Pet Emergency Checklist

Please fill out the Emergency Checklist for each of your pets and give a copy to the person most likely to take care of your pets in the event something should happen to you. Give a copy to anyone housesitting or pet sitting. The list(s) should also be displayed in the house where rescue/emergency personnel can readily see it.

This document is protected by international copyright, © 2007 by Janice Marie Phelps. All rights reserved.

This document is protected by international copyright, © 2007 by Janice Marie Phelps. All rights reserved.

Pet’s name: ___________________________________________________________________

Breed/species:_________________________________________________________________

Description: ___________________________________________________________________

Gender: ______________________________________________________________________

Year of birth: __________________________________________________________________

Brand of food: _________________________________________________________________

Quantity of food given at each feeding: ______________________________________________

Pet eats at these times (check each that apply and write in food or treat):

.. In the morning___________________________________________________________

.. Mid-day ________________________________________________________________

.. In the evening ___________________________________________________________

.. At bedtime______________________________________________________________

My pet has the following favorite toy, blanket, or treat that should be provided to him/her in my absence: _____________________________________________________________________ _____________________________________________________________________________

My pet is up-to-date on all required shots: ___ Yes ___ No

My pet’s typical schedule is as follows:

Morning, up at:_________________________________________________________________

Morning activities: ______________________________________________________________ _____________________________________________________________________________

Afternoon activities: _____________________________________________________________ _____________________________________________________________________________

Evening activities: ______________________________________________________________ ____________________________________________________________________________

Bedtime at:____________________________________________________________________ _____________________________________________________________________________

My pet sleeps here: _____________________________________________________________ _____________________________________________________________________________

What others need to know about how my pet travels in the car: ___________________________ _____________________________________________________________________________

What others need to know about walking my dog: _____________________________________ _____________________________________________________________________________ _____________________________________________________________________________

Dogs: My dog needs to go outside to relieve himself/herself every ____ hours.

Cats: My cat’s litterbox needs changed every ____ days.

Fish: My fish need to be given ___ amount of food every ____ days.

Birds: Please clean the birdcage every _____ days using nothing other than the following cleaners _______ ___________________ and supplies ________________________________ which are located _____________________.

My bird is used to ____ hours outside the cage each day.

I do . . .

I do not . . .

. . . want you to take my bird out of his/her cage. Specific instructions regarding taking bird out of cage are below: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________

The following situations/products/foods are dangerous to my pet: _________________________ _____________________________________________________________________________ _____________________________________________________________________________

My pet takes the following medications: _____________________________________________ _____________________________________________________________________________

At these times:_________________________________________________________________

In this manner:_________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________

Pet’s veterinarian’s name: _____________________________________________________

Phone number: ________________________________________________________________

Address:______________________________________________________________________

Boarding facility’s name: _________________________________________________________

Phone number: ________________________________________________________________

Address:______________________________________________________________________

Nearest relative’s name: _________________________________________________________

Phone number: ________________________________________________________________

Address:______________________________________________________________________

Note: In the event of my death or prolonged incapacitation, the following person has agreed to care for my pet: _______________________________________________________________ .

Their contact number is: _________________________________________________________

Their address is: _______________________________________________________________

I ____ have _____ have not noted this in a Will. My attorney’s name is: _____________________________________________________________________________

Phone number: ________________________________________________________________

This document is protected by international copyright, © 2007 by Janice Marie Phelps. All rights reserved.

Rescue Links

E-mail us. We'd love to hear your comments and suggestions!

Visit PGAA's Puppy Selection Matrix

Top of Page

General Dog Articles Index

Return to PGAA Home Index

Legal Stuff and Copyright Information