Pet Permission Form

Pet permission form

Name

Email address

Address *

Postcode *

Are you a former Optivo or Southern Housing Group resident? *

Optivo Southern Housing Group

This information helps us to direct you to the correct Customer Response centre. If you're unsure which centre services your address, see our Postcode Checker at www.southernhousing.org.uk/contactus

Type of pet being registered *

Eg. dog, cat

Name of Pet *

Breed of pet *

Colour of pet *

Age of pet *

Approximate size of pet *

Eg. Large, medium or small

Please upload a photo of your pet

Please upload one image only

Name and address of veterinary surgery

Nominated carer name *

To keep a pet in your household you must provide details of a nominated person, kennels or cattery etc., who will look after your pet when you are absent, or would be willing to re-home the pet if required. The individual, or representative from an organisation, will need to sign this form for your application to be considered:

Nominated carer address *

Nominated carer telephone number *

Is your pet an assistance dog?

Yes No

Assistance dogs are dogs that have been trained in order to provide assistance to disabled people or those with certain medical conditions.

Declaration *

I agree

I/we confirm that I/we understand and accept the following conditions: • To keep my pet/s in a manner which doesn’t cause a nuisance to my neighbours or to the local area • To be a responsible pet owner and maintain the welfare and well-being of my animals • Not to breed or sell animals from my home • Not allow the dog to foul the grounds or immediate areas of the building. I will immediately pick up any excrement and dispose of appropriately • For the animal to remain on a lead at all times in communal areas and not to be allowed to wander unattended • To consult a veterinary surgeon and/or animal behaviourist if the dog becomes excessively noisy. If the problem persists, the animal will be removed from the property immediately • To muzzle the dog in public if it shows aggression towards people or other animals while it is in the communal areas • To fully vaccinate, worm and have the animal neutered/spayed • To insure the animal to cover damage to the property and injury to people and other animals (third party insurance) (Dogs Trust offer competitive rates) If permission is withdrawn, I/we take responsibility for removing the animal from the property. If this isn’t done in the required timescale, Southern Housing will consider further action to protect the interests of other residents. This may ultimately lead to me/us losing possession of my/our home. I/we understand separate written consent is required for any structure to house the animal and that such consent might not be given. I/we understand that written consent is required to fit cat or dog flaps to any door at my property and that it will be checked to ensure it meets fire safety standards I understand that Southern Housing doesn’t tolerate animal neglect or abuse and works closely with the Police and RSPCA to maintain animal welfare. I confirm the animal(s) mentioned overleaf is/are the only pet(s) living in my home. I agree not to bring in any additional animals without first notifying Southern Housing. I confirm I understand the conditions of having a pet in my household and that permission can be revoked at any time.

Consent for storing submitted data *

Yes, I give permission to store and process my data

Would you like a copy of this form emailed to you?

Yes No