• Your Name:
  

• Your Rehab Organization Name:
  

• Your Location (City, State/Prov., and country if non-USA):
  

• Number of animals you normally admit/yr:
  

• Your Email Address:
  

Please enter statistics you have collected FOR AN INDIVIDUAL YEAR for your facility (does not need to be for the current year). Please submit separate stats for each year you have on record.

• Year of statistics below:
  

• Number of animals admitted:
  

• Number of different species admitted:
  

  For each of the following categories, enter the number of animals in that category for the year-end:

• DOA (dead on arrival):
  

• EOA (euthanized on arrival, within 24 hours):
  

• Euthanized (after 24 hours):
  

• Died in care (DIC):
  

• Released:
  

• Transferred (to another rehab facility):
  

• Placed (in another facility for permanent educational use, etc.):
  

• Reasons for admission (include numbers of each if known):
  (examples: cat-caught, hit by car, shot, orphan, etc.)
  

• Comments: