Supervisors | History | Fast Facts | County Departments:
Wednesday, May 16, 2012


Department Overview
Pet Adoption
Lost an Animal?
Found an Animal?
Licensing
Animal Service Fees
Animal Laws
Animal Bite Procedures
Volunteer Opportunities

Pet Adoption

Type of pet desired:    Dog      Cat       Other     
Impound # (if known)       Name (if known)
Reason for wanting this pet    Companion    Gift       Other
Your Name DL#
Address
City         State           Zip 
Home Phone         Work Phone 
Employer         Occupation 
Email

Type of dwelling

Own House    Rent House    Rent Apartment
Other*
             * An example of "Other" would be living with parents.
If you rent, what is your landlord's name?  
Landlord's phone  
Number of adults in household           Number of children in household 
Ages of children in household 
Does anyone have any allergies to animals?       Yes        No
Who is your veterinarian?     City 
Have you ever owned a pet before?       Yes        No
Do you currently own any pets now?       Yes        No
If yes, are your pets vaccinated and licensed in the city or county where you reside?
Yes      No
If not, why not?  
Who will ultimately be responsible for the animal? 
Do you have a securely fenced yard?      Yes        No
Where will the animal spend the majority of its time?       Indoors        Outdoors
If outdoors, what do you have available to protect the pet from the weather? 
How will you accomplish obedience training for your new pet?  
List characteristics desired in your new pet 
I UNDERSTAND THAT MADERA COUNTY ANIMAL SERVICES HAS THE OBLIGATION TO VERIFY ALL INFORMATION ON THIS APPLICATION. INACCURATE INFORMATION COULD JEOPARDIZE THE ADOPTION PROCESS.

MADERA COUNTY ANIMAL SERVICES RESERVES THE RIGHT TO INSPECT THE PREMISES ON WHICH THE ANIMAL WILL BE RESIDING.
Signature        Date 
Remarks by adoption counselor  
Approved        Not Approved
Reason         Counselor 

 
Please click on the submit button to send this form by email or print and mail to:
Madera County Department of Animal Services
14269 Road 28
Madera, CA 93638
Telephone (559) 675-7891
TeleFax (559) 675-7617

 

Contacting Us Arrow Madera County Department of Animal Services
14269 Road 28
Madera, CA 93638
Telephone: (559) 675-7891
Fax: (559) 675-7617
Map this location for me
 Ext. 205: Report stray, vicious, abandoned or other animal issues that require an office to respond.
Ext. 205: Report a bite or scratch that breaks the skin.
Ext. 200: Licensing.
Ext. 201: Administration.
Ext. 202: Stray Animals.
 

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County of Madera
200 West 4th Street
Madera, CA 93637
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General Information:
559-675-7703
Board of Supervisors:
559-675-7700
Fax:
559-673-3302
Address All General Email To:

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