Wake County Animal Shelter/Control Form

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Animal ID Number:(Required)

Species(Required)

Age:(Required)

Color:(Required)

Sex:(Required)

Reason for Visit:

Animal Control Officer Name:(Required)

First Last

I acknowledge that Wake County Animal Control has taken ownership of this animal prior to admittance to Animal Emergency Hospital and Urgent Care.

Signature

Date

I authorize humane euthanasia of this animal if deemed necessary by Animal Emergency Hospital and Urgent Care and Wake County Animal Control.

Signature

Date

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Wake County Animal Shelter/Control Form

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Contact Info

Office Hours