Request to keep a pet form

Request to Keep a Pet

Your Tenancy Agreement states that you must get our written permission before keeping any pets at your home.

Your Details

Name

First Last

Date

Address

Street Address Address Line 2 City ZIP / Postal Code

Phone

What type of property do you live in?

Please select from the following:

4-block flat

6-block flat

Upstairs

Downstairs

House/bungalow

If the pet you would like to keep is a dog, please provide the following information

Breed

Name of dog

Age of dog

Approx height in centimetres (cm)

Temperament/personality

Microchip number

(Please also refer to our ‘Rules for keeping a dog’ document).

Further information

What is your current income (per week/month)?

Is there any medical reason why you need to keep a pet? If so, please explain and provide any supporting documentation from a medical practitioner.

What is your employment status?

How many other tenants share the garden adjacent to your home?

Do you already have any other pets? If yes, please provide details.

Do you have any experience of looking after a pet? If yes, please provide details.

Please provide any further relevant information.

Please note: if you wish to keep another pet in the future you must get our further written permission.

I understand that if permission is granted, EPIC can withdraw permission if the dog causes nuisance to neighbours or to any member of EPIC staff or our contractors. I understand that it is my responsibility to clear up any dog fouling promptly and it is my responsibility to tend to my dog’s needs. Please sign in the box below.

Date

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