SJRAS CIA Cat Questionnaire



CIA Location Information


About Your CIA Working Cat's Environment


Now All the Legal Mumbo Jumbo Our Lawyers Tell Us We Have to Include

We reserve the right to refuse any adoption. A refusal may not indicate any shortcomings on the part
of the prospective adopter, but perhaps reflects that a particular pet may not do well in the circumstances offered.
Our years of experience and information from national organizations such as HSUS and AHA
are our guide in arranging a successful adoption.

By hitting the SUBMIT button below I certify that I am at least 18 years of age.

I also certify that all information given by me in this application is true & complete. I further understand that any falsified information that I give will terminate action on the adoption process. I certify that I understand that SJRAS will NOT be able to contact me to update the status of my adoption.

By Checking this box I authorize release/disclosure of records and/or other information concerning all of the above inquiries (including but not limited to employment, tenancy & veterinary records.

I am aware that in order to follow up with my adoption I must contact the SJRAS office within 24-48 hours after submitting this application.

Having a CIA Agent on Your Property Requires Certain Standards to be Upheld. Please Read the CIA Cat Information Page. (This page will open in a new window so as to not inturrupt your completing the hiring form)
In order to avoid confusion or misunderstanding we ask that you read the Adoption Process & Illness Information. This document will open in a separate window so as to not interrupt your completing the questionnaire.

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ASM Complete Date:
CC Complete Date:
Tax Complete Date: O - - - - R - - - - -OTHER
LL Ok'd Date:
Processing Notes:
Session Notes: