Request Pet Support - Richmond SPCA

Please use this form to share the challenges you are facing with your companion animal. We will connect you with a Pet Support counselor.

Important: This form cannot be used for medical emergencies. If your pet is in crisis, contact your nearest emergency veterinary clinic immediately.

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

I certify that I currently reside in the City of Richmond or one of the surrounding counties of Chesterfield, Goochland, Hanover, Henrico, or Prince George.*

I agree.

Contact Information

Please provide the following requested information about the pet's guardian. This is the person who has legal title to the animal and is requesting the appointment to relinquish custody of the pet.

Name:*

First: Last:

Email:*

Phone:*

Address:*

Street Address: Address Line 2: City: State: ZIP Code:

What best describes your current living situation*

I own my residence

I rent my residence

I'm seeking housing

Is your current living situation one of the reasons you are considering relinquishing your pet:*

Yes

Number of pets you need support/assistance for:*

Housing

We know there are a multitude of barriers to affordable and pet friendly housing in our community and the challenges are getting worse, not better. We want to do more on this issue and are working to collect data that we can use to change policies and provide better services.

Are there HOA or condo association rules with pet restrictions that are a barrier to keeping your pet (i.e., breed, weight, number, species):

Yes

Are current policies that limit or prohibit pets a barrier to keeping your pet (i.e., breed, weight, number, species):

Yes

Is homeowner's insurance (or lack of) a barrier to keeping your pet:

Yes

Unsure

Are you having trouble finding a homeowners' insurance policy due to your dog's breed?

Yes

Are you having trouble finding a homeowner's insurance policy because your pet has been deemed dangerous by a court:

Yes

Is there anything else you'd like to share about your housing situation:

Do you live in public housing, have a section 8 voucher or live ina household subsidized by the government:

Yes

Are current policies that limit or prohibit pets a barrier to keeping your pet (i.e., breed, weight, number, species)

Yes

Unsure

Which pet policies pose a challenge? Select all that apply:

Breed Restrictions

Limit on weight or size

Limit on number of pets allowed

Pet age requirement (for example, must be over 1 years old)

Does your rental home have pet-related costs (like pet rent or up-front fees/deposits) that are a barrier to keeping your pet?

Yes

Unsure

Which fees does your landlord charge to have a pet in your home?

Refundable pet deposit

Non-refundable pet desposit

Monthly pet fees

Is renters' insurance (or lack of) a barrier to keeping your pet:

Yes

Unsure

Is the cost of renters' insurance a barrier to keeping your pet:

Yes

Are you having trouble finding a renters' insurance policy because your pets breed:

Yes

Are you having trouble finding a renters' insurance policy because your pet has been deemed dangerous by a court:

Yes

Is there anything else that you'd like to share about your housing situation:

Are you currently in the process of finding a new home:

Yes

Is the housing you are currently living in temporary?

Yes

Are you searching for new housing becasue your pet is not permitted where you are currently staying?

Yes

Has the rising cost of housing resulted in a need for you to find a new home:

Yes

Are you having difficulty finding housing that will allow your pet:

Yes

Do you need temporary boarding while you are looking for a new home:

Yes

Is finding temporary boarding for your pet a challenge:

Yes

Are current policies that limit or prohibit pets a barrier to keeping your pet (i.e., breed, weight, number, species):

Yes

Unsure

Which pet policies pose a challenge? Select all that apply:

Breed restrictions

Limit on weight or size

Limit on number of pets allowed

Pet age requirement (for example, must be over 1 year old)

Is there anything else that you'd like to share about your housing situation:

Tell Us About Your Pet

Please provide the following requested information about the pet you wish to surrender to the Richmond SPCA.

Pet's name:*

Type of animal:*

Pet's age:*

Pet's gender:*

Spayed female

Female (intact)

Neutered male

Male (intact)

I don't know

Pet's breed or mix:*

Pet's coloring/markings:

Pet's weight:

What challenges are you facing with your pet?*

What type of services would be helpful at this time?*

Please provide additional details about the challenges you are facing with your pet:*

Please share what other resources you have tried to resolve this challenge:

How long have you owned your pet?*

How did you get your pet?*

Adopted from the Richmond SPCA

Adopted from another shelter or rescue organization

Purchased from a pet store or breeder

Given to me by a friend or family member

Found him or her

Other

From which shelter or rescue organization did you adopt your pet?*

Date of adoption:*

If different from your pet's current name, what was your pet's name at the time of adoption?

Adopter's name (if different from your name):

First: Last:

Is your pet up to date on vaccinations?*

Yes

Only rabies vaccination

I don't know

Is your cat declawed?*

Yes, front paws only

Yes, front and rear paws

Does your pet have any health concerns?*

Yes

Please describe your pet's health concerns.*

Is your pet on any medication or special food?*

Yes

Please list your pet's medications or special food.*

Please list all veterinarians and veterinary practices that have treated your pet.*

If your pet has visited a veterinarian for any reason beyond routine vaccinations and annual checkups, please describe the reasons for these visits.

My pet spends the most time:*

Indoors

Outdoors

Both

My cat is litter box trained.*

Yes

My dog is house-trained.*

Yes

To your knowledge, has your pet ever bitten a person (broken skin)?*

Yes

Please provide the date or dates of all bites and circumstances surrounding each bite.*

To your knowledge, has your pet ever bitten another animal (broken skin)?*

Yes

Please provide the date or dates of all bites and circumstances surrounding each bite.*

How does your pet react to visitors?*

How does your pet react to other animals?*

Describe any behavior issues that you have observed from your pet:*

Tell Us About Your Pet (#1)

Please provide the following requested information about the first pet you wish to surrender to the Richmond SPCA.

Pet's name:*

Type of animal:*

Cat

Dog

Pet's age:*

Pet's gender:*

Spayed female

Female (intact)

Neutered male

Male (intact)

I don't know

Pet's breed or mix:*

Pet's coloring/markings:

Pet's weight:

Is your cat declawed?*

Yes, front paws only

Yes, front and rear paws

Primary reason you want to surrender your pet:*

Secondary reason you want to surrender your pet:

Please provide additional details as to why you want to surrender your pet:*

Have you taken steps to resolve the reasons that have led you to surrender your pet?*

This includes utilizing the Richmond SPCA's behavior helpline.

Yes

Please describe your efforts:

How long have you owned your pet?*

How did you get your pet?*

Adopted from the Richmond SPCA

Adopted from another shelter or rescue organization

Purchased from a pet store or breeder

Given to me by a friend or family member

Found him or her

Other

From which shelter or rescue organization did you adopt your pet?*

Date of adoption:*

If different from your pet's current name, what was your pet's name at the time of adoption?

Adopter's name (if different from your name):

First: Last:

Is your pet up to date on vaccinations?*

Yes

Only rabies vaccination

I don't know

Does your pet have any health concerns?*

Yes

Please describe your pet's health concerns.*

Is your pet on any medication or special food?*

Yes

Please list your pet's medications or special food.*

Please list all veterinarians and veterinary practices that have treated your pet.*

If your pet has visited a veterinarian for any reason beyond routine vaccinations and annual checkups, please describe the reasons for these visits.

My pet spends the most time:*

Indoors

Outdoors

Both

My cat is litter box trained.*

Yes

My dog is house-trained.*

Yes

To your knowledge, has your pet ever bitten a person (broken skin)?*

Yes

Please provide the date or dates of all bites and circumstances surrounding each bite.*

To your knowledge, has your pet ever bitten another animal (broken skin)?*

Yes

Please provide the date or dates of all bites and circumstances surrounding each bite.*

How does your pet react to visitors?*

How does your pet react to other animals?*

Describe any behavior challenges that you have observed from your pet:*

Tell Us About Your Pet (#2)

Please provide the following requested information about the second pet you wish to surrender to the Richmond SPCA.

Pet's name:*

Type of animal:*

Cat

Dog

Pet's age:*

Pet's gender:*

Spayed female

Female (intact)

Neutered male

Male (intact)

I don't know

Pet's breed or mix:*

Pet's coloring/markings:

Pet's weight:

Is your cat declawed?*

Yes, front paws only

Yes, front and rear paws

Primary reason you want to surrender your pet:*

Please provide additional details as to why you want to surrender your pet:*

Have you taken steps to resolve the reasons that have led you to surrender your pet?*

This includes utilizing the Richmond SPCA's behavior helpline.

