Form Center

4. Name
5. Email Address
7. Address
9. City
10. County
11. Zip Code
13. Phone Number
15. Animal Name*
17. Animal Color*
19. Animal Breed/Species*
21. Animal Age*
23. Animal Weight*
25. Surrender Reason*
27. Special Instructions
29. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.

31. I realize by surrendering my pet to Oconee County Animal Services it becomes the property of the county.

    By signing below, I certify that this animal has not bitten or scratched any person within the last 10 days.

33. Electronic Signature*
35. Date Submitted*
    Date Submitted
Leave This Blank:


37. Submit

* indicates a required field