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Forms, Protocols, and Standard Operating Procedures |
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LSU School of Veterinary Medicine Emergency Animal Shelter at the LSU AgCenter’s Parker Coliseum The documents listed in this section were created at the LSU-EAS. Some documents have been modified to make them more general; others remain specific to the LSU-EAS but may serve as useful guidelines. These documents may be copied and altered as needed for other emergency situations. |
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OWNER INFORMATION DATE: Owner’s Name _____________________________ Address __________________________ City____________ State____ Zip________ Home Phone (____)_______________ Work Phone (____)_____________________ Cell Phone (____)_______________ Pager (____)_____________________ E-mail Address ___________________ Place of Employment ___________________ Driver’s License # _________________ Social Security # ______________________ How can you be contacted while your pets are here? ____________________________________________________________________ Where you will be staying while away from your home address? Relation ___________________________________________ Address __________________________ City____________ State____ Zip________ Home Phone (____)_______________ Work Phone (____)_____________________ Cell Phone (____)_______________ Pager (____)_____________________ How long will your pets be staying in the shelter? _____________________________ Current Veterinarian ____________________________ Phone _________________ Veterinary Clinic _______________________________ Address _____________________________________________________________ PET INFORMATION
MEDICAL TREATMENT RELEASE If your pet(s) become(s) ill, we will provide emergency triage veterinary care regarding your pet’s symptoms, treatment options and estimate of costs. If the emergency proves serious enough to require transport to a veterinary hospital, however, please indicate your wishes should your pet(s) require further treatment to relieve immediate discomfort or to resolve an important medical condition: ____ Please perform whatever services the doctor deems necessary for the best care of my pet until someone can be reached – this includes only non-elective treatments and necessary diagnostics. ____ I authorize up to $______ ____ I am unable to provide monetary support. ____ Do not administer any medical treatment until specific authorization is given unless the shelter is unable to reach me in a timely fashion. In such a case, I do hereby grant and authorize the shelter to treat or manage my animal(s) as judged appropriate by medical staff, as dictated by medical necessity. THIS SHELTER IS CLOSING ON SEPTEMBER 30. I understand that by Sept. 30th, 2005 I must pick up my pets(s) or notify the shelter that I want to foster or adopt out my pet(s). I have read and understand this agreement and certify that I am the owner/agent of the above listed animal(s).
_______________________ _____________ Sign here owner/agent for pet(s) Date
Animal Admission SOP for Vaccines, Physical Exam, and Microchipping After completion of paperwork at the front desk:
RESCUER INFORMATION Rescuer’s Name _____________________________ Address __________________________ City____________ State____ Zip________ Home Phone (____)_______________ Work Phone (____)_____________________ Cell Phone (____)_______________ Pager (____)_____________________ Where was the animal found? ____________________________________________ Nearest street intersection ___________________________ City ________________ Was any food, water or medication offered to the animal? yes/no _______ what kind? _______________________ PET INFORMATION
We want to welcome you, and thank you. However, we must be clear that this is a disaster relief operation, and certain dangers exist that you should be aware of before assisting with this operation. Risks of entering this facility include being bitten by an animal, scratched by an animal, falling, and other obvious and not so obvious dangers. Many animals have been traumatized, some are sick, all are unpredictable, and may either bite or injure you or cause you to fall or hurt yourself. Please be careful with dehydration, overheating, lifting heavy objects, and unauthorized personnel. By entering these premises, and or by signing up as a volunteer, owner, veterinarian or other, you are therefore agreeing to voluntarily assume all risks of injury and or death, and waive any and all claims that you may have of any kind whatsoever against the owner of the animal who caused such harm, LSU, LSU AgCenter’s Parker Coliseum, LSU Veterinary School, Walter Ernst Foundation, or any other entity, organization or individual who is assisting with the disaster relief operation here at the LSU AgCenter’s Parker Coliseum. Please understand that if you are injured for any