Pets and animals · PA-34

Foster and Adoptive Home Visit Record

A free printable home visit record for rescues: household, home and garden, daily life, how the home suits the animal, and the outcome with any follow-up.

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2 pages. Choose your paper size — both versions are laid out identically, so neither one gets shrunk to fit.

Print it and write on it

A4 59 kB US Letter 59 kB

Fill it in type and save

A4 113 kB US Letter 113 kB

The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.

What this sheet is for

Record each home visit the same way, whoever makes it, in person or by video. The approval then rests on what was seen, written down.

Who it is for

Rescue and rehoming volunteers who assess would-be foster carers and adopters.

How to use it

Tick whether the visit is for fostering or adoption, and whether it is in person or by video.
Fill in the household before walking round, then tick fine or concern on each home and daily life line, writing what you saw or were told.
On the back, weigh the animal's needs against the home, if an animal is named.
Record the outcome, any conditions, the follow-up visit date and when the applicant was told.
If a follow-up visit was set, record it at the foot when it happens.

What is on the sheet

2 pages, in this order:

Page 1

Printed under the title: One visit to a would-be foster carer's or adopter's home, in person or by video, recorded against your organisation's own standards: the household, the home and daily life, the match with the animal, and the outcome.

Also printed: Visit for · Foster approval · Adoption · Held · In person · By video

Write-on lines: Applicant(s) · Phone · Address · Date · Assessor · Animal being matched, if any · Rescue ref.

Household — everyone who lives at or often visits the home

Write-on lines: Adults at home · Children and their ages · Regular visitors · Main carer · Other animals: species, ages, neutered · Working hours, and who is home when

The home and daily life — tick one, then note what was seen or said

Also printed: Checked · Fine · Concern · What was seen or said · HOME AND GARDEN · Boundaries and fences secure, no gaps or low points · Gates close and latch; who uses them and how often · Where the animal will sleep and rest · Stairs, balconies, open windows, ponds or other hazards · Access to outside: door, cat flap, lead only · Plants, chemicals or medicines within the animal's reach · Landlord's written permission, if renting · DAILY LIFE · Time the animal would be left alone on a usual day · Exercise plan: who, when and where · Experience with this species, breed or need · Resident animals' reaction to the visit or video · Vet the applicant would register with

Page 2

Matching — the animal's needs against this home; skip if no animal is named yet

Also printed: The animal's needs · Suits · Doubt · Why · Temperament and energy · Age and any health needs · How it is with children · How it is with dogs, cats or other animals · Exercise and space it needs · Experience it needs from a carer · Location: busy road, town, rural, flat

Outcome

Also printed: Tick one · Approved · Approved with conditions · Not approved

Write-on lines: Conditions, or the reasons · Follow-up visit due · Applicant told on · Assessor signed · Reviewed by

Follow-up visit — if one was set

Also printed: Held · In person · By video

Write-on lines: Date · By · Conditions met? · Outcome

Ruled lines: Notes

Questions

Does the sheet say what a home must have?

No. Fence heights, time alone and the rest are your organisation's own standards and depend on the animal. The sheet records what was seen against them, so a second person can review the decision.

Can it be used for a video visit?

Yes. Tick by video at the top, and ask the applicant to walk the camera round the boundaries, gates and the place the animal would sleep. Note anything you could not see properly as a concern.