•••Important Note•••

This form must be accompanied by proof of ownership and approved by LLAR before the animal will be returned to alleged owner.

OUR RECLAIM FEES ARE AS FOLLOWS: Cats $35, Dogs $75, Pigs and Goats $50

LLAR Animal Claim form

Owner's full legal name

First Name

Last Name

Date

YYYY

Owner's address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Driver's license number

Name of pet

Species

Type of Pet

Color of pet

Age of pet

Date of pet's birth

YYYY

Neutered/Spayed:

Yes

Current on vaccinations

Yes

Microchipped

Yes

Acknowledgement

I, declare that all information provided in this form is true and I am the rightful owner of this animal. By signing this form, I understand if I am not the legal owner of this animal criminal charges will be filed.