reason while assisting with this operation, that you shall be solely responsible for your own injuries, medical expenses or any other losses of any kind whatsoever. If you do not have your own health insurance, you are not allowed to participate in this operation. If you are not willing to agree to the full assumption of risk for any and all injuries, please do not enter this facility, or participate in any way in disaster relief operations associated with this facility. WARNING ! Please be extremely careful and be on guard against all dangers ! ! I understand that my participation is strictly voluntary and I freely chose to participate. Please print and sign your name on the signature line. _______________________________________________ __________________ Signature Date _______________________________________________ __________________ Witness Date Owner Log In
Animal Name:
*F = Feed W = Water E = Eat WE = Walked U = Urine BM = Bowel Movement Medications and doses: A: Notes:
Animal Name ____________
Dog and Cat Vaccination,
Endo- and Ectoparasite Control
Purpose: The purpose of this SOP is to prepare rescued dogs and cats with vaccines, deworming, and topical flea and tick prophylaxis prior to shipping in and out of the State of Louisiana. Scope: All dogs and cats rescued or held for evacuees and displaced victims of Hurricane Katrina. Owned animals and those in which ownership is uncertain will be covered. Responsibility: LSU Incident Commander and subordinate staff as well as those staff working under the supervision and oversight of the LSU veterinary staff. Period of Coverage: September 15, 2005 through October 1, 2005 Location: Dogs: Causeway between Parker Coliseum and Arena; Livestock Show Arena, LSU. Cats: Rear entrance to Coliseum, reception area Time: 12-5PM with spillover of 9-11PM Personnel: Two teams of the following composition:
Equipment:
Procedure: In the morning of the procedure day, teams will assemble and draw up bins of vaccines; 3 bins per treatment cart (one for rabies, one for DHLPP, one for FVRCP). The teams will assemble first side by side 8 feet apart; one table and one treatment cart in the rear entrance to the coliseum. Runners will work in two teams; buddy system; 2 buddy teams per station; one team capturing or transporting animals to the stations and one returning. Cats will be transported several carriers per cart to the vaccination station in the same carrier that has been weighed so that the cat can be weighed in the carrier before dosing. Runners will extract the cat from the carrier and help restrain it. The veterinarian will administer rabies, FVRCP vaccines, apply the microchip, and dose the Strongid accordingly. Topical ectoparasiticide (either Frontline, Revolution, or Advantage depending on supply) will be applied. The cat will be returned by the runner to its regular cage. The clerk will prepare the rabies certificate and document the record of vaccination in the LSU computerized emergency pet rescue database as well as on the hard record. Dogs will be transported in their cage on a flatbed if they are behaviorally challenged. Otherwise the runner will walk the dog to the vaccination station. Dogs will be weighed. The veterinarian will vaccinate with DHLPP and rabies, administer topical ectoparasiticide, and the Strongid. The clerk will document the vaccination in the computerized and hard record accordingly. The runner team will return the dog to its normal holding location.
Animal bites MUST be reported to the Animal Control Officer
on duty immediately. Determine the rabies vaccination status of the person who has been bitten. Direct the person bitten to a first aid facility: The Student Health Center on campus or their choice of physician. (Inform the physician that you were bitten in an environment where Clostridium tetani prevalence might be unusually high – horse arena and barns). Label the animal’s cage with the date of the bite and who was bitten. Notify the owner of the incident if they are available. The animal must remain under observation for 10 days (as determined by Animal Control). Release Form For Bite Quarantine Animal
District 6 Animal Emergency Shelter at LSU
Parker Coliseum and
Owner Name: ______________________________________ I understand that my pet was placed into official quarantine for Rabies Observation owing to a bite incident report. The Animal Emergency Shelter has been authorized to release the animal to owner supervised quarantine, which must cover a total of 10 days from the time of the bite incident. The conditions of release to owner quarantine follow. I, _______________________________, hereby agree to have my pet, _________________, examined by a licensed veterinarian 10 days post bite incident (date = 10 days post bite or 10 days post intake if bite date not recorded). I also agree to have the examining veterinarian sign this form below to confirm veterinary examination to allow release from bite quarantine.
