FOSTER HOMEANIMAL SHELTER AGENT AGREEMENT GEORGIA DEPARTMENT OF AGRICULTURE

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FOSTER HOME/ANIMAL SHELTER AGENT AGREEMENT

Georgia Department of Agriculture (Hereinafter “GDA”)

PLEASE PRINT THE FOLLOWING INFORMATION:

“GDA” Licensed Animal Shelter (name)


agrees to allow (name)


to serve as their Foster Home/Animal Shelter Agent under “GDA” animal shelter license #


“Foster Home/Animal Shelter Agent Agreement” effective Date



[1] This agreement must be on file at the above Animal Shelter’s licensed address, and a copy of this agreement must be on file at the Foster Home/Animal Shelter Agent’s address. [2] All animals will remain the property of the above licensed animal shelter until an outgoing animal transaction is completed. [3] If the licensed animal shelter or the Foster Home/Animal Shelter Agent terminates this agreement the licensed animal shelter must remove the animal(s) from the Foster Home/Animal Shelter Agent’s possession as soon as possible. [4] Upon request from the licensed animal shelter the Foster Home/Animal Shelter Agent must release possession of the animal(s) to the licensed animal shelter that is the owner of the animal(s). [5] The Foster Home/Animal Shelter Agent must have license holder approval prior to rescuing any animal. [6] The Foster Home/Animal Shelter Agent agrees to authorized animal shelter personnel performing the recommended pre-approval inspection done prior to becoming a foster home and the required periodic inspections twice yearly (one during the summer and one during the winter is recommended). The Foster Home/Animal Shelter Agent agrees to inspections by GDA personnel when necessary. [7] The Foster Home/Animal Shelter Agent agrees to comply with all applicable laws and rules, including the Bird Dealers Licensing Act, O.C.G.A. § 4-10-1, et seq., the Georgia Animal Protection Act, O.C.G.A. § 4-11-1, et seq., the Bird Dealers Licensing Rules, 40-13-12, et seq., and the Animal Protection Rules, 40-13-13, et seq.


PLEASE PRINT THE FOLLOWING FOSTER HOME/ANIMAL SHELTER AGENT INFORMATION:

Physical Address


County


City


State


Zip




THE LICENSE HOLDER AND FOSTER HOME/ANIMAL SHELTER AGENT CONSENT TO COMPLY WITH THIS AGREEMENT:

License Holder (Signature)


License Holder (print)


Foster Home/Animal Shelter Agent (Signature)


Foster Home/Animal Shelter Agent (Print)




TO TERMINATE THIS AGREEMENT LICENSE HOLDER OR FOSTER HOME/ANIMAL SHELTER AGENT SIGNATURE IS REQUIRED:

License Holder (signature)


License Holder (print)


Foster Home/Animal Shelter Agent (Signature)


Foster Home/Animal Shelter Agent (Print)


Termination Date




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