Rescue Transfer Request Form (#9)Surrender Request Thank you for trusting Little Loud Soul Bird Rescue with the continued care of the bird(s) being transferred. This form helps us gather important background, medical, behavioral, and care information so we can provide a smooth transition and the best possible placement moving forward. Please provide as much information as possible for each bird, even if some history is unknown. We appreciate your partnership and your commitment to ensuring every bird receives the care and future they deserve. Organizations Contact Person:Rescue/Organization Name:Is the organization a nonprofit/501(c)(3)? Yes NoAddressAddress Line 1Address Line 2CityStateZip CodeEmailPhone NumberIs it okay to text the phone number above? Yes NoWhen do you need placement? Immediately (Emergency) Within 1 week Within 30 days FlexibleIf we are unable to accept your transfer immediately, would you like to be placed on our wait list? Yes NoReason For Transfer:Please select the total number of birds being transferred below. A separate information section will automatically appear for each bird. Please complete each section individually.How many birds are being transferred? - Select -12345+Bird #1 InformationBirds species:Birds name:Approximate Age/DOB:What is the birds gender? Male (Confirmed) Female (Confirmed) Male (Unconfirmed) Female (Unconfirmed) UnknownHow long has the bird been with your organization?Are you the legal owner of the bird? Yes NoAre there any adoption restrictions or special circumstances LLS should know about?Band/Microchip Number:Has the bird ever laid an egg? Yes No UnknownHas the bird seen an avian veterinarian? Yes No UnknownIf yes, please list the name of veterinary clinic and approximate dates. (Please coordinate the transfer of vet records within 2 weeks after transfer)Has disease testing been performed? Yes No UnknownHas the bird ever had any major illnesses or surgeries? If yes, please list them below.Has the bird ever tested positive for any infectious diseases (PBFD, Psittacosis, Polyomavirus, etc.)? If yes, please list them below.Is the bird currently showing any signs of illness? Yes NoIf yes, please list symptoms below:Current diet:Known triggers/fears:Known vocabulary/sounds:Bird's personality:Select any behaviors the bird displays (Select all that apply) Bites Screams frequently Feather plucks Fearful of people Loves attention Steps up reliably Cage territorial Aggressive toward men Aggressive toward women Aggressive toward children Flighted/Strong Flyer Talks or mimics soundsPlease list any behaviors not listed above:Has this bird lived with other birds? Yes No UnknownHas this bird lived with dogs or cats? Yes No UnknownIs this bird comfortable with strangers? Yes No UnknownDoes this bird enjoy showers or misting? Yes No UnknownPlease list any items that will be coming with this bird:Is there anything else you'd like us to know that would help us find the best home for this bird and make this a smooth transition for them?Bird #2 InformationBirds name:Birds species:Approximate Age/DOB:What is the birds gender? Male (Confirmed) Female (Confirmed) Male (Unconfirmed) Female (Unconfirmed) UnknownHow long has the bird been with your organization?Are you the legal owner of the bird? Yes NoAre there any adoption restrictions or special circumstances LLS should know about?Band/Microchip Number:Has the bird ever laid an egg? Yes No UnknownHas the bird seen an avian veterinarian? Yes No UnknownIf yes, please list the name of veterinary clinic and approximate dates. (Please coordinate the transfer of vet records within 2 weeks after transfer)Has disease testing been performed? Yes No UnknownHas the bird ever had any major illnesses or surgeries? If yes, please list them below.Has the bird ever tested positive for any infectious diseases (PBFD, Psittacosis, Polyomavirus, etc.)? If yes, please list them below.Is the bird currently showing any signs of illness? Yes NoIf yes, please list symptoms below:Current diet:Known triggers/fears:Known vocabulary/sounds:Bird's personality:Select any behaviors the bird displays (Select all that apply) Bites Screams frequently Feather plucks Fearful of people Loves attention Steps up reliably Cage territorial Aggressive toward men Aggressive toward women Aggressive toward children Flighted/Strong Flyer Talks or mimics soundsPlease list any behaviors not listed above:Has this bird lived with other birds? Yes No UnknownHas this bird lived with dogs or cats? Yes No UnknownIs this bird comfortable with strangers? Yes No UnknownDoes this bird enjoy showers or misting? Yes No UnknownPlease list any items that will be coming with this bird:Is there anything else you'd like us to know that would help us find the best home for this bird and make this a smooth transition for them?Bird #3 InformationBirds name:Birds species:Approximate Age/DOB:What is the birds gender? Male (Confirmed) Female (Confirmed) Male (Unconfirmed) Female (Unconfirmed) UnknownHow long has the bird been with your organization?Are you the legal owner of the bird? Yes NoAre there any adoption restrictions or special circumstances LLS should know about?Band/Microchip Number:Has the bird ever laid an egg? Yes No UnknownHas the bird seen an avian veterinarian? Yes No UnknownIf yes, please list the name of veterinary clinic and approximate dates. (Please coordinate the transfer of vet records within 2 weeks after transfer)Has disease testing been performed? Yes No UnknownHas the bird ever had any major illnesses or surgeries? If yes, please list them below.Has the bird ever tested positive for any infectious diseases (PBFD, Psittacosis, Polyomavirus, etc.)