Signed:
____________________________________ Post Quarantine Veterinary Examiner:
Name:
_____________________________________
EXAMINING VETERINARIAN PLEASE FAX THIS FORM TO: Animals whose owners have given away their pets to the shelter are available for immediate adoption locally. Animals whose owners dropped them off to the shelter and have failed to pick them up prior to October 1, 2005 will NOT be available for local adoption. These animals will be transported to distant shelters where they can be properly prepared for adoption and subsequently tracked through to December 31, 2005 in case the previous owner comes forward to claim their pet. Contracts with distant shelters call for these permanent agencies to 1. Prior to adopting them out, they will spay/neuter the animals they receive from the Parker Coliseum in accordance with their own local policies. 2. Track the ownership of the animals they adopt out until December 31, 2005. This is because if the original owner comes forward to claim their pet prior to this date, the new owner must relinquish their pet to the original owner. Full animal details and a photograph will be posted on petfinder.com and a separate Parker Coliseum web site so that original owners may track the movement of their pets and free transportation back to the original owner will be provided. The LSU Emergency Animal Shelter at Parker Coliseum cannot spay/neuter animals locally prior to adoption in accordance with the policies of the East Baton Rouge Animal Control Center. The LSU Emergency Animal Shelter at Parker Coliseum will cease to exist after October 15, 2005 and therefore cannot properly track the ownership of pets that are adopted out locally. |
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ANIMAL ADOPTION INFORMATION SHEET We really appreciate your concern for the animals at our shelter. We love these animals too and truly want what is best for them. We also need to do the right thing by the owners who have placed their pets in our care. This means after September 30 we must place these animals into the hands of carefully selected care-takers who we absolutely know can continue to keep them legally available to their rightful owners. This is why no adoptions to the general public can be made from this shelter. We are taking applications for private adoptions only from shelter volunteers who have worked at least 3 4-hour shifts. ALL OF THESE ADOPTIONS WILL BE PROVISIONAL Our adoption contract will stipulate: 1) The volunteer will continue to attempt to contact the rightful owner at least through December 31, 2005. 2) The animal will be surrendered to any rightful owner who wishes to claim the animal. 3) Our animals may not be neutered before December 31, 2005.
IMPORTANT FOR OUR VOLUNTEERS TO NOTE --- THERE IS NO GUARANTEE THAT ANY APPLICATION FOR A SPECIFIC ANIMAL ADOPTION WILL BE HONORED! Karla Clark will be contacting our volunteer applicants as such adoptions become approved. OUR MISSION IS TO CARE FOR OUR SHELTERED PETS AND THEIR RIGHTFUL OWNERS ALL OTHER CONCERNS ARE SECONDARY TO THIS WE APPRECIATE YOUR UNDERSTANDING INSTRUCTIONS FOR OUR OWNERS You will need to have web access. If you do not have access to a computer where you are staying, all of the public libraries in East Baton Rouge Parish can provide access and you can get access at the Middleton Library on the LSU Campus.
On the Web go to www.petfinder.com Click on HURRICANE KATRINA ALERTS Click on FOSTER MATCH Click on SHOW ME PEOPLE OFFERING FOSTER HOME Fill in the form with your details. Be as specific as possible. For location, use the city where your pet is currently located (Baton Rouge, LA for animals currently at our shelter.) Hit SEARCH You will get a list of foster volunteers. Scroll through the listings until you find a few that match your needs. Some have phone numbers listed. Some have email contacts that you can use if you are on your own computer and have an email address. You are responsible for making your own foster arrangements. Because we are closing the shelter September 30 and will have no physical presence at our shelter after October 15 the EMERGENCY ANIMAL SHELTER will be unable to take responsibility for any difficulties you may encounter with the foster arrangements you make, so please take the time to find a really good match for each of your pets! Questions for Potential Fosters to ask Owners What is the health status of your pet? Does it have any chronic health problems? e.g. epilepsy, diabetes, ear infections, etc. Are there any people or other animals your pet doesn’t get along with? What times does your pet usually get walked and fed? Does your pet live indoors or outdoors? Has it ever stayed in a crate? What is your expectation for me to provide for the animal financially? ( Some owners may be in dire straights, at least temporarily, so try to be flexible, but clear about your ability to provide for their pet). Where can I contact you? Questions for Owners to ask Potential Fosters Who will be the primary responsible party for my pet? How often will my animal be left unattended and for how long? Who else lives in the home and who