EMERGENCY INFORMATION SHEET
(Everyone who travels with their pets should carry one of these sheets in the glove compartment of the vehicle, 
one in their wallet or purse and one attached to one of the crates that has been laminated and is visible to anyone 
who would have to go into your car/van incase you were in a wreck or other emergency)

ATTENTION - INCASE OF EMERGENCY!!!!!

Owners Name: _______________________________________________________________________
Address:____________________________________________________________________________
Phone:_____________________________________
Pet's Name:___________________________________________________________________
Breed:  __________________________Sex: ___________________Date of Birth:________________
Medical Information:
(This animal is current on all shots - it is of no threat to anyone he/she might come into contact with) the attending 
veterinarian is:  Name:____________________________ Phone #___________________.
(If dog is not wearing a  collar when in their crates, this animal's leash is located: ____________________________ 
and you will be in no danger should you open the crate and attach the lead.)

This pet has the following medical conditions that must be treated: _________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

This pet's regular veterinarian is:
Name:________________________________________
Address: ____________________________________________________________________________
Phone: _________________________________

What you should know about this individual animal:
___________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

SHOULD I BE UNABLE TO ATTEND TO MY ANIMAL DUE TO INJURY OR DEATH:
Contact:
Name:_________________________________
Address: ___________________________________________________________________________
Phone: ________________________________
Animal should be boarded  in the nearest animal boarding facility or veterinarian. PLEASE do not take my pet
 to an Animal Shelter or Humane Society. The above person has agreed to pay all fees to retrieve said animal
 and they have my permission to remove said animal from the boarding facility. Said person also agrees to pay 
any medical bills for said animal.
Should my first emergency contact be unavailable please contact:
Name: _________________________________________________
Address: _________________________________________________________________________
Phone: __________________________________
Said individual has also agreed to the above.

Should one of my animals be on the loose following a car/van accident - please contact the above individual 
who will assist in the search should I be unable to participate.
Your cooperation in this matter is greatly appreciated. This animal is a member of my family and it is my wish 
that it receive the best care possible.

Signature:_________________________________________________
Date: _____________________________

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