Lumpkin County, GA · Lumpkin County
Owner Surrender Form
Lumpkin County animal owners use this form to surrender a pet to the Lumpkin County Animal Shelter and transfer ownership.
At a glance
- Issued by
- City of Lumpkin County · Lumpkin County, Lumpkin County, Georgia
- Notarization
- Not required: file this form without a notary.
- Official source
- lumpkincounty.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form lets an owner surrender an animal to the Lumpkin County Animal Shelter and release ownership rights. It asks for the animal’s identifying, health, and behavior information, along with the owner’s contact details and signature. The form says a photo must be emailed with it to be valid, and a $25 fee per animal is due at drop-off.
Who needs it
An owner surrendering an animal to the Lumpkin County Animal Shelter needs to complete and submit this form.
How to submit it
Email the completed form and a photo of the animal to [email protected]; the $25 owner surrender fee per animal is due at drop-off.
About notarization
This form is signed without a notary; the owner signs and dates it, and no notarized attachment or sworn step is specified.
How to submit this form
- 1
Download the Form
Download the Owner Surrender Form from this page.
- 2
Complete All Sections
Provide the requested animal and owner information, then sign and date the form.
- 3
Gather the Photo
Prepare a photo of the animal; the form says a photo must be emailed with the form for it to be valid.
- 4
Email the Form
Email the completed form and photo to [email protected]. The $25 fee per animal is due at drop-off.
Frequently asked questions
- Do I need a notary for the Owner Surrender Form?
- No. The owner signs and dates this form without a notary; it specifies no notarized attachment or sworn step.
- How do I submit the Owner Surrender Form?
- Email the completed form and a photo of the animal to [email protected]. The $25 fee per animal is due at drop-off.
- What information does the form ask for?
- It asks for the animal’s name, breed, age, description, health and behavior details, as well as the owner’s contact information and signature.
- What does signing the form mean?
- By signing, the owner surrenders ownership rights and interests in the animal. The form says the animal becomes the property of the Lumpkin County Animal Shelter.