Captive Animal Release Evaluation Form
Evaluate readiness and suitability for release of captive animals. Please complete all sections accurately for assessment purposes.
Evaluator Full Name
*
First Name
Last Name
Organization Name
*
Animal Identification / Species
*
Duration and Reason for Captivity
*
Health Assessment
*
1
2
3
4
5
Behavioral Readiness for Release
*
1
2
3
4
5
Release Site Suitability
*
Highly Suitable
Suitable
Marginal
Unsuitable
Recommended Release Status
*
Ready for Release
Not Ready – Further Rehabilitation Needed
Not Suitable for Release
Additional Notes or Observations
Date of Evaluation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Evaluation
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