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Animal Surrender Request

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This form must be completed and submitted to Council before your request to surrender an animal can be processed.

You will be required to produce photo identification for verification upon attendance of an Authorised Officer of Knox City Council.

For more information, see our Surrendering your pet page.

Declaration

Please read this statement carefully.

The following statement summarises your legal position when you surrender your pet/animal to an Authorised Officer of the Knox City Council.

  1. That I am the owner of the above-mentioned animal and hereby declare that no other person has any proprietary interest therein
  2. I, the owner, am no longer willing or able to care for this animal
  3. I hereby surrender all rights, title and interest in this said animal to the Knox City Council and agree that the said animal shall become the sole and absolute property of Knox City Council who are hereby authorised to hold, sell or destroy this animal
  4. I hereby agree to indemnify the Knox City Council and keep the Knox City Council so indemnified against all claims (if any), cost and expenses whatsoever arising out of any action by any person claiming an interest contrary to that expressed in item 1 herein
  5. I relinquish all claims to the animal herein described
  6. I am aware that Knox City Council is not able to guarantee a home
  7. Animals that are not suitable for adoption will be euthanased
  8. I am aware that my dog/cat may therefore be euthanased (put to sleep by lethal injection) within a few hours of admission, if the animal is not considered suitable for adoption.

Owner's contact details

Animal details

You can find details on your pet registration renewal notice from Council if available.
Type of animal
e.g. cavoodle, domestic short hair
Sex
Desexed
6 digit number on the blue tag around their collar

Animal history

Has your animal lived with...
Where does your animal live most?
Any history of escape?
e.g. why or how often does it occur? 
Is your animal house trained?
Any toileting issues?
Has your animal ever demonstrated...

As part of the animal surrender process, Knox City Council may provide this form to its pound service provider, Victorian Animal Aid Trust (Animal Aid), to undertake an assessment of your animal. In addition, they may wish to contact you directly to discuss any information you provide in this surrender form relating to your animal’s behaviour or veterinary / medical history.

Do you consent to being contacted by Animal Aid in relation to the history of your animal?

Privacy statement:
Your personal information is collected by Knox City Council to provide Council services, activities, and events. We handle your data in accordance with the Privacy and Data Protection Act 2014 and the Australian Privacy Principles. For more information, see our Privacy Policy.

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