? If yes, please list them below.Is the bird currently showing any signs of illness? Yes NoIf yes, please list symptoms below:Current diet:Known triggers/fears:Known vocabulary/sounds:Bird's personality:Select any behaviors the bird displays (Select all that apply) Bites Screams frequently Feather plucks Fearful of people Loves attention Steps up reliably Cage territorial Aggressive toward men Aggressive toward women Aggressive toward children Flighted/Strong Flyer Talks or mimics soundsPlease list any behaviors not listed above:Has this bird lived with other birds? Yes No UnknownHas this bird lived with dogs or cats? Yes No UnknownIs this bird comfortable with strangers? Yes No UnknownDoes this bird enjoy showers or misting? Yes No UnknownPlease list any items that will be coming with this bird:Is there anything else you'd like us to know that would help us find the best home for this bird and make this a smooth transition for them?Bird #4 InformationBirds name:Birds species:Approximate Age/DOB:What is the birds gender? Male (Confirmed) Female (Confirmed) Male (Unconfirmed) Female (Unconfirmed) UnknownHow long has the bird been with your organization?Are you the legal owner of the bird? Yes NoAre there any adoption restrictions or special circumstances LLS should know about?Band/Microchip Number:Has the bird ever laid an egg? Yes No UnknownHas the bird seen an avian veterinarian? Yes No UnknownIf yes, please list the name of veterinary clinic and approximate dates. (Please coordinate the transfer of vet records within 2 weeks after transfer)Has disease testing been performed? Yes No UnknownHas the bird ever had any major illnesses or surgeries? If yes, please list them below.Has the bird ever tested positive for any infectious diseases (PBFD, Psittacosis, Polyomavirus, etc.)? If yes, please list them below.Is the bird currently showing any signs of illness? Yes NoIf yes, please list symptoms below:Current diet:Known triggers/fears:Known vocabulary/sounds:Bird's personality:Select any behaviors the bird displays (Select all that apply) Bites Screams frequently Feather plucks Fearful of people Loves attention Steps up reliably Cage territorial Aggressive toward men Aggressive toward women Aggressive toward children Flighted/Strong Flyer Talks or mimics soundsPlease list any behaviors not listed above:Has this bird lived with other birds? Yes No UnknownHas this bird lived with dogs or cats? Yes No UnknownIs this bird comfortable with strangers? Yes No UnknownDoes this bird enjoy showers or misting? Yes No UnknownPlease list any items that will be coming with this bird:Is there anything else you'd like us to know that would help us find the best home for this bird and make this a smooth transition for them?Bird #5 Information For transfers involving more than five birds, please contact Little Loud Soul Bird Rescue directly so we can coordinate the transfer.Birds name:Birds species:Approximate Age/DOB:What is the birds gender? Male (Confirmed) Female (Confirmed) Male (Unconfirmed) Female (Unconfirmed) UnknownHow long has the bird been with your organization?Are you the legal owner of the bird? Yes NoAre there any adoption restrictions or special circumstances LLS should know about?Band/Microchip Number:Has the bird ever laid an egg? Yes No UnknownHas the bird seen an avian veterinarian? Yes No UnknownIf yes, please list the name of veterinary clinic and approximate dates. (Please coordinate the transfer of vet records within 2 weeks after transfer)Has disease testing been performed? Yes No UnknownHas the bird ever had any major illnesses or surgeries? If yes, please list them below.Has the bird ever tested positive for any infectious diseases (PBFD, Psittacosis, Polyomavirus, etc.)? If yes, please list them below.Is the bird currently showing any signs of illness? Yes NoIf yes, please list symptoms below:Current diet:Known triggers/fears:Known vocabulary/sounds:Bird's personality:Select any behaviors the bird displays (Select all that apply) Bites Screams frequently Feather plucks Fearful of people Loves attention Steps up reliably Cage territorial Aggressive toward men Aggressive toward women Aggressive toward children Flighted/Strong Flyer Talks or mimics soundsPlease list any behaviors not listed above:Has this bird lived with other birds? Yes No UnknownHas this bird lived with dogs or cats? Yes No UnknownIs this bird comfortable with strangers? Yes No UnknownDoes this bird enjoy showers or misting? Yes No UnknownPlease list any items that will be coming with this bird:Is there anything else you'd like us to know that would help us find the best home for this bird and make this a smooth transition for them?I certify that I am authorized to transfer the bird(s) listed in this form on behalf of the transferring organization. By signing below, the transferring organization voluntarily transfers ownership, custody, and responsibility for the listed bird(s) to Little Loud Soul Bird Rescue. The transferring organization understands that Little Loud Soul Bird Rescue will have sole discretion regarding veterinary care, foster placement, rehabilitation, adoption, and future placement of the bird(s). ConfirmI certify that, to the best of my knowledge, all medical, behavioral, ownership, and background information provided is complete and accurate. I have disclosed any known medical history, medical conditions, behavioral concerns, or other information that could affect the bird's care or placement. ConfirmI authorize the release and transfer of any available veterinary records, ownership records, identification information, and other documentation pertaining to the bird(s). Any cages, carriers, supplies, or belongings transferred with the bird become property of Little Loud Soul Bird Rescue unless otherwise agreed to in writing. ConfirmThis electronic signature acknowledges the information submitted online and does not replace the physical Transfer of Ownership Agreement that must be signed at the time of transfer.Position/Title Within the Organization:Date Thank you for providing this information. Please note that submitting this form does not complete the transfer of ownership. An authorized representative of the transferring rescue will be required to physically sign a Transfer of Ownership Agreement at the time the bird(s) are surrendered to Little Loud Soul Bird Rescue. This ensures the transfer of each bird is properly documented and acknowledged by both organizations.Submit Application