are the frequent visitors? (For example, if you have a Chihuahua who doesn’t like children, be sure that even if there are none living in the home that there aren’t any that visit frequently or that the foster understands to keep the child and the Chihuahua separated). Do you have other pets? Will they be housed together? Where will my pet be housed? Inside? Outside? Fenced yard ? Unfenced yard? Crated? For how long? Inform fosters of any health issues or other specific needs such as dietary, behavior related, etc. How much notice will you provide give if you can no longer care for my pet? (We suggest at least 48 hrs.) If you have pets, who is your veterinarian? The owner agrees to the following financial arrangements to offset the costs incurred by the foster guardian for the care of the pet, unless the foster guardian agrees to be responsible for all or a portion of these expenses to further aid the owner in their time of need. If the pet needs veterinary care, the foster guardian must contact the owner for approval unless the pet is in a life threatening situation. The owner agrees to pay all veterinary costs unless the need for veterinary care is a direct result of negligence on the part of the foster guardian’s actions / or lack thereof. The owner agrees to provide monies or supplies necessary for the housing, grooming, feeding or other provisions for the care of the pet (i.e. crate, leash/collar, food, bowls, shampoo, etc.) The owner agrees that if the need for foster care extends beyond the time period agreed upon in this contract the foster guardian will be contacted at least 48 hours before the time specified in this contract and an amendment must be agreed upon at that time. The owner agrees that if the pet is left unclaimed from the foster for 7 days beyond the time agreed upon in this contract that the animal can be legally considered abandoned and the foster may care for the pet in whatever way they may choose, i.e. claiming ownership for themselves, finding a new home, or relinquishing to a shelter or animal control facility. The owner agrees to inform the foster guardian of any changes in address or other contact information immediately. The foster guardian will contact the owner before incurring any expenses not here-to-fore agreed upon, and will be diligent in keeping receipts and records of expenses incurred. The foster guardian agrees to allow the owner visitation with their pet at the following scheduled times or with prior notice if an unscheduled visitation is desired. The foster guardian agrees to follow all specific instruction, within reason, by the owner for the care and feeding of the animal, i.e. pet housed inside, administration of medications, special dietary needs, etc. Specific instructions for the care of this pet:
_____________________________________________________________________________________ I, ____________________, as owner of the animal(s) described below, hereby temporarily release said animal(s) to the custody of ____________________, foster guardian, for a term of ________________days, beginning ______________, 2005 and ending _______________, 2005. I, ____________________, the foster guardian of the animal(s) described below, agree to house and care for the pet as agreed to in this contract and with the love and the consideration I would give my own pets.
Animal name:
_____________________Owner name: _________________________ Description: S / N / Intact F / M Age:_____ Species: Cat / Dog / Other ____________ Breed:___________________________ Color: ______________________________ Distinguishing markings: _______________________________________________________________________________________ Owner contact info.: Name:__________________________________________________________________ Address:________________________________________________________________ Phone:__________________ Phone:__________________ Email:________________ Contact info. of someone not living with owner who knows how to contact the owner: Name:_________________________________________________________________ Address:_______________________________________________________________ Phone:__________________ Phone:__________________Email:_________________ Foster guardian contact info.: Name:__________________________________________________________________ Address:________________________________________________________________ Phone:__________________Phone:___________________Email:_________________ Orientation for Volunteering Veterinarians and Veterinary Technicians Please enter onto the spreadsheet the volunteers’ names, e-mail addresses, cell phone numbers, veterinarian or technician, last complete day they will be on the job.
1. Welcome and thanks for
coming. Owners must claim animals prior to September 30, 2005 or they will be considered “abandoned”. Abandoned animals will be transported to distant shelters for processing and conditional adoption The conditions for adoption call for the new owner to relinquish the pet should the original owner come forward prior to December 31, 2005. Free transportation back to the original owner will be available.
