Pet Surrender Form -

HSSCM cannot accept stray animals, as we do not have the City/County animal control contract. If you have a stray, please call animal control dispatch at 269-781-0911 and ask to speak to an animal control officer. If you would like to surrender your pet to our facility, please read the information below and fill out the form at the bottom of the page.

HSSCM does not euthanize healthy/adoptable animals for lack of space, nor do we place time limits on animals waiting for adoption. For this reason, animals are accepted by appointment only.

If you would like to bring your pet to HSSCM so we can find a home for him/her, an appointment is required, and we do not accept walk-ins. Please note, we receive a large number of surrender requests. There may be a fee for surrender. Please fill out the form below if you would like to surrender your pet. We will call or email you if we have space to take your pet.

If you do not fill out this form completely with all information including your contact information, we will NOT contact you nor will we be able to take your pet.

Type of Pet *

Was this animal adopted from HSSCM on Watkins Road? *

If yes, please list adoption date and original pet name if known:

Where did you get this pet? (other rescue, Craigslist, etc.)? *

Is this animal spayed or neutered? *

Is this pet up to date on vaccines and heartworm prevention? *

Your animal's age *

Animal breed(s) *

Animal's Approximate Weight *

How long have you owned this pet? *

Owner Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Reason for Surrender: *

Does this animal have a bite history? *

Is this animal friendly with dogs? *

Is this animal friendly with cats? *

Is this animal friendly with kids? *

Is this animal friendly with strangers? *

If cat, does this cat always use the litterbox? *