For Authorized Facility Use Only.

Facility Rehomer Agreement

​​[Organization Name] Rehomer Agreement

This Re-Homer Agreement (“Agreement”) is entered into by and between [Organization Name] (“Organization Acronym”) and the undersigned individual (“Re-Homer”) for participation in the Canine Residences in Supporting People (CRiSP) Program.

This Agreement outlines the responsibilities, expectations, and conditions associated with rehoming a dog whose original owner is no longer able to provide daily care but wishes to maintain a lifelong bond through visitation.

1. PROGRAM OVERVIEW

The CRiSP Program places dogs into permanent, loving homes while preserving the human–animal bond through structured visitation with the original owner when feasible. [Organization Name] serves as the coordinating and overseeing organization for all placements and relationships under this program.

2. RE-HOMER RESPONSIBILITIES

By signing this Agreement, the Re-Homer agrees to the following:

A. Lifetime Care Commitment

• Provide a safe, stable, and loving home for the dog for the remainder of the dog’s life.
• Meet the dog’s daily needs, including feeding, exercise, enrichment, and companionship.
  
• Follow all [Organization Name] -approved veterinary, behavioral, and care recommendations.
  

B. Visitation with Original Owner

• Participate in agreed-upon visitation with the original owner, as coordinated by [Organization Name].
• Respect the emotional significance of the dog–owner bond.
  
• Communicate proactively with [Organization Name] regarding visitation scheduling, concerns, or limitations.
  
• Understand that visitation frequency and format may change due to health, safety, or logistical considerations.
  

C. Communication & Oversight

• Maintain regular communication with [Organization Name] regarding the dog’s health, behavior, and well-being.
• Notify [Organization Name] immediately of:
  
  • ​​Serious illness or injury
    
  • Behavioral concerns
    
  • Change in housing or household composition
    
  • Inability to continue care
    

3. FINANCIAL SUPPORT & EXPENSES

• Dog-related expenses (including veterinary care and approved needs) will be covered by dog owner funding and administered through [Organization Name].
• The Re-Homer agrees to follow [Organization Name] protocols for veterinary care approval and reimbursement.
  
• Unauthorized expenses may not be reimbursed.
  

4. OWNERSHIP & LEGAL STATUS

• Ownership of the dog remains as documented by [Organization Name].
• This Agreement does not transfer legal ownership unless explicitly stated in writing.
  
• [Organization Name] retains authority to reclaim the dog if welfare concerns arise or Agreement terms are violated.
  

5. TERMINATION OF PARTICIPATION

[Organization Name] reserves the right to terminate this Agreement and reclaim the dog if:

• The dog’s welfare is compromised
• Agreement terms are not upheld
  
• The Re-Homer can no longer provide appropriate care
  
• Safety concerns arise for any party involved
  

Re-Homer agrees to return the dog to [Organization Name] immediately upon request if termination occurs.

6. LIABILITY & INDEMNIFICATION

• Re-Homer assumes responsibility for the dog while in their care.
  
• [Organization Name] is not liable for injury, damage, or loss caused by the dog.
  
• Re-Homer agrees to indemnify and hold [Organization Name] harmless from claims arising from the dog’s actions during placement.
  

7. ACKNOWLEDGMENTS

By signing below, the Re-Homer acknowledges and agrees that:

☐ They have been fully informed of the dog’s known medical and behavioral history
☐ They understand the emotional importance of the visitation component
☐ They agree to [Organization Name] oversight and decision-making authority
☐ They understand participation may evolve over time
☐ They are entering this Agreement voluntarily

8. SIGNATURES

Re-Homer Name (Printed): ______________________________________

Signature: ____________________________________________________

Date: _______________________

[Organization Name] Representative: _____________________________

Title: ________________________________________________________

Signature: ____________________________________________________

Date: _______________________

[Organization Name] INTERNAL USE ONLY

Dog Name: ___________________________________________________
Placement Date: _____________
CRiSP Grant ID (if applicable): ___________________________________

Notes:____________________________________________________________________________________________________________________________________________________________

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