Thank you for your interest in becoming a partner with Coco’s Heart!

Please submit the questionnaire below and we will follow up with any questions and if we are in a position to help.

Name of Organization/Shelter

First Name

Last Name

Name of Primary Contact

First Name

Last Name

What is your role within the organization?

Email Address

Address of Organization/Shelter

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Website of Organization/Shelter

http://

Below are some questions to help us determine if we could be a fit for your organization/shelter.

What dogs do you typically need help with?

Puppies, seniors, bully mixes, mommas, etc.

Can you complete a heartworm test prior to transport?

We are licensed and inspected with the WI Dept of Agriculture and cannot welcome HW+ dogs into WI

Can you complete a brucellosis test prior to transport?

This is primarily important for dogs coming from stray-dog populations, breeding situations, and reservations.

Can you complete a behavioral assessment prior to transport?

We cannot welcome dogs that show aggression to people or other dogs or that have a bite history.

Can you complete a health certificate prior to transport?

This is required for any animal crossing state lines.

Can you provide transport?

Can you email information?

We rely on email for our team if possible.

Is there anything you would like us to know?