Yes

Please describe your efforts:

How long have you owned your pet?*

How did you get your pet?*

Adopted from the Richmond SPCA

Adopted from another shelter or rescue organization

Purchased from a pet store or breeder

Given to me by a friend or family member

Found him or her

Other

From which shelter or rescue organization did you adopt your pet?*

Date of adoption:*

If different from your pet's current name, what was your pet's name at the time of adoption?

Adopter's name (if different from your name):

First: Last:

Is your pet up to date on vaccinations?*

Yes

Only rabies vaccination

I don't know

Does your pet have any health concerns?*

Yes

Please describe your pet's health concerns.*

Is your pet on any medication or special food?*

Yes

Please list your pet's medications or special food.*

Please list all veterinarians and veterinary practices that have treated your pet.*

If your pet has visited a veterinarian for any reason beyond routine vaccinations and annual checkups, please describe the reasons for these visits.

My pet spends the most time:*

Indoors

Outdoors

Both

My cat is litter box trained.*

Yes

My dog is house-trained.*

Yes

To your knowledge, has your pet ever bitten a person (broken skin)?*

Yes

Please provide the date or dates of all bites and circumstances surrounding each bite.*

To your knowledge, has your pet ever bitten another animal (broken skin)?*

Yes

Please provide the date or dates of all bites and circumstances surrounding each bite.*

How does your pet react to visitors?*

How does your pet react to other animals?*

Describe any behavior issues that you have observed from your pet:*

Tell Us About Your Pet (#3)

Please provide the following requested information about the third pet you wish to surrender to the Richmond SPCA.

Pet's name:*

Type of animal:*

Cat

Dog

Pet's age:*

Pet's gender:*

Spayed female

Female (intact)

Neutered male

Male (intact)

I don't know

Pet's breed or mix:*

Pet's coloring/markings:

Pet's weight:

Is your cat declawed?*

Yes, front paws only

Yes, front and rear paws

Primary reason you want to surrender your pet:*

Secondary reason you want to surrender your pet:

Please provide additional details as to why you want to surrender your pet:*

Have you taken steps to resolve the reasons that have led you to surrender your pet?*

This includes utilizing the Richmond SPCA's behavior helpline.

Yes

Please describe your efforts:

How long have you owned your pet?*

How did you get your pet?*

Adopted from the Richmond SPCA

Adopted from another shelter or rescue organization

Purchased from a pet store or breeder

Given to me by a friend or family member

Found him or her

Other

From which shelter or rescue organization did you adopt your pet?*

Date of adoption:*

If different from your pet's current name, what was your pet's name at the time of adoption?

Adopter's name (if different from your name):

First: Last:

Is your pet up to date on vaccinations?*

Yes

Only rabies vaccination

I don't know

Does your pet have any health concerns?*

Yes

Please describe your pet's health concerns.*

Is your pet on any medication or special food?*

Yes

Please list your pet's medications or special food.*

Please list all veterinarians and veterinary practices that have treated your pet.*

If your pet has visited a veterinarian for any reason beyond routine vaccinations and annual checkups, please describe the reasons for these visits.

My pet spends the most time:*

Indoors

Outdoors

Both

My cat is litter box trained.*

Yes

My dog is house-trained.*

Yes

To your knowledge, has your pet ever bitten a person (broken skin)?*

Yes

Please provide the date or dates of all bites and circumstances surrounding each bite.*

To your knowledge, has your pet ever bitten another animal (broken skin)?*

Yes

Please provide the date or dates of all bites and circumstances surrounding each bite.*

How does your pet react to visitors?*

How does your pet react to other animals?*

Describe any behavior issues that you have observed from your pet:*

Tell Us About Your Pet (#4)

Please provide the following requested information about the fourth pet you wish to surrender to the Richmond SPCA.

