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Hanover County Animal Control
To be considered for adoption, Applicant must be at least 18 years old and carry a valid/current state-approved identification card or driver’s license.
Hanover County Animal Control reserves the right to decline an adoption.
Name of Applicant
Name of Co-Applicant
Names of all other persons living in Applicant's household, their relationship to Applicant and their ages:
Home Phone Number
Work Phone Number
Cell Phone Number
Do you own or rent the above-listed address?
If you rent, do you have your landlord's permission to have a pet in the residence?
Name of Landlord/Land Owner
Phone Number of Landlord/Land Owner
How long have you lived at the above-listed address?
Do you have plans to move from the above-listed address in the near future?
Applicant must provide copy of lease or written documentation from landlord approving adoption.
Are there currently other pets in your home?
Have you previously owned a pet?
If you have other dogs or cats in your home, are they spayed/neutered?
If not, why?
Do you have a regular veterinarian?
If yes, Veterinarian Office Name:
Has any member of your family ever experienced animal-related allergies?
Why are you interested in adopting a pet?
Companion for other pet
Protection for home/family
As a gift
Companion for family
Companion for children
Protection for business
Check all that apply.
Where would the new pet sleep?
How many hours per day would the pet be left alone?
Where would the pet stay when left alone?
Where would the pet stay when you are at home?
What would happen to the pet if you were to move?
Under what circumstances would you be unable to keep the pet?
Pet became Ill
Doesn't get along with other pets
Pet shows signs of separation anxiety
Owner became ill or injured
New job or work schedule
Allergy to pet
Pet grew too big
Pet does not get along with kids
Not obedient enough
Would not give up for any of the above
Check all the apply.
Before signing this document, please verify that all information provided above is true and accurate.
I affirm that I have never been convicted of animal cruelty, neglect or abandonment. (Va. Code §3.2-6546)
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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