Dog Surrender Form

Giving Up Your Pet

Dog Surrender Form


All intakes are done by appointment only. Once you submit your surrender form, a staff member will reach out within 72 hours to discuss the possible next steps for your pet. Please note that  submitting a surrender form does not guarantee an intake appointment.

At the time of surrender,  you will be required to pay a $50 surrender fee to contribute to the cost of caring for your animal.

If you prefer, you can download, fill out and fax or mail this same form: Dog Surrender Form. Scan and return the completed PDF, including all medical records to or fax your form to 440-338-4855.

You can also mail the form to:

Geauga Humane Society’s Rescue Village
Post Office Box 116
Novelty, OH 44072

Make sure to hit “SUBMIT” when completing the form! If you do NOT hear back from us within 3 business days, please call (440) 338-4819 x43 to see if we have received your form.

Please fill out as much of the information on the form as possible.

Dog Surrender Form