RSPCA Cornwall Unwanted animal form

Form for the general public to notify us of an unwanted animal.

RSPCA Cornwall Branch - ANIMAL INTAKE REGISTRATION FORM. This form is for owners who can no longer keep their animal and wish to notify us of their intention to surrender the animal to the RSPCA's care. You may also use this form for strays which are not injured or sick. - Please give us as much information as possible and be as truthful as possible. Truthful answers will not affect the animal's chances of coming in to us, but will improve the chances of fixing any issues and finding a home. - Please give us as many phone numbers as possible as well as an email address which you monitor. We can only make a certain number of attempts to reach you, after which we will remove the animal from the list. - Please inform us if you have rehomed the animal. - Please also do not use this form more than once per animal. For multiple animals, please complete a form per pet. This is since the answers may be different for each animal and your form will attach to the animal's record.

*	Please note, only the owner can complete this form. Tick box to confirm you are the owner
Title *	Please drop down to select Mr Mrs Miss Ms Mx Dr
Initials *
First Name *
Surname *
Home phone (write "none" if you don't have one) *
Mobile Phone (write "none" if you don't have one) *
Other phone numbers:
Home address *
Address where the animal is living (if different)
Your email address *
How long have you had the animal (please specify weeks, months, years) *
Where did you get the animal from originally? *	Please select The RSPCA Cornwall Centre Elsewhere in the RSPCA Another rescue centre A friend Family An advert My Animal had babies Ifound it A breeder A Pet Shop Other
If you chose "Another Rescue Centre" Please provide details such as the name
If you wrote "other" please give more details
Animal's name *
Species *	Please drop down to select Dog Cat Other
If you wrote "other", please give more details *
What breed of dog or cat is it *
Description *
Age (specify years or months or write "unknown" if you don't know) *
Male or female *	Please drop down to select Definitely Male Definitely Female Not sure
Is the animal neutered *	Please drop down to select Yes No Don't know
If the animal has ever shown signs of aggression or bitten, please give details (please be honest), you can click to select more than one. *	Please drop down to select Never been aggressive Dog has growled but never bitten Dog has bitten an adult once Dog has bitten a child once Dog has bitten more than once Dog is highly aggressive over food or toy Cat has bitten Cat has bitten and lashed out with claws
Why do you need to bring the animal to us? *	Please drop down to select The animal is aggressive I can't afford to keep the animal The animal keeps having babies The animal is messing in house I am moving Family split or separation This animal doesn't get on with other pets I have too many pets This animal was left behind by a tenant or family member Owner in hospital Owner in prison Animal keeps escaping We have a baby on way The animal is causing us to have allergies Owner died.
You can add more details here
Has the animal lived with cats *	Please drop down to select Yes, peacefully Yes, not peacefully No
Has the animal lived with dogs *	Please drop down to select Yes, peacefully Yes, not peacefully No
Has the animal lived with children (you can click to pick more than one) *	Please drop down to select Not lived with kids Lived with 1 kids under 3 Lived with kids between 3 and 12 Lived with kids over 12
Has your dog had a kennel cough vaccination (only applicable to dogs, select N/A if you have a different animal)) *	Within the last 12 months within the last 3 years Only as a puppy Never been vaccinated Don't remember N/A
When was the animal last vaccinated at the vets *	Within the last 12 months within the last 3 years Only as a puppy/kitten Never been vaccinated Don't remember
Is your animal registered with a vet? *	NoYes
If you answered yes above, please provide details about your registered vet such as name and contact details
Where in the house does the animal live *	Please drop down to select In the house only In the house and garden In the garden only In an an enclosure in the garden
Please give full details of the animal's current diet (including brand of food, how often fed etc). You will be asked to bring around 14 days worth of this food in with you when the animal comes into care, to avoid them becoming unwell from sudden transitions of diet.
Anything else you would like to tell us
If on a device with a touchscreen, please sign with your finger	Clear
You can attach a photo if you wish (video not possible)
Additional photo 1
We would love to keep you updated about our fundraising activities, news and ways in which you can help animals. Do you wish for us to keep you updated? *	NoYes
If you answered YES to the above question, please tell us how you would like to hear from us:
	Email
	Phone
	Post
	SMS

Thank you for completing this form. What happens next: the details are on our waiting list which we review constantly. Staff will be in touch once space becomes vacant. There is no need to call us. Please be aware that there will be other animals ahead of yours on the list, we also prioritise animals from our inspectorate work as well. As we do not put animals to sleep in order to make room for new ones, it is impossible to give an accurate estimate of how long it may be before we can intake animals. You can increase the speed with which we can take the animal in, by ensuring your animal is fully up to date with vaccinations (any vet can advise you what these are) as vaccinated animals are easier to place within additional locations in the Centre. Thank you