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.
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