Dog Surrender Form












AlamedaConta CostraMy county is not listed here

I don't have time to care for him/her

Have you considered re-homing your pet on your own? Please see our resources here if you haven not already.

He/She has behavior issues that I can't manage

Please refer to our behavior resources if you have not already

He/She has medical issues that I can't manage or pay for

We offer low-cost vet care and some financial assistance to qualified pet owners. Find out more here

I'm moving and can't take him/her with me

Find search engines that show pet friendly housing and travel options. See our resources here

I am or someone in my family is allergic to him/her

He/She is aggressive toward people

He/She is aggressive toward other animals

Call our help line at 510-563-4623 or find a certified trainer here

He/She chews or is otherwise destructive

Please refer to our behavior resources if you have not already

I cannot house train or litter box train him/her

Read about litterbox issues here if you have not already

Other Reason (please describe)


I had assistance with medical costsI had assistance with training costs and referralsI had assistance with pet foodI cannot keep my pet



Senior animals face a lot of competition for adopters, as there are many younger, healthy animals also waiting for a home. Have you considered re-homing your senior pet?


MaleFemale





OwnerFriend/caretakerFoster ownerOther


NoYes
These records need to be at least 30 days old and in the name of the person surrendering the animal. Proof of ownership types include a veterinary record, adoption paperwork, or bill of sale. (In accordance with California food and agricultural code section 31108.5 and 31752.2)




This shelterFriend/RelativeNewspaper/WebsiteFound/StrayBreederPet StoreFrom another shelter or rescue group


NoYes


YesNo


Ages 0-3 Female
Ages 0-3 Male
Ages 4-9 Female
Ages 4-9 Male
Ages 10-17 Female
Ages 10-17 Male
Ages 18-29 Female
Ages 18-29 Male
Ages 30-59 Female
Ages 30-59 Male
Ages 60+ Female
Ages 60+ Male


No other animals in householdDogsCatsOther


FriendlyAfraidIgnoresShows teeth/growlsSnapsBitesNever encounters

FriendlyAfraidIgnoresShows teeth/growlsSnapsBitesNever encounters

FriendlyAfraidIgnoresShows teeth/growlsSnapsBitesNever encounters


FriendlyAfraidIgnoresShows teeth/growlsSnapsBitesNever encounters

FriendlyAfraidIgnoresShows teeth/growlsSnapsBitesNever encounters

FriendlyAfraidIgnoresShows teeth/growlsSnapsBitesNever encounters


FriendlyAfraidIgnoresShows teeth/growlsSnapsBitesNever encounters

FriendlyAfraidIgnoresShows teeth/growlsSnapsBitesNever encounters


FriendlyAfraidIgnoresShows teeth/growlsSnapsBitesNever encounters

FriendlyAfraidIgnoresShows teeth/growlsSnapsBitesNever encounters


JoggersBicyclesSkateboarders/rollerbladersCars/motorcyclesBirdsOutdoor CatsSquirrels and small animalsDoesn't ChaseOther



Never TriedEnjoysAllowsAfraidShows teeth/growlsSnapsBitesNone of these

Never TriedEnjoysAllowsAfraidShows teeth/growlsSnapsBitesNone of these

Never TriedEnjoysAllowsAfraidShows teeth/growlsSnapsBitesNone of these


FriendlyAfraidBarksShows teeth/growlsSnapsBitesNone of these


YesNo, paper trained
If yes, how many times per day


YesNo/paper trained
If yes, how many times per day


Inside the house, runs freeInside the house, in a cageOutside the house, in a cageOutside the house, runs free in yardOutside the house, runs free in neighborhoodOutside the house, tiedother
other:


Never1-3 hours4-8 hours9-12 hoursOver 12 hours


OutdoorsFree in homeConfined to a roomIn a cageOther
other:


Destroy household objectsUrinate/defecateBarkCryNone of these


Destroy household objectsUrinate/defecateBarkCryNone of these


JumpsGrowlsBarksBites lightlyBites hardNone of these


BallsFrisbeePlush toySqueaky toyTug toyNoneOther
other:

FetchTugChaseWrestlingNoneOther
other:




YesNo


CageFloorDog BegCouchOwner's bedOther
other:


No CommandsSitStayDownComeHeelGive Paw/Shake
other:


YesNo



YesNo


YesNo


YesNoDon't know
If Yes, please describe:


YesNoDon't know
If Yes, please describe:


YesNoDon't know


YesNoDon't know


YesNoDon't know


Shows teeth/growlsSnapBiteNone of theseDo not Know


Shows teeth/growlsSnapBiteNone of theseDo not Know


Shows teeth/growlsSnapBiteNone of theseDo not Know


Shows teeth/growlsSnapBiteNone of theseDo not Know


Shows teeth/growlsSnapBiteNone of theseDo not Know


N/AYesNo


N/AYesNo



Was the aggressive behavior over food?Was it over bones or rawhides, or chews?Was it over toys?Was it over stolen objects?Was it when the dog was disturbed while sleeping or resting?Was it when an adult or child handled the dog (brushing, handlingfeet, bathing, brushing teeth, ear cleaning, etc. but do NOT include reaction to vet or groomer)?Was it when an adult or child entered the house or yard?Was it when an adult or child approached or reached toward the dog?


YesNo


YesNo


YesNo



Never doneShow teeth/growlSnapBiteNone of these


Never doneShow teeth/growlSnapBiteNone of these


Never doneShow teeth/growlSnapBiteNone of these


Never doneShow teeth/growlSnapBiteNone of these


Never doneShow teeth/growlSnapBiteNone of these


YesNo





DryWet/cannedTable Scraps
additional food comments:


yesno

We require a senior screen blood panel for any animals over 8 years old. We cannot schedule an appointment for senior pets unless the owner has agreed to obtain a senior screen blood panel. We offer this service at our veterinary clinic


The final outcome for my pet is entirely up to the discretion of the East Bay SPCA.
There is no guarantee that my pet will be re-homed.
If my pet cannot be re-homed, East Bay SPCA has full and complete authority to humanely end the life of my pet.
If euthanasia is determined, I can elect to be notified and will retrieve my pet within 24 hours of notification.

Stay in touch with the East Bay SPCA!

Send me periodic emails with news, animal spotlights, special campaigns and events.

Where to Find us

Oakland

Adoption Center & Theodore B. Travers
Family Veterinary Clinic

8323 Baldwin Street
Oakland, CA 94621

Adoption Center Hours
Wednesday - Sunday
11am - 6pm
510-569-0702

Veterinary Clinic Hours
Monday - Saturday
(by appointment)
510-569-1606

Oakland Spay/Neuter Surgery Center

410 Hegenberger Road
Oakland, CA 94621

Surgery Center Hours
Tuesday - Saturday
(by appointment)
510-639-7387

Dublin

Adoption Center & Spay Neuter Clinic

4651 Gleason Drive
Dublin, CA 94568

Adoption Center Hours
Wednesday - Sunday
11am - 6pm
925-479-9670
Spay/Neuter Clinic Hours
Wednesday - Thursday
925-479-9674
(by appointment)

charity-navigator

GuideStar Platinum Charity

We are a non-profit organization that has obtained a four star rating from Charity Navigator and participates in GuideStar Exchange at the Platinum level. The East Bay SPCA's Tax ID number is 94-1322202.