5. Bites – be very
careful. We have had many and they continue. Veterinary Staff Job Description
Arena (Includes
Quarantine and Aggressive Animal Areas):
Barn:
Cats:
Discharge:
Chipping:
Triage: Responsibilities of Volunteer Veterinarians Receiving Station Observe all animals closely as they arrive with their owners and handlers and are checked in. You will find that most animals arrive happy, healthy and alert although often a bit stressed and nervous. Talk to the owners about their impression on how the animal is doing and any previous health issues. Determine the vaccination status and if there are any special needs. Use your own judgment on such patients but realistically most of these will not require a full physical examination, which will only further stress them. Things we are finding of most concern are as follows:
Triage:
Have technicians apply flea control products and vaccinations if the history suggests they are needed. Records: Establish a medical record sheet to record relevant abnormal findings and medications given. Remember: This is an animal shelter, not an animal hospital, so we cannot take care of sick animals. The wonderful technicians will look after everything else!! Skip segments when no records or updates are available. 1. New Records brought from Intake § New Owner · Enter Owner’s information o Initial Intake Form · Create Owner’s Folder § New Animal (repeat as necessary) · Enter individual animal information o Initial Animal Information (impound form) · Create Animal Folders (one per animal) 2. Animal Check-out records § Modify status · Released to owner · Transported · Conditional Adoption · Euthanized · Theft § Modify date o Initial Check-out form 3. Modify records based on “Section Stall Change form” § Dog Section(s) § Cat Section(s) § Triage o Initial individual lines when complete 4. Modify records based on “Section Triage Check-in/out” form § Dog Section(s) § Cat Section(s) o Initial individual lines when complete 5. Verify records based on “Section Intake Form” § Dog Section(s) § Cat Section(s) § Triage o Initial individual lines when complete 6. Verify “Section Release Form” § Dog Section(s) § Cat Section(s) § Triage o Initial individual lines when complete 7. Enter information based on Owner Check-in form o Initial individual lines when complete 8. Enter information based on Volunteer Check-in form Initial individual lines when complete
· All files are listed alphabetically by last name of owner. · Each animal has its own file. · If the owner has multiple pets, they will be organized by impound number.* · Rescued Animals are listed under last name “Rescue” and then by impound number.* · Sample File Tags:
o Owned:
Smith, Bob Address Phone #
o Transported:
Smith, Bob Transported to: Other Facility 10-1-2005
o Conditional Adoption:
1234 Smith, Bob
Doe, Jane 10-1-2005
* Impound # 5000 and 05000 will be filed in sequence. Ex: 5000, 05001, 5002, 05003
Skip any documents not found in packet. Reassemble them later if found.
Owner Folder: 1. Sheet Feed (150 dpi 8-Bit Grey) a. Original Sign-in Paperwork b. Original Impound Ticket, beige c. Animal Info Sheet
Animal Folder: 1. Sheet Feed (150 dpi 8-Bit Grey) a. Adopter/Transport Information b. Impound Ticket, white c. Shipping Docket d. Pre-shipment Release Form e. Special Needs Form 2. Flatbed (150 dpi Color) a. Polaroid 3. Sheet Feed (150 dpi 8-Bit Grey) a. Original SOAP b. Med Sheets c. Feed Sheets d. Cage Card e. Rabies Certificate f. Extra Documents
Adoption Contracts: 1. Sheet Feed (150 dpi 8-Bit Grey) a. Adoption Contract b. Animal Info Sheet When saving digital files, attention needs to be paid to the convention used in naming. When new volunteers come in, they need to know several things about a file: 1) what it is, 2) a brief description of its contents, 3) when it was made and possibly 4) who made it, if not contained in the file itself. 1) What it is: This should be a set of key words that can help one limit their search. Some examples used at the LSU AgCenter’s Parker Coliseum: ADMINISTRATION: This includes any information that is specific to the administrative workings of the shelter. These documents may include sensitive material like phone numbers and records. CENSUS: Any census information that is gathered and saved, including reports. DB: All Database backups. FORM: Forms that will need to be duplicated during the operation of the shelter, e.g. animal care sheets, animal intake forms, change of address forms, etc. HANDOUT: Handouts that will need to be duplicated during the operation of the shelter, e.g. Microchip information, “How to search Pet finder”, Assumption of Risk, etc. LABEL: Labels, like nametags, that will need to be duplicated during the operation of the shelter. LETTER: Any letters including “thank you” and media driven documentation. MAP: Maps that may be needed during the operation of the shelter. OPERATIONS: Documents specific to the operations of the shelter. These may include directions for transport, animal husbandry, or bite report. REPORT: All reports that are generated during the life of the shelter. These may include bite reports, record of transport to given facilities, or volunteer status. REQUEST: Any documented requests that are sent out. Similar to the letter section, but these are more specifically sent in specific request of an item. SIGN: Copies of Signs that may need to be duplicated during the operation of the shelter. SITREP: Situation Reports (SITREP), although similar to reports, are more specific to the operation of the shelter and are often sought after by administrative bodies. Due to their specific nature, we often skipped the description and simply named the file SITREP-date. SOP: These Standard Operating Procedures or SOPs were some of the most sought after documents during our shelter. With the constant rotation of volunteer labor, training becomes a full-time job. 2) A brief description of its contents: This description needs to remain brief yet descriptive. Something as simple as “Thank you Letter” is too concise, but you do not want to include a paragraph. 3) When it was made: This needs to be in an agreed upon form. MM-DD-YYYY and YYYY-MM-DD are the two most common conventions. One option is to use a roman numeral in place of the month to help insure that there is no added confusion. Some material, like a database backup, might also benefit from a timestamp. It was found that using “military time” helped to alleviate extra confusion. 4) Who made it: Not a practice that was implemented at LSU-EAS, but could easily have come into play. LSU Experience: During the life of LSU-EAS, this convention was often not used making it slow to decipher documents in the aftermath. It is actually from this trouble that the suggestion for a convention was made. The decision for the date convention was a little different than stated above in that the month was replaced by a roman numeral. This helps alleviate any confusion in which dating convention is being used. October 10, 2010 would be instantly understood in any format, as x-10-2010, 2010-x-10, or 2010-10-x. Some examples of filenames: DB – Animal Records – 2005-ix-28_1534 FORM – Animal Intake – 2005-ix-17 SOP – Canine Care – 2005-x-3 SITREP – 2005-ix-05 Sample Animal Information Sheet
