I agree to the conditions set on the previous page.(Required)choose yes to continueYes, I agree to the above.Begin processFirst name(Required) Last name(Required) Street address(Required) City(Required) Zip code(Required) 5 digit only , only Osceola County zip codesOut of Osceola County jurisdictionThe zip code on your surrender form indicates that your home is located outside of Osceola County. This program is open only to citizens of Osceola County. If you believe that this is an error, please call Animal Services at 407-742-8000 during business hours and we will check your address with our Osceola County address database. Below are links to animal services surrender programs in our surrounding counties. Orange CountyAnimal Services Orange County Polk CountyAnimal Control Polk County Lake CountyAnimal Control Lake County Continue with processEmail(Required) Enter Email Confirm Email Phone(Required)My current living situation is...(Required)choose oneI have a stable home.I am pending an eviction.I have been evicted and do not have a home.I would rather not say. Proof of eviction is required before or during the appointment. If not available for upload below, please bring a hard copy to the appointment (possible chance of appointment cancellation or denial if not present). Upload fileAbout the animal(s)► Please list smaller animals first.Number of dogs(Required)0123Number of cats(Required)0123HiddenTotal surrendersWe cannot accept more than 3 pets on one surrender form.Animal 1Animal 1 name(Required) Animal 1 species(Required)choose onecatdogAnimal 1 dog breed(Required) Animal 1 size(Required)choose one<5 - 10 lbs11 - 20 lbs21 - 30 lbs31 - 40 lbs41 - 50 lbs51 + lbsAnimal 1 color(Required) Animal 1 gender(Required)choose onefemalemaleHas the animal 1 been spayed?(Required)choose onenoyesHas animal 1 been neutered?(Required)choose onenoyesAnimal 1 age(Required)choose oneunder 4 weeks4 - 8 weeks2 - 4 months4 - 8 months9 - 12 months1 - 2 years3 - 5 years5 years +Has animal 1 ever bitten anybody?(Required)choose onenoyesI do not knowDoes animal 1 have any known medical issues?(Required)choose onenoyesAnimal 1 explain medical issues Animal 1 personality(Required) good with dogs good with cats good with small animals good with small children crate trained house broken (goes outdoors or in litter box) none of the above Animal 1 photo Drop files here or Select files Max. file size: 10 MB. Animal 2Animal 2 name(Required) Animal 2 species(Required)choose onecatdogAnimal 2 dog breed(Required) Animal 2 size(Required)choose one<5 - 10 lbs11 - 20 lbs21 - 30 lbs31 - 40 lbs41 - 50 lbs51 + lbsAnimal 2 color(Required) Animal 2 gender(Required)choose onefemalemaleHas animal 2 been spayed?(Required)choose onenoyesHas animal 2 been neutered?(Required)choose onenoyesAnimal 2 age(Required)choose oneunder 4 weeks4 - 8 weeks2 - 3 months4 - 8 months9 - 12 months1 - 2 years3 - 5 years5 years +Has animal 2 ever bitten anybody?(Required)choose onenoyesDoes animal 2 have any medical issues?(Required)noyesAnimal 2 explain medical issues. Animal 2 personality(Required) good with dogs good with cats good with small animals good with small children crate trained house broken(goes outdoors or in litter box) none of the above Animal 2 photo Drop files here or Select files Max. file size: 10 MB. Animal 3Animal 3 name(Required) Animal 3 species(Required)choose onecatdogAnimal 3 other - please describe(Required) Dog - breed(Required) Animal 3 size(Required)choose one<5 - 10 lbs11 - 20 lbs21 - 30 lbs31 - 40 lbs41 - 50 lbs51 + lbsAnimal 3 color(Required) Animal 3 gender(Required)choose onefemalemaleHas the animal 3 been spayed?(Required)choose onenoyesHas animal 3 been neutered?(Required)choose onenoyesAnimal 3 age(Required)choose oneunder 4 weeks4 - 8 weeks2 - 3 months4 - 8 months9 - 12 months1 - 2 years3 - 5 years5 years +Has animal 3 ever bitten anybody?(Required)choose onenoyesDoes animal 3 have any medical issues?(Required)choose onenoyesAnimal 3 explain medical issues. Animal 3 personality(Required) good with dogs good with cats good with small animals good with small children crate trained house broken(goes outdoors or in litter box) none of the above Animal 3 photo Drop files here or Select files Max. file size: 10 MB. Just a few more questions...Reason(s) for surrender - click all that apply.(Required) allergies behavior citations cost of food cost of vet care have too many pets insurance moving conflict with others pending eviction homeless no time for care no longer want animal other reason (please enter below) Other reason not listed If moving, why can't pet(s) go? If puppies or kittens, is the mother also being surrendered?choose oneno puppies or kittensnoyesYou will schedule your appointment(s) after you submit this form.Are you ready to submit the completed form and set your appointment(s) for surrender?Pull down to select yes.Yes, I am ready to submit this form now.EmailThis field is for validation purposes and should be left unchanged.
