CPC Owner Surrender Request Form
Cincinnati Pit Crew (CPC) has a new liability insurance police that restricts our ability to accept owner surrenders into the CPC rescue program. Please complete the following Owner Surrender Request Form to the best of your ability and CPC will review your request so that we are able to determine the best way for our organization to assist you.
More About the Dog
Name of Animal
Animal License #
County of Animal License
Has your pet bit or scratched a person in the last 10 days?
What was the date of the incident?
Name of Person Bitten/Scratched
City Where Bite/Scratch Incident Occurred
Do Not Fill This Out