Foster Inspection Report

pac_LOGOPlease complete and submit the Foster Inspection Report online below.

FOSTER HOME/ANIMAL SHELTER AGENT - INSPECTION REPORT

Georgia Department of Agriculture (Hereinafter "GDA")

"Foster Home" & "Animal Shelter Agent" are used as stated in the "Rules of "GDA" 40-13-13-.02(6) Animal Protection"

Inspection Date:(Required)

Please Enter Foster Home/Animal Shelter Agent Information Below:

Name(Required)
Please mark one or more Categories:(Required)

[1] A category marked fail must be re-inspected; [2] This report must be on file at the animal shelter’s licensed address and a copy at the foster home address; [3] The following categories are found in the “Rules of “GDA” 40-13-13 Animal Protection”

For All Failed Categories See Below Signatures

#1 Adequate Food 40-13-13-.01(Required)

#2 Adequate Water 40-13-13-.01(Required)

*#3 Adequate Temperature Control 40-13-13-.01(Required)

*#4 Adequate Ventilation 40-13-13-.01(Required)

#5 Proper Animal Health Care 40-13-13-.01(Required)

#6 Classification & Separation 40-13-13-.04(Required)

#7 Housekeeping 40-13-13-.04(Required)

#8 Pest Control 40-13-13-.04(Required)

#9 Sanitation 40-13-13-.04(Required)

#10 Shelter 40-13-13-.04(Required)

#11 Space Requirement 40-13-13-.04(Required)

#12 Structural Strength 40-13-13-.04(Required)

#13 Waste Disposal 40-13-13-.04(Required)

* N/A for outdoor housing

License Holder (Signature)

signature

PLEASE EXPLAIN THE REASON FOR THE FAILURE

Foster Home/ Animal Shelter Agent’s Name
Inspection Date:

Revised 6/8/2021

This field is for validation purposes and should be left unchanged.