Shelter Form for Dead End Microchip Submission

This is for Shelter Use Only
Easy to find at ChipForm.com
(If you are not a shelter, please choose a different form from MicrochipHelp.com as differnt information is required)

Please note, you do not need a JotForm account. If you are asked to sign up, that is JotForm advertising.

We would like to help you track down the dead end microchip (or tag, or address, or owner name or phone number) associated with a found animal. Please include as much information as you can in the following fields:

Shelter Name *

If the animal is in the US, select the state. If you are in Canada, select "Canada."*

US States

Your Name (for our info only)*

Email*

example@example.com

Microchip Number/Rabies Tag/ID Tag- Please note a valid microchip number can only be 9, 10, or 15 characters. Some microchips do have letters, but if the length is not 9, 10, or 15, have the chip rescanned, because the number is incorrect. EXCEPTION- If the chip number starts with TR, or if the animal also has an ID or Rabies Tag, put information in the Comments field at the end or send a photo. (Put 000 in this field if no microchip.) *

Animal ID for owner reclaim - This allows us to pull up the animal's photo on your public website to check on the status. We stop our work if an animal is no longer available. If not applicable, say NONE*

10 digit alpha-numeric entry

A photo of this animal is very helpful for us!

This animal's photo is NOT online. (If not, PLEASE attach a photo below, email it to team@microchiphelp.com or put a description in the comments at the bottom of the form if for some reason this animal is not listed on your website.)

You may upload files here, such as door knockers or photos if not on PetHarbor/Petango/ShelterLuv /Facebook or email them to Team@MicrochipHelp.com and include the microchip number.

Browse Files

How did the animal arrive at the shelter? (Good Samaritan/ACO picked up as stray/abandoned/confiscated/surrendered by other than registered owner) *

All of this information helps us get the animal home!

Did the animal come in with another animal?*

YesNo

Please provide the ID number(s) for the additional animals*

ID number

Please provide the Microchip Number(s) for the additional animals

Microchip Number for additional animal(s)

Include Location Found if applicable (cross streets/address/zip code)

All of this information helps us get the animal home!

What date will this animal no longer be available? *

Check if the animal is under veterinary care. We don't need the details. We just need to give the owner a heads up if the animal is not well. PLEASE INDICATE IF ANIMAL IS SERIOUSLY ILL! We ONLY say the animal is under veterinary care, even if we know the reason, we say the only info we have is under veterinary care.

Animal is under veterinary care.

HELP US by Adding Additional information in the box below- Please note, if you contacted the microchip company, it saves us time if you put that information in your notes. If we need any clarification or additional information, we will contact the microchip company.

Do you have adoption records for this animal or contact information from reuniting the animal previously? Did you speak to a rescue that implanted the chip? Do you check utility records on microchips? Please let us know what you know. It does not matter if the phone number is disconnected, we can still use it to try and find the owner.

Comments

Comments - Please feel free to make suggestions or add any clarification. Thank you!

PLEASE NOTE! If you successfully submit this form, you will immediately see a screen with a check mark and you will immediately get a copy of your submission.

MicrochipHelp/Microchip Hunters are a 501(c)3 under Lost Dogs Illinois, but we are affiliated with Lost Dogs of America and serve the US and Canada and have volunteers from all over the country.

(10/31/2023)

FOUND ANIMAL MICROCHIP FORM "Microchip Hunters"

This is for Shelter Use Only Easy to find at ChipForm.com(If you are not a shelter, please choose a different form from MicrochipHelp.com as differnt information is required)

This is for Shelter Use Only
Easy to find at ChipForm.com
(If you are not a shelter, please choose a different form from MicrochipHelp.com as differnt information is required)