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BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Louis LaTorre/Director/Social Services Meeting Date: July 14-15, 2004 Division: Community Services Bulk Item: Yes _ No X Department: Social Services AGENDA ITEM WORDING: Approval of Pet Friendly Shelters for the Special Needs Clients located in five shelters throughout Monroe County and one Pet Friendly Special Needs Shelter in Dade County, location to be determined. ITEM BACKGROUND: See attached documentation PREVIOUS RELEVANT BOCC ACTION: N/A CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Approval TOTAL COST: Unknown COST TO COUNTY: Unknown BUDGETED: Yes No X SOURCE OF FUNDS: REVENUE PRODUCING: YES _ NO X AMT. PER MONTH YEAR APPROVED BY: County Atty. chasingrisanageme y DIVISION DIRECTOR APPROVAL: ` J e . Malloch DOCUMENTATION: Include To Follow: _ Not Required: DISPOSITION: Agenda Item #: r � MC Pet -Friendly Special Needs Sheltering Plan Monroe County Pet -Friendly Special Needs Sheltering Plan Presented for Monroe County Board of County Commissioner Review By: Monroe County Social Services Department Louis LaTorre, Director 1100 Simonton Street Room 1-204 Key West, Florida 33040 (305) 292-4573 socialservicesna,monroecounty-fl.2ov Wednesday, July 14, 2004 MC Pet -Friendly Special Needs Sheltering Plan TABLE OF CONTENTS I. Overview II. Hurricane Special Needs and Pet -Friendly Shelter Locations III. Shelter Staffing IV. Standard Operating Procedure V. Shelter Floor Plans • Harvey Government Center • Sugarloaf Elementary School • Stanley Switlik Elementary School • Coral Shores High School • Key Largo School VI. Sheltering forms — Owner • Emergency Shelter Agreement • Emergency Transportation Agreement • Pet Registration and Agreement VII. Volunteer forms • MC Volunteer Application Form (2 pages) • Disaster Response Volunteer Intake Form • Animal Relief Volunteer Badges 2 MC Pet -Friendly Special Needs Sheltering Plan MONROE COUNTY SPECIAL NEEDS PET SHELTERING PLAN After Hurricane Andrew devastated South Florida in 1992, state emergency response personnel realized the convergence of animal and people issues during a disaster. They learned that, under adverse circumstances, the ultimate safety of many of Florida's citizens depends on the safety of their pets, domestic and exotic, and the livestock they tend. Until that time, people in harm's way were told by state emergency management to evacuate their home, but to leave their pets. Relaying this information has often created situations where animals were technically neglected and/or abandoned and it added additional stress to people who evacuate without their animals. These scenarios produce serious complications for Emergency Management. It stands to reason, if humans were at risk from an impending cataclysm, so were the lives of animals, and visa versa. We now understand that many people, especially the elderly, simply do not abandon their companion animals, even in life -threatening situations. In 1994, Governor Lawton Chiles mandated that all Florida counties provide means to accommodate animals, domestic and livestock, in times of emergency events. Emergency protocol ESF-17 is a result of that edict. Special Needs clients who evacuate to shelter in Monroe County with their pets may have several options for housing companion animals. Choices include boarding kennels, veterinarian offices, hotels and motels, and the designated pet -friendly shelters. It is important that all of these options be available at any given time during an evacuation. Whether due to need, lack of planning, or rapid onset of an event that overwhelms local animal housing options in which even the most responsible pet owner can be caught in a resources pinch, emergency sheltering for Special Needs clients should be enhanced to include companion animals. The stress of a disaster for both citizens in general and for emergency response and management will be alleviated by not encouraging the separation of owners from their pets and by host locals offering and marketing as many options to animal owners as possible. In an effort to provide the service of a pet -friendly emergency shelter in Monroe County the Special Needs Registry has devised guidelines for the emergency sheltering of Special Needs Client's animals in Monroe County. MC Pet -Friendly Special Needs Sheltering Plan Meetings have occurred with various Monroe County employees and community partners regarding emergency sheltering of pets for Special Needs clients. The following people have been consulted: Commissioner Dixie Spehar — Monroe County Commissioner Jim Malloch — Community Services Director Jerry Eskew — MC Transportation Senior Administrator Anna Haskins — Special Needs Registry Coordinator Jim Timony — Veterans Affairs Danise Henriquez — MC Tax Collector Ron Rodamer — Sugarloaf Volunteer Fire Dept. Brenda Beckmann — MC Trauma Emergency Management Bill Grumhaus — Risk Management Director Charles Ingraham — Veterans Affairs Director Mark Anderson — Harvey Building Facilities Maintenance Laura Bevan — US Humane Society Tallahassee Dean Humfleet — FKSPCA Director (Lower Keys Animal Shelter) CeCe Crane - Kritter Patrol President