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Shelter Transfer

Complete for Shelter Transfer to Lucky Chance Rescue

"*" indicates required fields

Shelter/Rescue Transfer

Animal Transfer To/From Lucky Chance Rescue*
Address
MM slash DD slash YYYY
Single animal or litter of 2 or more?*
Species
Sex
size, color, markings, distinguishing characteristics
Litter Information
Click + sign to add a new field for each animal
Species
ID#
Name
Sex
Breed
DOB/Age
Description
 
Max. file size: 1 GB.
Please upload info sheet so we have as much info as possible to find the best home
Drop files here or
Max. file size: 1 GB, Max. files: 10.
    If info sheet is not available, please give us as much information as possible to ensure best placement.
    Vetting History
    Please check all that apply and provide any vet records upon transfer.
    Does this animal have some form of ID? If yes, please describe below (collar, microchip, tattoo?)
    To the best of your knowledge has this animal bitten anyone in the previous 10 days?
    Was Transport Involved From Shelter/Rescue?
    Transporter / Volunteer Name
    Please list all transporters below, click the + symbol to add more.
    Full Name
    Phone Number
    Vehicle License or Drivers License Number
     
    Is animal being received from an out of state facility?
    If animals are being received from out of state facilities, you must attach health certificates and rabies vaccination information.
    Please upload copy and present original at Intake
    Max. file size: 1 GB.
    Max. file size: 1 GB.
    Please upload copy and present original at Intake
    Consent
    In the interest of saving animals, the above shelter/rescue wishes to enter into a Transfer Agreement with Lucky Chance Rescue. I hereby declare that I am an authorized representative for the above mentioned animal shelter, humane organization, or rescue group. I hereby declare that the transferring agency is transferring ownership; care and custody of the above mentioned animal(s) and hereby authorize the release of veterinary records of the above mentioned animal.

    Lucky Chance Intake Info

    Lucky Chance Admin
    MM slash DD slash YYYY
    Single animal or litter of 2 or more?*
    LCR Animal Information
    Click + sign to add a new field for each animal
    Species
    ID#
    Name
    Sex
    Breed
    DOB/Age
    Description
     
    Was Transport Involved?
    Transporter / Volunteer Name
    Please list all transporters below, click the + symbol to add more.
    Full Name
    Phone Number
    Vehicle License or Drivers License Number
     
    This field is for validation purposes and should be left unchanged.
     

    • VET APPOINTMENT REQUEST
    • FOSTER REGISTRATION
    • OWNER SURRENDER FORM
    • SHELTER/RESCUE TRANSFER
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