TE_A__Stray_Animal_Control_Intake_Form.docx

DOCX document 13 KB Posted

Attached to
Animal Control Services Federal contract opportunity
Solicitation number
W91151-17-R-0004
Issued by
Department of the Army Materiel Command Mission and Installation Contracting Command Fort Hood

About this file

Technical Exhibit A - Stray Animal Control Intake Form

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Text version

STRAY ANIMAL CONTROL INTAKE FORM

Feral - Stray - Bite Case* – Impound

Date
Time
Brought in by
Location Found

Remarks

Contact AC prior to release? Y / N INT: Date:

Need Vet Check?
Y
N

Animal Information

Species
Breed
Color
Sex
Collar
Y
N

Name and contact information of owner (if known) Have you made contact with the owner? Y N *If bite case – Date / Time of bite: ___________________

* Name of victim: ____________________

Stray Number issued: ____________ SAF Staff signature: _______________________________

File details come from the government source that posted it. Updated .