East Bay SPCA Cat Surrender Request

Please complete the following information. Completing this form does not guarantee that we will be able to accept your cat into our program. The East Bay SPCA will review your information and will contact you to either schedule an appointment or to direct you to other resources in our community. Our cat surrender fee is $25 per cat.

CLIENT INFORMATION
First Name:
Last Name:
Phone Number:
Alternate Phone Number:
Email Address:
How did you hear about us?
PET INFORMATION
Pet #1 Name:
Age:
Male or Female:
Is your pet spayed/neutered?
Breed/Color:
Special Needs:
List any behavioral issues:
List any health issues current or past:
Has your cat bitten anyone? Explain:
Where did you get your cat?
Pet #2 Name:
Age:
Male or Female:
Is your pet spayed/neutered?
Breed/Color:
Special Needs:
List any behavioral issues:
List any health issues current or past:
Has your cat bitten anyone? Explain:
Where did you get your cat?
What is your timeline for surrender?
Do you have proof of ownership?

Ownership paperwork must be dated at least 30 days prior to date of surrender & legal owner of the animal must be present. This may include: Adoption paperwork, Veterinary receipts, Boarding and/or Grooming records.

Why do you need to surrender your cat(s)? (list additional comments)