Dog Surrender Form

Giving Up Your Pet

Dog Surrender Form

Please note: An appointment to surrender your pet is requested so we’re better prepared for your animal’s arrival. Once this form has been received, your dog will be considered for intake and someone will contact you to discuss the next steps.

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 below as possible.