Michael Henriquez — MC School Board — Safety Director Fred Sims — MC School Board - Facilities Director Alan Roberts — MC School Board — Assistant Director of Facilities Jim Hall — Assistant Principal Sugarloaf Elementary Harry Russell Jr. - Assistant Principal Stanley Switlik Elementary Ron Martin — Assistant Principal Coral Shores High School Darren Pace — Assistant Principal Key Largo Elementary Linda Gottwaldt — Middle Keys Animal Shelter Director Tom and Marsha Garretson - Upper Keys Animal Shelter Capt. David Worthy — Salvation Army Jerry O'Cathey — Emergency Management Administrator Irene Toner — Emergency Management Director Billy Wagner — Emergency Management Senior Director Chief Clark Martin — MC Fire Chief Chief William Wagner — Islamorada Fire Rescue Chief Chief Hans Wagner — Marathon Fire Rescue Chief Chief Sergio Garcia — MC Emergency Medical Services Suzanne Hutton — Assistant County Attorney Dr. Suzanna May — MC Health Dept Director 4 MC Pet -Friendly Special Needs Sheltering Plan This listing is not all-inclusive as many others were contacted for their involvement, expertise and advice. We relied on agencies throughout the state to gain perspective and gather information regarding the components of this plan. The County Attorney's Office and Risk Management Department raised issues regarding discrimination, liability including for cross ventilation contamination. • As long as it is clear that the County is not instituting this program as a permanent service and that it is limited to Special Needs clients in particularly vulnerable housing, there should not be any problem with discrimination. This is a trial program which would survive only as long as it is economically and tactically feasible to provide it to the specified Special Needs Clients. This is a small enough sector of the community that the basics can be put in place in order to see if the program would work. If this trial program is successful and other issues, such as increased shelter capacity, can be solved, Monroe County could look at instituting a program for the "general population". • There always is an issue of liability when the County undertakes any action. Liability in this case can be significantly contained by taking precautionary measure against injurious contact between people and pets in shelters, and by requiring both the clients whose animals are accommodated through this program and the volunteers who work with the sheltered pets to sign releases or waivers from liability. • There should be no cross ventilation contamination because the designated pet areas in each of the shelters would ensure no "common" air elements. The animals are housed in separate buildings or units running off a completely separate air handling unit. The Health Department raised the question of communicable diseases which has been addressed by separating the pets from the people. Also, the clients and any workers handling the pets will be provided with the appropriate sanitation supplies. As in past evacuations, MC will provide Special Needs Registry (SNR) Clients with shelter in pre -determined locations throughout the county. In the event of a category 3, 4, or 5 storm, MC will evacuate the clients by school bus to Florida International University (FIU) in Miami. An ever- increasing number of SNR clients refuse to evacuate and leave their pets behind. Therefore, the following plan addresses this need while not 5 MC Pet -Friendly Special Needs Sheltering Plan compromising the safety of the SNR population. Our primary focus is on the elderly and disabled clients who reside in mobile homes, trailers, RVs, boats and campgrounds as well as those in substandard structures and in low-lying areas. In a category 1 or 2 storm, Special Needs clients from the above -specified types of residences will be permitted to bring their pre -registered pets to shelter with them. Such clients and their pre -registered pets in a category 3, 4, or 5 storm will be transported out of the county to a location which is still "to be determined". The pets will be sheltered in an area separate from both the general population and Special Needs clients without pets. This pet room will have all of the basic requirements of the regular shelter site. Each pre -determined room is on a separate air -handler than the other shelter rooms. This negates the possibility of citizens with allergies to animals being exposed to allergens that may affect their health. The animals will be taken care of by animal shelter staff, county staff and volunteers. In some areas it may be possible to house the owners with their pets. Obviously this would be ideal because it would nearly eliminate the need for extra staff. It would also lead to a stress -free environment for the pets and their owners because they would have someone familiar caring for them. If at all possible arrangements will be made for the clients to stay with their pets. However, as it stands now, the clients and their animals will be housed in separate rooms. Clients will be required to pre -register their pets and show proof of vaccinations. They will also be required to provide food and other necessities, such as medications, for their pets. The pet