Surrender a Cat

You must contact Lynea by phone at (559) 638-8696 (6am-11am / 1pm-4pm Pacific, Thu-Sun only) to obtain approval before submitting a surrender form.

Do not print this web page to fill out by hand!

You must submit this form online for a cat you wish to surrender. You will receive instructions afterwards for printing the paperwork to bring with the cat when you deliver him/her. If you need a copy of this form for someone else who does not have Internet access, please use the printer friendly version.

Please note:

Are you willing to pay the surrender fee? Yes No
First name: 
  Last name:    Email:
Home phone:
Cell phone: Work phone:
Address: 
City:   State:   Zip: 
Workplace: 
Work Address: 
City:   State:   Zip: 
Nearest Relative/Friend NOT LIVING WITH YOU #1: 
Address: City: State Zip: Phone:
Nearest Relative/Friend NOT LIVING WITH YOU #2: 
Address: City: State Zip: Phone:
Is this cat Your pet? Stray? Other?
Why can't you keep this cat?
If not your pet, where did this cat come from?
Did you try to find the cat's owner? Yes No
Name of cat:
 Date of birth (est.)  (Click icon) Microchip ID:
Gender: Male Female
 
Breed:
 
Color:
Veterinarian (if your pet):
Spayed/neutered? Yes No Don't know
FeLV/FIV test date: 
(Click icon)
FeLV: Positive Negative
FIV: Positive Negative
Has the cat been outside since the FeLV/FIV test was done? Yes No
Has the cat had unsupervised contact with any FeLV+ or FIV+ cat since the FeLV/FIV test was done? Yes No
Current on vaccinations?
4 in 1 (FVRCP & C): Yes No Don't know
(All surrenders should have a 4 in 1 booster within 9 months of surrender if possible.)
Leukemia: Yes No Don't know
Rabies: Yes No Don't know

Please tell us as much as you can about this cat:

We require a relatively recent digital picture of the cat to be surrendered. The picture must be in JPEG (".jpg") format and the picture file must not be larger than 100K bytes. Just click the Browse button and select the picture file.
Picture file:

If you default on this agreement, we reserve the right to return your cat/cats either to your residence or to your relative/friend's residence or to take legal action against you.

I agree to these conditions and understand that I must sign a printed copy of this agreement when the cat is surrendered.
I confirm that I have contacted Lynea to obtain approval.
Please enter this security code: