PASS Form

Dallas Pets Alive! is here to support you and your pet.
We have many resources to help you care for your pet, keep them safe, and strengthen your bond together.

To make sure we can respond to everyone as quickly as possible, please only submit this form once per request. Submitting multiple forms will not speed up the process. If you’ve already submitted a request within the last two weeks, there’s no need to submit another — our team will be in touch with you soon.
Organization ID
Workflow ID
Assigned To:
Case Status:*
Tell Us About Yourself
How can we assist you with your pet?*
You selected Other, please specify:
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
If you do not have an email address, please use none@none.com
Zip Code*
Tell Us About Your Pets That Need Assistance
Pet Name*
Type*
Type of Animal & Breed*
Age*
Dog Breed*
Cat Breed*
Gender*
Are they up to date on vaccines?*
Do they get along with dogs?*
Do they get along with cats?*
Do they get along with kids?*
Are they potty trained?*
Potty Trained Tag
Are they crate trained?*
Crate Trained Tag
Are there any behavioral or medical concerns we should be aware of?
Can you tell us a bit about their personality?
Add a photo of your pet

Cancelof
Do you have any other pets that need assistance?*
Additional Pets Information

You may add up to 4 more additional pets.
Second Pet's Name
Type
Type of Animal & Breed*
Age*
Dog Breed*
Cat Breed*
Gender*
Are they up to date on vaccines?*
Do they get along with dogs?*
Do they get along with cats?*
Do they get along with kids?*
Are they potty trained?*
Potty Trained Tag
Are they crate trained?*
Crate Trained Tag
Are there any behavioral or medical concerns we should be aware of?
Can you tell us a bit about their personality?
Add a photo of your pet

Cancelof
Third Pet's Name
Type
Type of Animal & Breed
Age
Dog Breed
Cat Breed
Gender
Are they up to date on vaccines?
Do they get along with dogs?
Do they get along with cats?
Do they get along with kids?
Are they potty trained?
Potty Trained Tag
Are they crate trained?
Crate Trained Tag
Are there any behavioral or medical concerns we should be aware of?
Can you tell us a bit about their personality?
Add a photo of your pet

Cancelof
Fourth Pet's Name
Type
Type of Animal & Breed
Age
Dog Breed
Cat Breed
Gender
Are they up to date on vaccines?
Do they get along with dogs?
Do they get along with cats?
Do they get along with kids?
Are they potty trained?
Potty Trained Tag
Are they crate trained?
Crate Trained Tag
Are there any behavioral or medical concerns we should be aware of?
Can you tell us a bit about their personality?
Add a photo of your pet

Cancelof
Fifth Pet's Name
Type
Type of Animal & Breed
Age
Dog Breed
Cat Breed
Gender
Are they up to date on vaccines?
Do they get along with dogs?
Do they get along with cats?
Do they get along with kids?
Are they potty trained?
Potty Trained Tag
Are they crate trained?
Crate Trained Tag
Are there any behavioral or medical concerns we should be aware of?
Can you tell us a bit about their personality?
Add a photo of your pet

Cancelof
Temporary Housing Assistance Details
Why are you requesting temporary housing for your pet(s)?*
How long do you need temporary housing for your pet(s)?*
Tentative Start Date*

MonthDayYear
Tentative End Date*

MonthDayYear
TNR Assistance Details
What is the address of where the cat came from? *

Street Address

Street Address Line 2

CityState

Zip Code
What is the address of where the cat is located now if that address is different?

Street Address

Street Address Line 2

CityState

Zip Code
When was the first time you noticed the cat / kitten(s)?*

MonthDayYear
Date
Are there other community cats in the area?*
How many cats might be in the neighborhood?
Do you feed the cat(s) and/or know of anyone else feeding the cat(s)?*
Do you have any medical concerns about the cat(s)?*
Are you familiar with an ear-tip?*
Does this cat / other cats have a visible ear-tip?
Are you comfortable with the process of TNR whereby the cat(s) are released back out to live out their lives in the area in which it / they came from?*
Final Information
What is the absolute longest amount of time you can continue to keep your pet(s)?*
Please provide additional details on how we can assist you.*
How did you hear about the PASS Program?
Please verify that you are human*
Should be Empty:

Tell Us About Yourself

Tell Us About Your Pets That Need Assistance

Additional Pets Information

Final Information