shall arrive in an appropriate pet carrier or cage. This is where the pet is to remain throughout its stay in the shelter. Owners will be permitted to have their animals out of the cage as needed for brief recreation breaks and relief breaks provided that the pet is on a leash. The times for these breaks will be determined by the pet -friendly shelter staff. Volunteers will be utilized whenever available. Residents from the animal lovers community are being encouraged to volunteer their time so that we will have people that are used to handling pets and caring for them. Following are some of the community resources that have been contacted: Pet shops, Pet affiliated groups, veterinarians and their staff, pet grooming establishments, and more. 2.1 MC Pet -Friendly Special Needs Sheltering Plan Any problems requiring law enforcement attention will be addressed by the law enforcement officer available on site. If a law enforcement officer is not on site the call will be referred to 911 and contact should be made with law enforcement through the regular channels. The various law enforcement agencies throughout the keys including Monroe County Sheriff's Office and Key West Police Department have agreed to have at least one member of their agency available at each Special Needs site. Health emergencies and problems will be handled by the EMT/paramedics assigned to the Special Needs shelters. EMS and the various fire departments throughout the keys have agreed to have at least one EMT or paramedic available for the Special Needs Shelters. MC Pet -Friendly Special Needs Sheltering Plan HURRICANE SPECIAL NEEDS AND PET SHELTER LOCATIONS * Key West Area — Harvey Government Center - 1200 Truman Ave, Key West. • Registered Special Needs Residents — Commissioner's Chambers — 2nd floor. • Pets — Senior Center (to the left of the main building). • General Population — Commissioner's Meeting Room Lower Keys including Sugarloaf — Sugarloaf Elementary School — 255 Crane Blvd, Sugarloaf Key. • Registered Special Needs Residents — Cafetorium. * * * • Pets — Locker rooms — Which are located to the left and right of the weight room. * * • General Population - Cafetorium Middle Keys including Marathon — Stanley Switlik Elementary School — 3400 Overseas Highway, Marathon. • Registered Special Needs Residents — Room 106 — Building 10 1st floor. * * * • Pets — Room 213 — Building 10 2nd floor. Building 10 is the wing right across from the Cafetorium. • General Population — Cafetorium Islamorada Area — Coral Shores High School — 89901 US Hwy 1, Tavernier. • Registered Special Needs Residents — Cafeteria — With your back to US 1 the Cafeteria is the building on the far right of the school. You walk down the RH sided corridor and you will see the picnic benches. Behind the benches are the doors. * * * • Pets — Rooms 2-001 and 2-004 — The girls and boys locker rooms. If you continue down the same corridor that the Cafeteria is located in, towards the very end you will see the locker rooms on the RH side. ** MC Pet -Friendly Special Needs Sheltering Plan • General Population — Cafeteria Upper Keys and Key Largo — Key Largo Elementary School — 104801 Overseas Highway, Key Largo. • Special Needs Residents- Room 626. Room 626 is on the 1 St floor in the rear building of the school. If you are going North on Us 1 and pass the school you will come upon a side street on the RH side. This is the entrance to the rear of the school and the bus drop off. The first building you come upon is our building. * * * • Pets — Locker rooms — The locker rooms are located across from the Gymnasium. If you are standing in the rear of the school facing US 1 the gym is behind you to the left. Walk down the length of the building and at the end there is a walkway. On the RH side of the walkway is the entrance to the Locker rooms. • General Population — Cafetorium * Note: See attached pages for maps of each location * * Note: Separate air handlers ensure no cross ventilation. Each location is large enough to sufficiently shelter the total possible number of pets. In most cases the clients are very close to their pets and will be able to access them during sheltering. The only deviation from this is during the storm. * * * Note: Depending on need each location has various alternative spaces identified for shelter space, staffing, and other issues. MC Pet -Friendly Special Needs Sheltering Plan Special Needs "Pet Friendly" Shelter Staffing Harvey Government Center 2 — County Staff in rotating shifts 2 — Animal Shelter Employees in rotating shifts 1- Kritter Patrol Volunteer Possible volunteers from animal support organizations Sugarloaf Elementary School 2 — County Staff in rotating shifts 1 — Animal Shelter Employee 1 — Kritter Patrol Volunteer Possible volunteers from animal support organizations Switlik Elementary 2 — County Staff in rotating shifts 1 — Animal Shelter Employee Possible volunteers from animal support organizations Coral Shores High School 2 — County Staff in rotating shifts 1 — Animal Shelter Employee Possible volunteers from animal support organizations Key Largo Elementary 2 — County Staff in rotating shifts 2 — Animal Shelter Employees in rotating shifts Possible volunteers from animal support organizations 10 MC Pet -Friendly Special Needs Sheltering Plan STANDARD OPERATING PROCEDURE (SOP) I. LOCATION Pet -friendly shelter locations will be those designated by Monroe County Animal Control Staff as meeting the safety standards for humans and/or animals. Areas for animal sheltering shall meet the following minimum requirements: Cats, Dogs, Birds Area This area should be large enough to separate species and, if necessary, quarantine for health and safety of animals, owners, and volunteers. Separate areas should be designated for dogs, cats, and other small animals; Owners will be required to bring records of recent vaccinations, identification tags or collars, documentation of animal work status, i.e. seeing eye, disability assistance, NASAR certification, etc. This area should be easy to clean and disinfect, preferably with concrete, tile or vinyl flooring that can easily be hosed out, floor drainage is desirable. There should be access to running water, with available hoses if necessary. Lighting should be adequate to all areas, indoors and outdoors. The facility should be large enough to set up a relief and/or exercise area if outdoor conditions are unfavorable. FARM / EXOTIC ANIMALS At this time there are no facilities available for accommodating farm and/or exotic animals. People who have these types of animals should have their own plans in place for hurricane season. II. TRANSPORTATION Clients may (if able) choose to transport their animals to the pet -friendly shelter on their own or they can be transported by Monroe County Transit buses to the shelter. These clients and their pets will be transported separately from the Special Needs Clients who do not have pets. Clients must meet all that is required of them before they will be authorized to be transported with their pets to the pet -friendly shelter. Along with their pet registration forms each client to be transported by Monroe County Transit will be required to sign an Emergency Transportation Agreement a copy of which is located in the forms section of this packet. III. SET-UP AND SHUT -DOWN A. Building Check list to use prior to use of facility: • Operational water and power • Adequate lighting • Ingress and egress through all doors, including emergency exits • Building security • Readily available and tagged (within past 12 months) fire extinguishers 11 MC Pet -Friendly Special Needs Sheltering Plan Operational ventilation Location and functionality of restrooms B. Registration and Intake Area Located near the animal area entrance, but not a narrow, cramped space. If co -located with a "people" shelter, have clear directions to pet facility. All animal areas will be clearly marked with signs. C. Staff and Volunteer Coordination Area Will be near the registration area for check -in and checkout, and coordination of duties. D. Define Animal Areas NO ANIMAL WILL BE OUTSIDE ITS CONTAINER WITHOUT A LEASH AND IDENTIFICATION. No animal can be accepted, unless circumstances become dire, without proof of a valid vaccination for rabies. Only staff and trained volunteers or animal owners will be allowed to remove any animal from its container. TRIAGE — This is where animals are tagged, examined, and sent to the appropriate area. The registration agent will ensure that upon arrival each owner has equipment, covers, litter boxes, leashes, food and water bowls, etc., necessary for the care of their pet. Additional supplies available for use will be provided by the various animal shelters. All forms will be kept at the registration desks. 2. DOGS — The dog area will probably be the largest, as it will entail having several smaller areas within it. It is expected that the number of dogs will outnumber other animals. Alternate housing and care provisions, which may include a local veterinarian kennel, from a local veterinarian will be made for dogs for which there is no proof of a valid vaccination and those animals which appear to be ill, injured, or too aggressive to handle. Separate areas may be provided for older dogs sensitive to noise and activity. 3. Animals, which appear ill, injured, or aggressive can be a hazard and liability. The shelter manager and animal shelter workers will ask the owner of any animal which may be a hazard to transport to a vet animal shelter for the duration of the event. It is not within the scope of our plan to manage ill, injured, or contagious pathogens. An isolation area will be provided to hold animals until they can be moved to an alternative location. As circumstances permit, we may assist with the transportation of these animals. 4. Monroe County retains the authority to refuse admittance to any animal that appears uncontrollable or too ill for our capabilities or any 12 MC Pet -Friendly Special Needs Sheltering Plan animal whose owner is not complying with the minimum standards for entry. 5. Central to or near the dog area should be an animal relief area. This may be indoors or outdoors, depending on weather or other conditions. If outdoors, it is preferable that this be a secure area. 6. CATS — Cats should be housed in a separate area from dogs if possible. All animals should be in the quietest areas possible. All cats must be in a covered carrier and come with their own litter box, food, medicines, etc. 7. OTHER SMALL PETS — These include small mammals and birds. These animals should also be in covered cages away from drafts. 