Download printable Follow-up Inspection Worksheet here.

 

The following information is strictly confidential and is not for discussion, re-transmission or release without prior permission from an officer of BEHS. E-mail completed worksheet and photos to inspections@bluebonnetequine.org or
Mail completed worksheet and photos to P.O. Box 632, College Station, Texas 77841-0062

 

A. FOSTER/ADOPTIVE HOME INFORMATION

NAME:

ADDRESS:

CITY, STATE, ZIP:

HOME PHONE:
ALTERNATE PHONE:

EMAIL ADDRESS:

 

B. BEHS INSPECTION INFORMATION

BEHS EQUINE NO.:

BEHS EQUINE NAME:

INSPECTION DATE:

TYPE OF FOLLOW-UP: FOSTER/ADOPTION/OTHER

 

C. INSPECTOR INFORMATION

INSPECTOR NAME:

ADDRESS:

CITY, STATE, ZIP

HOME PHONE:
ALTERNATE PHONE:

EMAIL ADDRESS:

 

D. PHOTOGRAPHS REQUIRED

Bluebonnet Equine Humane Society (BEHS) needs photos that clearly shows the following (take as many or as few photos as you need to show everything on the list):

  • Facial markings
  • Condition of the hooves
  • Entire left side of horse (from nose to tail)
  • Entire right side of horse (from nose to tail)
  • Close up of any scars or injuries

 

E. REQUIRED INSPECTION INFORMATION 

1. Property Location

Has the location of current foster/adopted equines changed? Yes/No

Are the equines being kept at a location different than the foster/adoptive address? Yes/No
* If yes to either question above please complete the following information, if no skip to Fencing.

NAME:

ADDRESS:

CITY, STATE, ZIP

HOME PHONE:
ALTERNATE PHONE:

EMAIL:

 

2. Property Information

Do you consider the pasture safe? Yes/No

 

If there is shelter, do you consider it safe? Yes/No

 

If there is a barn, do you consider it safe? Yes/No

 

If you answered no to any of the above, explain:

 

3. Equine Care

What type of feed is currently fed?

Amount daily?

What is the current feeding schedule?

 

Please fill in the dates for the coggins, vaccinations, teeth floating, farrier visit and worming below:

Actual last date of worming:

Actual last date of farrier visit:

Actual last date teeth were checked and/or floated:
If floated, include details:

 

Actual last date of Coggins:

Actual last date for VEWT:

Actual last date for WNV:

Actual last date for Flu/Rhino:

Actual last date for Rabies:

Are any type of supplements or minerals given? Yes No Type

Does Equine(s) look in overall good health? Yes No In no list in item F Needs attention

 

4. Other Equines

Have any additional equines been acquired since last inspection? Yes/No

 

If so, please describe name, sex, health, current on shots, wormer, Coggins and owner name on back.

 

Do other equines on property appear in good health? Yes/No/Needs attention

 

*If no, please photograph, describe and document equines that concern you.

 

 

F. CONCERNS AND OPINIONS

After conducting the inspection, do you recommend this person to continue as a Foster home/adopter? Yes/No

 

Please give a brief explanation for your recommendation.

 

Please indicate any additional concerns or opinions you may have of this potential foster/adoptive home:

 

 

____________________________
Signature of Inspector

 

_________
Date