Pet's name:*

Type of animal:*

Cat

Dog

Pet's age:*

Pet's gender:*

Spayed female

Female (intact)

Neutered male

Male (intact)

I don't know

Pet's breed or mix:*

Pet's coloring/markings:

Pet's weight:

Is your cat declawed?*

Yes, front paws only

Yes, front and rear paws

Primary reason you want to surrender your pet:*

Secondary reason you want to surrender your pet:

Please provide additional details as to why you want to surrender your pet:*

Have you taken steps to resolve the reasons that have led you to surrender your pet?*

This includes utilizing the Richmond SPCA's behavior helpline.

Yes

Please describe your efforts:

How long have you owned your pet?*

How did you get your pet?*

Adopted from the Richmond SPCA

Adopted from another shelter or rescue organization

Purchased from a pet store or breeder

Given to me by a friend or family member

Found him or her

Other

From which shelter or rescue organization did you adopt your pet?*

Date of adoption:*

If different from your pet's current name, what was your pet's name at the time of adoption?

Adopter's name (if different from your name):

First: Last:

Is your pet up to date on vaccinations?*

Yes

Only rabies vaccination

I don't know

Does your pet have any health concerns?*

Yes

Please describe your pet's health concerns.*

Is your pet on any medication or special food?*

Yes

Please list your pet's medications or special food.*

Please list all veterinarians and veterinary practices that have treated your pet.*

If your pet has visited a veterinarian for any reason beyond routine vaccinations and annual checkups, please describe the reasons for these visits.

My pet spends the most time:*

Indoors

Outdoors

Both

My cat is litter box trained.*

Yes

My dog is house-trained.*

Yes

To your knowledge, has your pet ever bitten a person (broken skin)?*

Yes

Please provide the date or dates of all bites and circumstances surrounding each bite.*

To your knowledge, has your pet ever bitten another animal (broken skin)?*

Yes

Please provide the date or dates of all bites and circumstances surrounding each bite.*

How does your pet react to visitors?*

How does your pet react to other animals?*

Describe any behavior issues that you have observed from your pet:*

Tell Us About Your Pet (#5)

Please provide the following requested information about the fifth pet you wish to surrender to the Richmond SPCA.

Pet's name:*

Type of animal:*

Cat

Dog

Pet's age:*

Pet's gender:*

Spayed female

Female (intact)

Neutered male

Male (intact)

I don't know

Pet's breed or mix:*

Pet's coloring/markings:

Pet's weight:

Is your cat declawed?*

Yes, front paws only

Yes, front and rear paws

Primary reason you want to surrender your pet:*

Secondary reason you want to surrender your pet:

Please provide additional details as to why you want to surrender your pet:*

Have you taken steps to resolve the reasons that have led you to surrender your pet?*

This includes utilizing the Richmond SPCA's behavior helpline.

Yes

Please describe your efforts:

How long have you owned your pet?*

How did you get your pet?*

Adopted from the Richmond SPCA

Adopted from another shelter or rescue organization

Purchased from a pet store or breeder

Given to me by a friend or family member

Found him or her

Other

From which shelter or rescue organization did you adopt your pet?*

Date of adoption:*

If different from your pet's current name, what was your pet's name at the time of adoption?

Adopter's name (if different from your name):

First: Last:

Is your pet up to date on vaccinations?*

Yes

Only rabies vaccination

I don't know

Does your pet have any health concerns?*

Yes

Please describe your pet's health concerns.*

Is your pet on any medication or special food?*

Yes

Please list your pet's medications or special food.*

Please list all veterinarians and veterinary practices that have treated your pet.*

If your pet has visited a veterinarian for any reason beyond routine vaccinations and annual checkups, please describe the reasons for these visits.

My pet spends the most time:*

Indoors

Outdoors

Both

My cat is litter box trained.*

Yes

My dog is house-trained.*

Yes

To your knowledge, has your pet ever bitten a person (broken skin)?*

Yes

Please provide the date or dates of all bites and circumstances surrounding each bite.*

To your knowledge, has your pet ever bitten another animal (broken skin)?*

Yes

Please provide the date or dates of all bites and circumstances surrounding each bite.*

How does your pet react to visitors?*

How does your pet react to other animals?*

Describe any behavior issues that you have observed from your pet:*

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