Transfer Ownership Form PDF Details

When pet ownership changes hands, it's vital for both the outgoing and incoming owners to navigate the legal and logistical requirements smoothly to ensure the welfare of the beloved pet. The Transfer of Ownership form serves this purpose, facilitating a seamless transition for pets, whether they are dogs, cats, or other animals. This comprehensive document captures essential information about the pet, including the pet's name and microchip ID, alongside current owner details. Moreover, it lays the groundwork for the new owner to activate a HomeAgain Network Membership, crucial for the pet's safety and recovery if lost. With a modest activation fee and annual membership cost, which could be adjusted based on promotions, this form also outlines the steps for proper completion and submission, including selecting a payment method and providing authorization by both parties involved. The form ensures that personal, medical, and billing information is shared appropriately, safeguarding the pet's future while adhering to privacy and policy terms set by Schering-Plough HomeAgain LLC. It's a critical tool in the pet recovery service offered, emphasizing the significance of keeping updated ownership records for our furry friends' safety and security.

QuestionAnswer
Form NameTransfer Ownership Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameshome again form, home again transfer ownership, dog ownership form, transfer dog ownership

Form Preview Example

TRANSFER OF OWNERSHIP FORM

PET NAME

Pet Information

Pet Name

MICROCHIP ID#

For further assistance visit www.homeagain.com or call 1-888-HOMEAGAIN

PET / CURRENT OWNER INFORMATION

Dog

Cat

Other

Primary Contact

First

 

 

 

 

 

 

 

 

 

 

 

 

Last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

name

 

 

 

 

 

 

 

 

 

 

 

 

name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

Phone 1 (

 

 

 

)

 

 

 

 

 

 

 

 

 

 

Phone 2 (

 

 

 

)

 

 

 

 

 

 

 

 

I herby transfer my title to the above referenced pet to the person listed below.

 

 

 

 

 

 

 

 

 

 

 

 

Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MEMBERSHIP ACTIVATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please activate my HomeAgain¨ Network Membership. I agree to pay $10 activation fee + $29.99 annual membership.

 

 

 

 

 

 

 

 

I have a promotional discount.

Promotion code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NEW OWNER CONTACT INFORMATION

Primary Contact

First name

Address

City

E-mail

Last name

Apt

State Zip

Phone 1 ( )

-

Phone 2 (

)

-

Clinic name

Address

City

Phone (

CLINIC CONTACT INFORMATION

Apt

State Zip

) -

PAYMENT OPTIONS

Credit card

Account number

Billing address

City

VISA

M/C

AMEX

mm

Expiration date

Apt

State Zip

Check if billing address is same as Primary Contact

yy

-

Payment enclosed Make check payable to HomeAgain and mail to: The HomeAgain Pet Recovery Service, P.O. Box 2014, East Syracuse, N.Y. 13057-4514

AUTHORIZATION: By signing below, I agree to the terms and conditions on the back of this form and authorize: (1) My Veterinarian/Shelter to share personal information about me and my pet, including medical information, with Schering-Plough HomeAgain LLC (“Schering”); (2) Schering to share that information with third parties, including affiliates, business partners, vendors, municipalities, other veterinarians, medical caregivers, and shelters; and (3) Schering to bill my credit card $10 activation fee + $29.99 annual membership (or any lower annual fee for which Schering confirms my eligibility) and automatically annually hereafter at the then-current annual fee. (Schering will advise you at least 10 days in advance of any change in the annual fee.) I may terminate this authorization by calling Schering at 1-888-HOMEAGAIN. Such termination will be effective 3 business days after receipt and will not affect any action taken in reliance on my consent or the continuing enforceability of this agreement.

Signature

THE NEW

Name (PRINT)

Date

IMPORTANT Please return this form to the HomeAgain¨ Pet Recovery Services or we will not be able to identify your pet if lost.

THE NEW

THE HOMEAGAIN PET RECOVERY SERVICE

P.O. BOX 2014, EAST SYRACUSE, N.Y. 13057-4514

INSTRUCTIONS

Activation process

Pet / Current Owner Information: To be completed and signed by current owner.

Membership Activation: Check the activation box and enter promotion code if available.

New Owner Contact Information: To be completed by new owner. Complete primary contact information.

Payment Options: ¥ Select method of payment.

¥Enter credit card information.

¥If billing and mailing information are the same, please check box.

¥If check option is selected, make check payable to HomeAgain. Do not send cash.

Completing the activation form

Sign and print name.

Send completed activation form and payment (if applicable) to:

HomeAgain Pet Recovery Service, P.O. Box 2014, East Syracuse, N.Y. 13057-4514

TERMS AND CONDITIONS

By enrolling in the HomeAgainª pet recovery service (the ÒServiceÓ) offered by Schering-Plough HomeAgain LLC (ÒScheringÓ), you agree to abide by these Terms and Conditions (the ÒAgreementÓ):

1.You authorize Schering to charge your credit card automatically for all fees incurred through your use of the Service, including recurring annual subscription fees. If Schering does not receive payment from the issuer of your credit card, you agree to pay all amounts due upon demand directly to Schering, and Schering may suspend or terminate your subscription if you fail to pay. If you supply a promotion code for a discounted subscription fee, Schering will determine your eligibility for such discount, which determination shall be in ScheringÕs sole discretion. If Schering determines that you are ineligible for the discounted subscription fee, you will be charged the non-discounted subscription fee stated on the authorization form. You understand that, once charged, subscription fees for the Service are non-refundable.

2.Schering is not responsible for the accuracy of any medical information provided by any veterinarian or clinic, posted on the HomeAgain¨ website, or obtained from the petID or other media associated with the Service.

3.Schering disclaims any warranties, express or implied, including implied warranties of merchantability or fitness for a particular purpose, with respect to any aspect of the Service. Schering reserves the right to modify or terminate the Service at any time, without prior notice.

4.This Agreement is subject to the laws of the State of New Jersey. If there is any dispute concerning this Agreement or your use of the Service, you and

Schering agree to submit the dispute to non-binding mediation, followed by binding arbitration, under the rules of the American Arbitration Association.

PRIVACY POLICY

Schering-Plough HomeAgain LLC is committed to protecting your privacy. This policy, effective August 1, 2006, describes the ways in which we collect, use, and disclose personal information.

Personal Information Collected. We will collect personal information about you Ð including your name, phone number, and billing information Ð when you register for the Service. We also will collect information about you and your pet, including medical information, through other sources, such as your veterinary clinic. In addition, we will collect, store, and use the information you provide about you and your pet when you contact our customer support or initiate other transactions on our website.

Other Information Collected. When you visit our website, we also may collect non-personally identifiable information using cookies and other similar technologies to help us keep track of your interactions with our website and to offer you a more personalized experience.

Use of Information. Your information may be used to:

¥Provide you with the products and services you request;

¥Notify you about products and services offered by us or selected third parties;

¥Help us customize and personalize our websites; develop new products and services; and improve the quality of our website and the services we offer. Disclosure of Personal Information. We may share your information in limited circumstances, including:

¥With our authorized service providers that perform certain functions or services on our behalf (including order fulfillment, credit card processing, and business analytics);

¥With our affiliates, business partners, vendors, municipalities, other veterinarians, medical care givers and shelters;

¥To respond to subpoenas or other legal process, and to exercise our legal rights;

¥In order to investigate, prevent or take action regarding illegal activities, or as otherwise required by law; and

¥In connection with a corporate transaction, such as a divestiture, merger, consolidation, or asset sale, or in the unlikely event of bankruptcy.

Your rights and choices. You have the right to receive a copy of the personal information you provide, and to correct or update that information. You also may choose to stop the delivery of promotional email messages by following the instructions in any such email we send you. You also may instruct us to remove you from programs to which you have subscribed; however, we will retain basic information about you and your pet (such as chip ID#, name of pet, and your contact information) in our database.

Security. We maintain appropriate technical, administrative and physical procedures to protect personal information from loss, misuse, or inadvertent destruction. Changes to this Privacy Policy. We may update this privacy policy in the future. We will notify you about material changes to this policy by sending you notice by email or direct mail, or by placing a prominent notice on our website.

Comments/Questions. If you have any questions about this privacy policy, please contact us at:

Global Privacy Officer, Schering-Plough Corporation, 2000 Galloping Hill Road, Kenilworth, New Jersey 07033. Email: privacyoffice@spcorp.com

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This PDF form will require some specific information; in order to guarantee accuracy, you should bear in mind the guidelines hereunder:

1. It's important to complete the home again microchip transfer ownership accurately, hence take care when working with the parts containing all of these blanks:

Completing section 1 of microchip transfer ownership

2. After finishing the last step, go to the next stage and complete all required details in all these blank fields - Last name, State, Zip, Phone, CLINIC CONTACT INFORMATION, Apt, Apt, Primary Contact First name, Address, City, Email, Phone, Clinic name, Address, and City.

Writing segment 2 of microchip transfer ownership

Be really attentive while filling out City and Apt, because this is the section in which most people make a few mistakes.

3. This next section will be focused on AUTHORIZATION By signing below I, Signature, Name PRINT, Date, the New, and IMPORTANT Please return this form - fill in all of these blank fields.

The way to prepare microchip transfer ownership stage 3

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