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Animal Services Return to Owner Form

2. Para completar este formulario en Español, haga clic aquí:
   West Valley City Formulario de Redención

4. We are so happy you have found your pet! Please complete this form to help us get your pet back home as quickly as possible! Once submitted our staff members will contact you by phone or email to schedule an appointment.

6. This form must be filled out by the pet owner.

8. First Name*

9. Last Name*

11. Address1*

13. Address2

14. Apartment #

16. City*

17. State*

18. Zip*

20. Phone Number*

21. Alternate Phone Number

23. Email- Please check email regularly after form submission.*

24. Please attach a photo of your government-issued photo ID.*

26. What language would you prefer to receive the redemption information in?*

    1. English
    2. Spanish

28. Pet's Name*

29. Animal ID # from Petharbor.com*

31. Species*

    1. Dog

    1. Cat

    1. Other

33. Other (Please Specify)*

35. Gender*

    1. Male

    1. Female

37. Has your pet been spayed/neutered?*

    1. Yes

    1. No

    1. Don't Know

38. If yes, please attach a copy of sterilization certificate or other proof of sterilization.*

42. Breed*

43. Color*

44. Age*

48. Is your pet microchipped?*

    1. Yes
    2. No

49. If yes, please provide microchip number.*

50. Would you like us to microchip your pet for free?*

    1. Yes
    2. No

52. What date did your pet go missing?*
    What date did your pet go missing?

54. How did you lose your pet?*

56. Address your pet is missing from*

58. Is your pet current on its rabies vaccination?*

    1. Yes

    1. No

59. *Please note that a current rabies certificate is required to provide proof. If you do not have a copy of the certificate please call your vet and ask them to fax it to us at 801-965-3974.

61. If yes, please attach your pet's current rabies certificate.*

62. Please attach a picture of your pet to prove ownership.*

64. Signature*

    By signing, I am claiming ownership of the animal listed on this form.

65. Today's Date*
    Today's Date

Leave This Blank:


67. 1. Receive an email copy of this form.
68. Email address

    This field is not part of the form submission.

69. Submit

* indicates a required field