete this form to document the pet adoption handover, confirm details, and record the condition and items provided at pickup.
Pet Name
*
Species and Breed
*
Adopter Full Name
*
First Name
Last Name
Shelter/Rescue Representative Name
*
First Name
Last Name
Date of Handover
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pet Condition at Handover
*
Excellent
Good
Fair
Needs Attention
Checklist of Items Provided
Vaccination Record
Microchip Information
Food Starter Pack
Leash/Collar
Toys/Blanket
Other
Notes or Special Instructions
Adopter Signature
*
Shelter/Rescue Representative Signature
*
Submit Handover Checklist
Submit Handover Checklist
Should be Empty: