Polk County Stray Cat Intake This form is designated for stray felines found within Polk County. Once submitted, OHS staff will review it and reach out to discuss options; this may take up to several weeks. OHS can accept stray felines from Polk County by appointment ONLY. Found InformationWhen did you find the cat?(Required) MM slash DD slash YYYY Where did you find the cat? What is the nearest cross streets and direction (e.g. Monroe Ave NE and Snoopy Ln NE)(Required)Please include direction and nearest cross streets or major intersection. For privacy reasons, please not give physical address of found location. Do you know the zip code for the found location?(Required) No Yes What is the zipcode of the found location?(Required)Enter 5 digit zip code only.Have you made any efforts to help reuinte the cat with its own?(Required) No Yes What efforts have you made to help reunite the cat with its owner? Check all boxes that apply.(Required) Posted on NextDoor / Paw Boost Reported on Lost and Found Page for OHS Posted on Lost and Found Pets of Salem Facebook page Flyers Craigslist Other Please explain your response to 'Other' selected.(Required)Did you receive any responses from the postings you did?(Required) No Yes Please explain your answer about responses received from your postings.(Required)Has the cat been scanned for a microchip?(Required) No Yes Has the microchip company and any registered owners been contacted?(Required)Where is the cat now?(Required) Indoors only (contained in room or free roam) Outside How long have you been caring for the cat inside your home?(Required)General InformationHow many cats were found?(Required) Single cat or kitten Litter of kittens less than 6 months of age Nursing queen with kittens What is the approximate age of the cat?(Required) 0-6 weeks old (Nursing) Over 6 weeks old but less than 2 months old (Underage Kitten) 2 months – 6 months old (Kitten) Over 6 months old (Adult) Are the kittens older than 4 weeks of age?(Required) Yes No Are the kittens eating solid foods (dry kibble or wet food)?(Required) Yes No Is the nursing queen actively nursing the kittens?(Required) Yes No What is the cat's gender?(Required) Female Male Unknown Is the cat altered? (Neutered/ Spayed)(Required) Yes No Unknown Is the cat declawed?(Required) No Yes Has the cat ever bitten and broken with its teeth on anyone or any animal to your knowledge?(Required) No Yes Please describe the bite incident.(Required)Has the cat bitten and broken skin on any person in the last ten (10 days) to your knowledge?(Required) No Yes When did the most recent bite incident occur?(Required) MM slash DD slash YYYY Please describe the bite incident.(Required)Does the cat have any medical concerns?(Required) No Yes Please select all medical concerns that apply?(Required) Lethargic Sneezing and/or coughing (includes discharge from eyes and/or nose) Significant weight loss Open wounds or infections Parasites (e.g. worms or fleas) Skin condition or hair loss (red, inflamed, or infected) Not eating Limping Unable to stand and/or loses balance Excessive self scratching Other Please provide more detail about the medical concern(s) and if the cat has been seen by a vet.(Required)Personality & TemperamentAre you able to pet the cat?(Required) Yes No Sometimes No, please explain.(Required)Are you able to pick up and carry the cat?(Required) Yes No Sometimes No, please explain.(Required)Since you previously answered that cat is living indoors, is it using the litterbox (no accidents)?(Required) Yes No No, please explain.(Required)How would you describe the cat most of the time? Check all that apply.(Required) Affectionate Attention seeking Friendly Shy Easily overstimulated (using mouth/ claws in play) Playful Easily frightened Slow to warm up Picky with other cats Avoids, runs and hides, unable to be handled Finder InformationName(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required)