Between Louisiana State University Emergency Animal Shelter at LSU AgCenter’s Parker Coliseum and The Companion Animal Shelter or Rescue Accepting Pets with Identified Owners
This Agreement between Louisiana State University (LSU) Emergency Animal Shelter at LSU AgCenter’s Parker Coliseum, and ______________________________________________________________________ (Name/Location of Shelter) ______________________________________________________________________
Addressing the safe and humane pickup and transportation, sheltering and subsequent adoption of pets with identified owners, who were displaced by Hurricanes Katrina and Rita. The receiving shelter must agree to the following requirements:
1. The safe and humane pickup, transportation, and shelter of a minimum of 20 animals.
fax (225-578-4101) or e-mail (emergencyanimalshelter@gmail.com).
* Information to follow regarding agencies that may assist with this effort.
SHELTER ACCEPTANCE:
AGREED upon this __________ day of the month of __________________________, 2005.
Signed ________________________________________________________________
Printed Name __________________________________________________________
Title ________________________________________________________________
Organization ________________________________________________________________
Mailing address _______________________________________________________________
E-mail Address ____________________________________________________
Office Phone _________________________ FAX _________________________
Cell Phone _________________________
Shelter after-hours contact name & number:
________________________________________________________________
Transporter’s name and cell phone
____________________________________________________
LSU ACCEPTANCE:
AGREED upon this __________ day of the month of __________________________, 2005.
Signed ________________________________________________________________
Paula Drone, DVM Director Region 6 Emergency Animal Shelter
OR OTHER LSU REPRESENTATIVE
Signed ________________________________________________________________
Printed Name __________________________________________________________
Attachment I Animal Transportation Guidelines
The primary enclosure: v Should be strong enough to securely contain the animal. The animal should not be able to reach outside the enclosure in a way that could result in injury to itself, to its handlers, or to other persons or animals nearby. v Should have no sharp points or missing pieces in wall, floor, etc. that could result in injury. v Should be large enough so that the animal has enough space to turn about normally while standing, to stand and sit erect, and to lie in a natural position. The animal should not have to crouch when sitting or standing v Should have a solid, leak-proof bottom or a removable, leak-proof collection tray under a slatted or mesh floor. v Unless the dogs and cats are on raised slatted floors or raised floors made of mesh, the transport enclosure must contain enough previously unused litter to absorb and cover excreta. The litter must be of a suitably absorbent material that is safe and nontoxic to the dogs and cats. v The dog or cat must be able to be easily and quickly removed from the enclosure in an emergency. v The kennel should have handles or handholds on its exterior, and enable the enclosure to be lifted without tilting it, and ensure that anyone handling the enclosure will not come into contact with the animal. The transport vehicle: v Minimum temperature requirements: Must not fall below 45 deg. F nor rise above 85 deg. F for a period of more than 4 hours. v Must adequately protect the animals from exposure to the elements. v Any paint, preservative, treatment or other chemical or material used in or on the enclosure must be nontoxic to the animals and not harmful to their health or well-being. v Proper ventilation must be provided to the animals. Airflow to animals should not be blocked. v During surface transportation (ground and water), animals must be observed once every 4 hours. (Sufficient air flow, temperature, etc., and to observe for illness, injury, or distress). If indicated, veterinary care must be provided for the animals in an appropriately timely manner. v Horse trailers are not acceptable per the state veterinarian of Louisiana. CONTINGENT ADOPTION / FOSTER CARE AGREEMENT
Between _________________________________________ [Shelter or rescue name] and Contingent Adopter/Fosterer Accepting Animals with Identified Owners
This Agreement made on the _____________ of ___________________, 2005, between _____________________________________________________________, (Hereinafter known as “Adopter”) and the ___________________________________ (insert shelter or rescue name) regarding the companion animal herein described. The signature of the Adopter below signifies that the Adopter, has read, understands, and agrees to the following:
1. I understand that this agreement is legal and binding under the laws of the State of Louisiana. Initials_________ 2. I understand that this animal is a displaced animal from the New Orleans, LA area as a result of Hurricanes Katrina or Rita, and has a known owner. Initials_________ 3. Out of compassion for the former owner of the animal I am adopting, I agree to relinquish ownership if the former owner is identified before January 1, 2006 and takes possession of the animal by January 15th, 2006. The animal’s information will be posted on appropriate websites and remain so until December 31 2005.
