Transportation Information

Driver Checklist

Name of dog
Breed:
Sex:	Male Female
Neutered or spayed?	Yes No
Up to date on shots?	Yes No
Health
Housetrained	Yes No
Gets along with other animals	Yes No
Crate optional or mandatory	Optional Mandatory
Do drivers need to provide a crate?	Yes No
Special needs or comments
Dog last fed at
Time of last water and potty break
Overall assessment of the dog
Name of CUR Coordinator
Phone number:
Email:

Name of transporter you are picking up from:
Phone number:
Cell phone number:
Email:

Name of transporter you are handing off to:
Phone number:
Cell phone number:
Email: