Home Inspection

Date / Time

Date

Time

Name of Inspector

Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email

Phone

ID Photo

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Are there any animals PERMANENTLY residing within the residence

Yes
No

Number of animals PERMANENTLY residing within the residence (include species, & age)

Are there any FOSTER animals residing within the residence?

Yes
No

Number of FOSTER animals residing within the residence and if so with what organization

Do the doors and windows close properly?

Yes
No

Do you see any damage to the house by animals?

Yes
No

Are there any house plants (many are poisonous) ?

Yes
No

If there is a litterbox is it accessible to dogs?

Yes
No

Is the yard fenced?

Yes
No

Is there any damage to fence?

Yes
No

If there is a fence, what are the materials and how high is it?

Is the area properly shaded?

Yes
No

Is there a water bowl in the yard?

Yes
No

Is there any place a pet can leap off decks or areas the pet can get injured?

Yes
No

Is there anything stacked near the fence that an animal can climb to get out?

Yes
No

Are there any potential escape routes? (low places in the fence, holes in the fence, high or loose gates)

Yes
No

Are there any chemicals stored outside? (gasoline, antifreeze)

Yes
No

If there are any problems that were pointed out to the potential foster what date will they be fixed by?

Are there locks on the gates?

Yes
No

Is the fence line shared with neighbors?

Yes
No

Are there children in neighboring yards?

Yes
No

Are there any potentially poisonous plants in the fosters yard or neighboring yards?

Yes
No

Are there any dogs, cats, livestock on neighboring property?

Yes
No

Can any of them get into the pets yard?

Yes
No

Where will the pet be kept when company comes?

Where will the pet sleep at night?

Where will the pet stay during the day?

Does the area look clean

Yes
No

Is there evidence of small children? (toys, food scraps- remind foster they may be destroyed or potential health hazard for pets)

Yes
No

Are there sewing kits, bobby pins, wash cloths, sponges, razorblades etc at pet or counter level- if so point them out)

Yes
No

Are there chemicals inside or outside of the home that are accessible to pets (if so point them out)

Yes
No

Does the house appear to be pet proof (glass objects, dried flowers, expensive rugs or decor, etc- if so point them out)

Yes
No

Are there any other potential hazards for the pet?

Do you feel the foster will love and care for the pet properly?

Yes
No

If this were your pet, would you feel comfortable leaving your pet with this family?

Yes
No

Foster Signature

Clear Signature

Fosters Printed Name

Date / Time

Date

Time

Representatives Signature

Clear Signature

Date / Time

Date

Time

Representatives Printed Name

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