8. FARM ANIMALS AND EXOTIC PETS — At this time owners of these animals should make their own plans to accommodate their animals. Monroe County does not have the facilities to take care of these types of animals. E. Shut Down Account for all equipment. Logistically, all equipment should be listed as it comes into the shelter and accounted for at shutdown. All equipment will be returned to the agencies or personnel/staff who donated its use and/or to the client who came in with it. Clean up. All equipment will be cleaned and disinfected. The facility will be policed for cleanliness and damage. Floors will be cleaned and disinfected. All equipment used belonging on the property will be cleaned and returned to its proper place. The animal shelter staff in each area has agreed to provide the necessary cleaning and disinfectant supplies. IV. OPERATIONS Shelter Kits — There should be several shelter kits available for the first person on the scene. These kits contain necessary forms and supplies to get things up and running until other volunteers and equipment arrive. Registration and forms — Pet -friendly shelter staff will have the owner complete forms and give owners a copy of the shelter agreement. The registration forms will notate whether proof of vaccinations is provided for each animal. Registration forms are to be numbered and those numbers correspond with the numbers on the cage card. A 4x6 card will be attached to the cage/carrier with animal's pertinent information. The registration forms will remain at the registration desk in the file. Animals are then taken to the triage area. Owners will be given instructions for their pets and procedures and responsibilities explained to them. When the owner retrieves his/her pets, volunteers will make 13 MC Pet -Friendly Special Needs Sheltering Plan sure that all animals and equipment are accounted for. Owners will be required to sign all entrance and exit paperwork. The best scenario would allow the clients to care for their own pets. However, at the initial stages of this plan the clients are being sheltered separately from their animals. As a result, the pet -friendly shelter staff will be responsible during the time when it is deemed unsafe for the clients to travel between the people shelter and pet shelter areas. Visitation — At each of the pet -friendly shelters, Animal Control or Monroe County staff will have the authority to clear all non -personnel including pet owners from the pet -friendly shelter area before weather conditions become unsafe to return to the Special Needs shelter. Feeding — If the pets are housed with their owners, or while it is safe for the owners to travel between the people shelter and pet shelter areas, the owners are responsible for feeding and watering their own animals, unless special needs dictate, in which case volunteers will be assigned to these duties. As it stands, the animals will be cared for by pet -friendly shelter staff and they will be responsible for the feedings of the animals during the times it is deemed unsafe for the owners to be traveling between the two shelter areas. If the animals belong to Special Medical Needs clients who are not housed at our shelter they will also be cared for by shelter staff and volunteers either at the pet -friendly shelter or at a location off site deemed appropriate by Animal Control staff. Owners shall provide their own food and medicines for their pet(s). Although frequent visits with pets are encouraged, Monroe County reserves the right to limit visitation to the pet areas. Preferably no children shall be in the pet area, and the animal care volunteers will have the authority to restrict the pet areas from children visitation. Relief - DOGS — Unless needs dictate, including the unsafe conditions for travel between shelter areas, owners will be responsible for animal relief and exercise in designated areas. If numbers of sheltered pets require, a relief schedule will be devised. The event may prove such that an indoor relief area will need to be set up. This consists of plastic sheeting and newspaper. CATS — The owner shall provide litter and a litter tray (box) and be responsible for scooping of the litter whenever possible. The pet -friendly shelter staff will be responsible if the animals are sheltered separate from their owners. Medication — Unless needs dictate, including the unsafe conditions for travel between shelter areas, owners are responsible for administering all medications to pets. The owner shall make sure that any medication necessary should be given prior to the storm's arrival and as soon as it is safe after the storm. During the storm the owners will not be able to wander outside their building for safety 14 MC Pet -Friendly Special Needs Sheltering Plan reasons. The owner should keep a record of medications administered to their pet in case a medical emergency occurs. Sanitation — It is expected of owners to be the primary caretakers of their pet's cleanliness and