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Pet Haven Return Form
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Pet Haven Return Form
Pet Haven Return Form
To be completed by Pet Haven adopters.
Date
*
MM slash DD slash YYYY
Adopter's Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
Did you adopt a cat or dog?
*
Cat
Dog
Adopted pet's name
*
What date did you adopt your pet?
*
MM slash DD slash YYYY
How did you pay the adoption fee?
Online (credit card)
Check
Cash
What issues are you experiencing with your adopted pet?
*
Please be specific and include any behavioral issues, medical issues, etc...
Are you open to working with a Pet Haven volunteer to help you work through issues?
Pet Haven provides guidance, support, and resources to adopters and is committed to helping you as a new pet owner.
Who was your pet's foster while in rescue? Have you been in touch with the foster? If so, please provide details of your discussions/emails and if the foster is planning to take the adopted pet back.
Please include any additional information for Pet Haven to know.
Vet Care Given
*
I have not taken my adopted pet to the vet.
My adopted pet went to the vet while in my care but I do not have files.
My adopted pet went to the while in my care and I have the files.
I have gone to the following vet clinics:
File
Max. file size: 50 MB.
How long are you willing to keep your adopted pet?
Tell us about your adopted pet?