Surrendering Your Dog

To help us better understand you and your dog's needs, please complete the questionnaire as fully and as honestly as possible. Your experience with this dog will provide us with valuable information to help us find a home that will cater to its unique needs.

If you are experiencing problems with submitting your application please remove any symbols used in your answers and try again.

Your Details
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Example: 01/01/1989
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Photo ID is required, please upload a photo of the front/back of your driver's license, 18+ card, or passport
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Your Dog's Details
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IMPORTANT: RSPCA Queensland will be unable to consider any dog or puppy without a Breeder Supply Number born on or after 26 May 2017. To get a supply number you need to register here.

Queensland Government has introduced laws to promote responsible breeding of dogs, these laws apply to any dog born on or after 26 May 2017. A person who sells, advertises or gives away a dog, must have a Supply Number. The Supply Number allows the person who bred a dog to be contacted.
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Example: you cannot afford vet treatment
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Example: stealing off tabletops, jumping up, etc.
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Medical Information
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Example: diarrhoea, lost appetite, etc.
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Example: how long have they been present, are they getting better or worse, have you sought vet advice?
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This is so that RSPCA can access and review the medical records
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Lifestyle & Home Life
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Example: 2 x adults. over 18. 3 x children, 4, 8 and 10
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If your dog is left alone, select which most describes their behaviour?
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Fencing and Containment
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If yes, please indicate which escape methods your dog has used
If yes, please indicate the frequency in which your dog has escaped
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Interaction with Other Animals
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Include species, name, breed, age, gender and if desexed
Please describe how the animals interact? For example: they avoid each other, spend every moment together, when do they fight, etc.
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Example: was it a known cat or stray, where did the incident occur, what injuries were sustained, etc.
Example: kangaroos, wallabies, sheep, pigs, goats, cows, horses, alpaca, etc.
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Example: poultry, guinea pigs, possums, lizards, wild or domestic birds etc.
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Interaction with People
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Has your dog met or been exposed to many unfamiliar people?
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Has your dog been to high traffic areas (people and/or animals)?
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For Example: Where did the incident occur, what was happening before the bite, where was the person bitten, what medical treatment, if any, was required
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General Behaviour and Management
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Example: storms, fireworks, loud noises, camera flashes, toaster popping
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Indicate how your dog responds if a person or another dog goes near them when they have food, or a treat, or a favourite toy
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Training
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Owner’s Assessment of a Suitable Environment and Family for their Dog

Please indicate whether or not you think the following living arrangements would likely suit your dog

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Completion and submission of this form does not automatically mean the RSPCA Qld have accepted your dog for surrender. An RSPCA representative will review your application and be in contact with your shortly.
I have read and understood this statement
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