Creek Fire Animal Evacuation Request
This form is to help us collect animal information for families that have had to leave behind their pets due to a mandatory evacuation order.   This form is for SMALL ANIMALS ONLY (dogs, cats). If you had to leave behind livestock or large animals please contact the Central California Animal Disaster Team (CCADT) for assistance at 1-888-402-2238. Please provide as much information about the pets as possible.    
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First Name *
Last Name *
Address   *
 Primary contact number *
Alternate contact number *
Number of animals and type at the residence *
Description of animals. (please be as specific as possible) *
Where are the animals likely to be located? Be very specific. *
Anything else you would like us to know? *
By checking below, I agree to having my pet vaccinated and microchipped (if they are not already chipped) on intake. *
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