Pet Relinquishment Form

Complete this pet relinquishment form to securely transfer ownership of your pet, providing all required information for a smooth process.

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Pet Relinquishment Form

Please use the pet relinquishment form to document the transfer of ownership. You can either fill out the form below or download and print it, then submit the completed form by dropping it off at the hospital or sending it via email or text.

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this Species/Breed Email

Owner's Name *

First

Last

Owner's Email *

Date of Relinquishment

This letter states that I am the legal owner of the pet listed below, and I am voluntarily relinquishing ownership of this pet to a new owner on the date stated above. I understand that this decision is final and irrevocable. By signing this agreement, I understand that I relinquish all rights, ownership, and authority regarding the future care, decisions, or updates of this pet. *

I agree

I understand that I will not be financially responsible for any medical care, treatments, or expenses related to this pet from this date forward. *

I agree

Pet's Name *

DOB

Species/Breed

Coat Color

Microchip#

Relinquishing Owner’s Name *

First

Last

Relinquishing Owner’s Signature *

Clear Signature

Adopting Owner’s Name *

First

Last

Adopting Owner’s Signature *

Clear Signature

Email Template for Pet Relinquishment

Feel free to use the email template below by copying and pasting it, then updating the information as needed before sending it to us.

Subject: Pet Relinquishment – [Pet’s Name]

Dear [Hospital Name] Team,

I am writing to confirm that I, [Your Full Name], am the legal owner of [Pet’s Name] and am voluntarily relinquishing ownership of this pet to a new owner as of [Date]. I understand that this decision is final and irrevocable.

By submitting this email, I acknowledge that I relinquish all rights, ownership, and authority regarding the future care, decisions, or updates of this pet. I also understand that I will not be financially responsible for any medical care, treatments, or expenses related to this pet from this date forward.

Please accept this email as my formal acknowledgment in place of the signed physical form.

New Owner Information:

Full Name: _________________________
Address: ___________________________
Phone Number: ______________________
Email: _____________________________

Pet Information:

Pet’s Name: ________________________
Species/Breed: ______________________
Color/Markings: _____________________
Date of Relinquishment: _____________

Thank you,
[Your Full Name]