Initials_________
4. I agree to provide for the physical and emotional needs of this animal while it is in my care, including covering all medical costs (if any).
Initials _________
5. I agree to return this animal to ________________________________________ (shelter or rescue named above) if I find I am no longer willing or able to provide a suitable home. Initials __________
6. I understand that District 6 Animal Emergency Shelter at Louisiana State University will not accept the return of this animal. Initials _________
7. I agree to comply with all state and local laws pertaining to the care of the animal, including, but not limited to, those requiring vaccinations, registration, and confinement (leash laws). Initials _________
8. I understand that a District 6 Animal Emergency Shelter veterinarian has examined the animal prior to placement. I also understand that this animal may have as yet undetected illnesses or behavioral problems. District 6 Animal Emergency Shelter cannot guarantee the health, disposition, or character of this animal.
Initials _________
9. I therefore agree to hold harmless any volunteers, representatives, or agents of District 6 Animal Emergency Shelter at Louisiana State University or ________________________________ (shelter or rescue named above), from loss, damages, injuries or other casualty to any persons, animals or property caused by the placement of this animal in my care.
Initials ________
10. I agree to communicate with the Shelter if there are any changes in my contact info (i.e.- address, phone) before December 31, 2005. Initials ___________
11.
I agree
not to make any cosmetic changes to this animal until after the adoption
is final (de-claw, de-bark, tail-dock, ear-crop,
etc.) Initials ___________ 12. I agree to spay or neuter this animal. Because this is an owned animal, I agree to wait until after January 1st, 2006 to have the surgery performed. I agree that under NO conditions will the animal be allowed to be bred, regardless of sex. Initials___________
__________________________________________ (shelter or rescue named above) recommends that you have a veterinarian evaluate this animal as soon as possible to check for heartworm and initiate preventative treatment; flea/tick prevention. _______________________________ (shelter or rescue named above) recommends that the animal is checked for an identification microchip and register and provide one if the animal does not have one.
Thank you very much for caring for this hurricane victim in its time of
need!
ANIMAL DESCRIPTION AND VETERINARY CARE RECORDImpound #: ___________________________ Cage #: _________________________
Animal Name: _____________________
Species: Dog or Cat or Other:________________ Breed:_________________________
Color:___________________________ Sex: M / F Age:_________ Intact / Neutered
Veterinary instructions: _____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________ IMPORTANT INFORMATION FOR FOSTER FAMILIES
We really appreciate your concern for the animals that were the unfortunate victims of Hurricane Katrina. Both the Louisiana State University Emergency Animal Center and your local shelter/rescue facility are grateful that you have agreed to foster/adopt one of these pets. We all love these animals too and truly want what is best for them. We also need to do the right thing by trying our best to return these pets to their rightful owners.
Please take a moment to read:
1. Identify staging areas (separate areas for small dogs, large dogs, and cats) to conduct exit physicals, complete paperwork and load animals. Make sure that transport vehicles can access the designated loading areas and that the area can be secured if an animal gets loose.
2. Assemble equipment for exit physicals and schedule veterinarians and technicians
3. Prepare inventory of shipping kennels
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