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Agency Intake Request

This form is for ANIMAL SHELTERS and other DOG RESCUES only.

If you are not a shelter nor rescue, do not fill out this form, instead click here.

IMPORTANT DIRECTIONS:

All fields with an asterisk * are required. You cannot go to the next page if a required field is unanswered. If you are unable to go to the next page, look for highlighted RED areas.

Agency Intake Request

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