sanitation needs. Outdoor relief areas should be cleaned (scooped) regularly. Indoor relief areas should be changed (newspaper) at least twice daily Each owner will pick up and dispose of fouled papers and lay down clean papers for the next dog. This will help prevent spread of disease and reduce noxious odors. The plastic under the paper will be wiped down a couple of times a day and the area under the plastic will be disinfected when the shelter closes down. Night staff or volunteers will disinfect floors nightly. Animal care volunteers shall have the authority to make adjustments to the cleaning routine schedule, as needed to protect all of the animals in the shelter. Cages belonging to shelter will be cleaned and disinfected after each use between animals. Cages and equipment not in use will be returned to the equipment/supply area. To provide sanitation and infection control, all staff and volunteers will wash and disinfect their hands after handling each animal, any cages, containers, cleaning any relief area, and after any contact with the pets and/or their supplies. As a part of the closing process, the Animal Control staff will clean and disinfect the "pet - sheltering" areas and return the building to it's original condition. IV. EQUIPMENT AND SUPPLIES Pet supplies to be provided by the owner: Carriers, cages Food and water bowls Leashes, collars, harnesses Various foods Plastic sheeting Sheets and blankets Muzzles Flea spray Cat litter, trays Towels Grooming supplies First aid kit V. EDUCATION It is hoped that, as disaster preparedness messages continue to reach the public, citizens will pre -plan and as such, fewer will need public shelters. Fortunately, many hotels and motels that do not normally admit pets amend their policies in a disaster. There are many websites available that have links to pet -friendly I MC Pet -Friendly Special Needs Sheltering Plan hotel/motels. Registered clients that have pets will be notified by mail regarding the pet pre -registration requirements. Should pet -friendly sheltering program be no longer offered, they will be notified so that they may make other arrangements for their pets. 16 MC Pet -Friendly Special Needs Sheltering Plan PET FRIENDLY SHELTER FLOOR PLANS 17 SXOIIVAONHU 100HOS NVKrIHJL ®�QQ_Q°QQ A9 1- t� aid ____ ___4__!_ sz�tn»�t �no� aorr+on ��y ! !�8I s Ir H suoi tvAON H looHos HvNnas I AkZ Gc.ftMnrot A jr ,C,P.rr�p • � N11f r• Cf � Minwilw �j Y m Of O CD 0 U Cf c _ v 0 J m G 0) > c m G _o W w U 7 U O 0 U C N CD u N = V o Y U C 47 u0 U ON 0 U o G m N 7 O C1 3 `° a U 8 r c W E U W a 0a CO cU r c w 0 a -L W h � N W 4— \ cn 0 Go Iq 0 M i x E W U FI 0 0 w co Y O 0 0 ( � I = j h W \ I OC N Y o O \ �t 00 t. E d kN eti � 0 s N Y � � M E MF 0 Y Y x .- \ c � Y 0 s �' 0 t0 _o E O 0 x N f0 U co O G z O O LL LL w 3 3 m z O Y T" B cm A C m N j R � E q 0 2 a 0 E o J 0LO J 0 2 CY oE 2 -low k 0 _■ � _ G 2 — 2 2 co m § 2 E o • 0 2 ix LL I ¥ z ~ 0 ^ © ƒ E & © � 2 0 LL 2 . 2 U CY f E 0 / CD / A 0 - cm F:s. ■ o ® e � In © z q N E g s ! > J C m � � � c 0 Cl) 2 0 r- r I 000�o coom oo�ooao t0 c� C m; N Q O N Q V N N Q N Q N r A u J 'o i rn , m O e oyLZ Fes- Ur mQ �aQ TI L n; N W N C 0) j E rI 0 0 r H co LL. = 0 ` - A i1 1� j y N h cm on u ems. 4 `c a O G C MC Pet -Friendly Special Needs Sheltering Plan PET OWNER FORMS The attached forms are required to be filled out by the owner before the pet(s) will be admitted into the pet -friendly shelter. 18 MONROE COUNTY EMERGENCY SHELTER AGREEMENT FOR PETS OF SPECIAL NEEDS CLIENT 1 am registered with Monroe County as a Special Needs Client . I am the owner of the pet(s) listed on the registration form on the reverse side of this agreement. I understand that when an emergency exists for which I have requested to be transported to an emergency shelter that special arrangements have been made to allow my pet(s) to be sheltered in the same facility as to that to which I will be transported. I understand and agree to abide by the pet care rules contained in this agreement. I also understand that Monroe County may terminate this agreement and withdraw its permission for pets of Special needs Clients in shelters, and that the continuation of the permission also is contingent upon the approval of the School Board with respect to those shelters which are schools. RULES: 1. Only such pets as are identified on the reverse side of this agreement are allowed in the emergency shelter. It is my responsibility to keep my emergency shelter agreement for pets up to date and to notify the Monroe County Special Needs Coordinator in writing whenever the pets which I desire to have covered by this agreement changes. 2. My pet(s) will remain contained in its approved carrier except at scheduled times. 3. 1 understand that my pets may be kept in a secure location separate from me and that if so sheltered, they will be attended to by animal care volunteers. If I am sheltered in the same areas of my pets and can provide care to the pets myself, I agree to the following: A. During scheduled relief times, my pet(s) will be properly confined with leash, harness or muzzle (if necessary). Scheduled times will be strictly adhered to. B. Properly feed, water, and care for my pet(s) as instructed by the shelter manager. I understand all medication will be controlled by the shelter manager and administration will be properly documented. C. I agree to properly sanitize the areas used by my pet(s), including proper waste disposal and disinfecting as instructed by the shelter manager. D. I will not permit other shelter occupants to handle or approach my pet(s) either while it is in its carrier or during exercise times. I will make sure the carrier door is latched and secure with a wire or rope tie. 4. 1 certify that my pet(s) is current on rabies and all other vaccinations required on the reverse side of this agreement. 5. 1 will maintain proper identification on my pet(s) and its carrier at all times. 6. 1 will permit my pet(s) to be examined by qualified animal shelter personnel to determine if medical or stress conditions requiring attention are present. I further agree to the administration of medication to alleviate any symptoms. 7. 1 acknowledge that my failure to follow these rules may result in the removal of my pet(s) to another location. I further understand that if my pet(s) becomes unruly, aggressive, shows signs of contagious disease, is infested by parasites (fleas, ticks, lice, etc.) or begins showing signs of stress related conditions, it may be removed to a more appropriate location. I understand that any decision concerning the care and welfare of my pet(s) and the shelter population as a whole are within the sole discretion of the shelter manager, whose decision is final. 8. 1 further understand that any damage to persons or property caused by my pet(s) will be my responsibility. 9. 1 certify that my pet(s) has/have no previous history of aggressive behavior and has not been diagnosed with any contagious disease for which it has not received successful treatment. 10. 1 hereby agree and hold harmless all persons, organizations, corporations, or government agencies involved in the care and sheltering of my animal(s), including injury or loss to/of the pet. I further agree to indemnify any persons or entities which may suffer any loss or damage as a result of the care and sheltering of my animal(s). 11. 1 will sign for any items loaned to me to provide proper care of my pet(s) during an emergency. SIGNED PRINTED NAME DATE MONROE COUNTY EMERGENCY TRANSPORTATION AGREEMENT FOR SPECIAL NEEDS CLIENT WITH PET(S) I am registered with Monroe County as a Special Needs Client. I have registered my pet(s) as part of the County's Special needs Clients Emergency Evacuation Program and entered into an Emergency Shelter Agreement. I understand that the County can only provide transportation by picking up as many similarly situated special needs clients and their pets in the same vehicle in as few trips as possible. I acknowledge that if I use the County's emergency transportation services to reach an emergency shelter with my pet(s), I and my pet(s) will be in a vehicle with other animals. I understand that the County takes precautions to prevent the spread of disease by requiring all animals included in the program to have certain inoculations and to be on a flea/tick control program. Notwithstanding these precautions, I understand that it is possible for disease to spread between animals and/or people when placed together in the same vehicle. I hereby waive any right or claim which might arise as a result of being in the same vehicle as the animals of other special needs clients using the same pet - friendly program. SIGNED PRINTED NAME DATE MONROE COUNTY SPECIAL NEEDS CLIENT PUBLIC EVACUATION SHELTER PET REGISTRATION AND AGREEMENT Owner: Address: City: 7�p- Phone: Email: ALL ANIMALS ARE REQUIRED TO BE IN CAGES OR CARRIERS. (Please mark cage/carrier with owner's identification) EMERGENCY CONTACT (NOT IN SHELTER) (Name) (Phone) __ _ _ iw_ __ n-&- 1 1-16 ^f d T0011 Licensed Aulimals vv Name s, %aata, 1-W Type (Dog, Cat, Ferret Ial7 - �n n-• v. Breed/Color/Other ID Mark License # Vaccinations* MIMS Name Breed/Color/Other ID Mark Vaccinations* ARE ANY ANIMALS ON MEDICATION? If so explain and give time normally administered: Can medication/ supplements be given in regular food rations? yes no Are there medical problems or behavioral characteristics we should know about? If yes, list: (This information is required only for purposes of planning & not to affect the acceptance of the pet at the shelter.) *Vaccinations: At the time of registration, County staff shall insert the Rabies Vaccination tag # and list the required vaccinations for which pet has documented proof. A predetermined list of vaccinations for specific types of pet shall be used to determine the vaccinations which are required. ................................................................................... I FM WFIVAL USIE ONLY I Vaccinations current for: Through (date) County staff Signature: Date: Pate Ralancarl fn r)wnar MC Pet -Friendly Special Needs Sheltering Plan VOLUNTEER FORMS The attached forms are required to be filled out by all volunteers before they can assist in the shelter in any way. 19 all i towNOUNTYMON ROE * KEY WEST FLORIDA 33040 &Z (305)294-4641 Monroe County Human Resources 1100 Simonton Street, #268 Key West, FL 33040 (305) 292-4557 - Phone (305) 292-4564 — Fax BOARD OF COUNTY COMMISSIONERS Y ~ Mayor Murray E. Nelson, District 5 Mayor Pro Tern David P. Rice, District 4 Dixie M. Spehar, District 1 George Neugent, District 2 Charles "Sonny" McCoy, District 3 MONROE COUNTY VOLUNTEER APPLICATION FORM PERSONAL INFORMATION: NAME: HOME PHONE: SS# ADDRESS/CITY/STATE/ZIP: VOLUNTEER INFORMATION: VOLUNTEER ASSIGNMENT: (FACILITY / LOCATION) TIME AVAILABLE: ANY ACCOMODATIONS NEEDED IN ARRANGING YOUR ASSIGNMENT? TRANSPORTATION: WILL YOU BE DRIVING AS PART OF YOUR VOLUNTEER ASSIGNMENT? YES () NO ( ) DO YOU HAVE TRANSPORTATION: YES () NO() DRIVER'S LICENSE#: CAR INSURANCE COMPANY: POLICY # EMERGENCY CONTACT: NAME: ADDRESS/CITY/STATE/ZIP: HOME PHONE: RELATIONSHIP: VOLUNTEER STATUS AGREEMENT VOLUNTEER MY SERVICES THROUGH Name) AND UNDERSTAND THAT I AM NOT AN (Agency or Department) EMPLOYEE OF THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS. (Signature of volunteer) (Date) (Signature of witness) (Date) VOLUNTEER INSURANCE AGREEMENT I , THE VOLUNTEER, UNDERSTAND THAT IF I USE MY PERSONAL AUTO IN MY VOLUNTEER SERVICE, I WILL ARRANGE TO KEEP IN EFFECT AUTOMOBILE INSURANCE EQUAL TO THE MINIMUM LIMITS REQUIRED BY THE STATE OF FLORIDA. I ALSO UNDERSTAND THAT ANY ACCIDENT MEDICAL COVERAGE SUPPLIED TO ME WILL BE IN EXCESS OF ANY AVAILABLE MEDICARE OR GROUP HEALTH INSURANCE PROGRAM IN FORCE: (Signature of volunteer) I DESIGNATE ACCIDDENTAL DEATH BENEFITS AVAILABLE TO ME. RELATIONSHIP TO BENEFICIARY: ADDRESS/CITY/STATE/ZIP: AS MY BENEFICIARY FOR ANY PHONE: VOLUNTEER DRUG -FREE WORKPLACE AGREEMENT VOLUNTEERS MAY BE SUBJECT TO BACKGROUND CHECKS. MONROE COUNTY IS A DRUG -FREE WORKPLACE AND VOLUNTEERS ARE SUBJECT TO THE MONROE COUNTY DRUG -FREE WORKPLACE POLICY AND WORK RULES. (Volunteer Signature/Date) VOLUNTEER LIABILITY WAIVER AGREEMENT I understand that I am volunteering my services, that I am responsible for my own actions and hereby waive any liability for any injury to myself or any of my property which I may have at the volunteer site. I further covenant and agree to indemnify and hold harmless Monroe County Board of County Commissioners from any and all claims for bodily injury (including death), personal injury, and property damage (including property owned by Monroe County) and any other losses, damages, and expenses (including attorney's fees) which arise out of, in connection with, or by reason of the above - referenced volunteer activity. (Volunteer Signature/Date) DISASTER RESPONSE VOLUNTEER INTAKE FORM Pleose Print AGE IIF UNDER 18) NAME PHONE -DAY (AREA CODE INCLUDED) EVENING OTHER ADDRESS CITY STATE aP SKILLS ❑ Veterinary Medicine ❑ Animal Sheltering ❑ Animal Rescue ❑ Small Animal Handling ❑ Farm Animal Handling ❑ Equine Handling !:."' Exotics and Wildlife Handling f.:] Administration/Management ❑ Communications I:: ; Computer C] Customer Service Other WILLING TO DO I: Animal Care 0 Animal Rescue Cl Shelter Clean -Up ❑ Animal Health Care ❑ Office Work ❑ Phones C Data Entry 0 Driving ] Damage Assessment Other VACCINATION HISTORY ❑ Rabies Pre -Exposure, Date E Tetanus, Date ❑ Hepatitis A, Date_ WHEN AVAILABLE MON TUE WED THU FRI SAT SUIV Morning Afternoon Evening STARTING DATE AVAILABLE LENGTH OF TIME AVAILABLE 11 WEEK, 1 MONTH, OPEN] IN WHAT PART OF THE COUNTY ARE YOU WILLING TO WORK? SPECIAL EQUIPMENT ! RESOURCES OFFERED REFERRED BY COMMENTS INTERVIEWER DATE THE HUMANE SOCIETY OF THE UNITED STATES 9 DISASTER SERVICES 5 MINIMAL RELIEF VOLUNTEER BADGE Volunteers should have name tags. Use the following as a master, typing in the name of your shelter above the first line on each badge, then photocopying the master: Use heavy stock. You can use different color stock so that the type of volunteer is readily identified by the color. -------------------------------------------------- T-------------------------------------------------- ANIMAL RELIEF VOLUNTEER t ANIMAL RELIEF VOLUNTEER t NAME OF VOLUNTEER NAME OF VOLUNTEER r r NAME OF SHELTER NAME OF SHELTER Issued By Issued By Date ' ' Date Identification valid r my when prownted with a pG7ure ID. r ' ldenti jtratir n validrnaly who, pn•arntrd with a pictrui• ID. t ANIMAL RELIEF VOLUNTEER r r ANIMAL RELIEF VOLUNTEER NAME OF VOLUNTEER i r NAME OF VOLUNTEER t NAME OF SHELTER NAME OF SHELTER Issued By Issued By Date r Date Tdentifiratrnn solid only when prrnentrd with m pictum ID. ' � ms uulzd on,,r. ID. Ident+ A'' dionly when pmerded with a pirtur -------------------------------------------------- -------------------------------------------------- ANIMAL RELIEF VOLUNTEER ANIMAL RELIEF VOLUNTEER r t r t NAME OF VOLUNTEER NAME OF VOLUNTEER i t NAME OF SHELTER NAME OF SHELTER I4sue d By Issued By Date i i Date Idrrurliratwn I-n 11411 s p-tun ID, lei, rwfi, wi-, ralr•I only a;lava pn•.5en/.•d icilh rt pr.•nu, 1D. -------------------------------------------------- -------------------------------------------------- ANIMAL RELIEF VOLUNTEER t ANIMAL RELIEF VOLUNTEER r r NAME OF VOLUNTEER NAME OF VOLUNTEER NAME OF SHELTER NAME OF SHELTER Issued By t Issued By Date ; Date Idenhftcat+un t slid only whcs presrnlcd ith n piehwe ID. Llrulaliratu a onlul only a hur prv.+ented it rth a prctun• 11). 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