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Town of Paradise Valley – Intake Form

Home Town of Paradise Valley – Intake Form

Intake Form - Town of Paradise Valley


  • This form shall be filled out and submitted by a Town of Paradise Valley representative who is most familiar with the case and the animal(s) being transferred to HARTT for temporary care. If more than one pet is being picked up, please fill out an individual form for EACH pet, however information that is duplicative can be answered by typing "dupe" in the respective form fields.


  • MM slash DD slash YYYY
  • (Ex: "Australian shepherd")
  • If unknown, mark "n/a"
  • Max. file size: 32 MB.
  • Examples: Red collar with bone-shaped tag that reads "Sparky, 602-123-4567"
  • Examples: Not walking on left hind leg; appears to be blind; has a laceration on front paw.
  • Examples: Appears very shy; friendly, but tried to snap when being picked up.
  • Examples: "Homeowner was arrested for domestic violence/possession of narcotics/etc. and there are no other responsible adults on property to care for this animal." OR "Officers responded to a 911 call from an elderly resident who fell. Paramedics arrived to transport owner to hospital."
  • Examples: "This dog is extremely shy and a flight risk. She is also diabetic - owner gave us refrigerated insulin to go with the dog, with the name of the veterinarian on the bottles."