AGENCY: Uintah Animal Control and Shelter Special Service District (Utah)

SERIES: 27597
TITLE: Owner surrender form
DATES: 2007-2015.
ARRANGEMENT: Numerical by impound and log number

DESCRIPTION: These forms are completed for each animal, owner surrendered, to the animal shelter. They may contain the following information: date brought in; impound log number, assigned pen number; micro-chip and/or tag numbers; owner's name, address, telephone number; and drivers license number; location of pickup, type of animal, breed, sex and color; reason animal is being surrendered and other information related to adoption or final disposition. These records may include; dog surrender questionnaire, kennel card, micro-chip card, patient chart, pre-adoption written and audio/video animal evaluation, approved animal adoption application, animal adoption contract, veterinary rabies vaccination certificate .

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series is authorized by Archives general schedule Animal control records, GRS-1714

AUTHORIZED: 05/21/2015

FORMAT MANAGEMENT

Paper: Retain in Office for 1 year after event and then transfer to Agency Record Center. Retain in Agency Record Center for 4 years and then destroy.

APPRAISAL

Administrative Legal

PRIMARY DESIGNATION

Public

SECONDARY DESIGNATION

Private. 63G-2-302

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