Please print this page, sign, and bring to Pet Care with your pet.

AUTHORIZATION
For Cremation of a Pet

Permission is granted by the undersigned to Pet Care Crematory, a division of Carl R. Weaver, Inc., to cremate my pet.  I affirm that I am the lawful owner of the pet.  Pet Care affirms that all pets are cremated individually.  I acknowledge that the cremation process does produce slight, unavoidable, commingling of remains due to the nature of the process.  I also understand that if no arrangements are made for the final disposition, release, or shipment of the cremated remains, Pet Care shall hold the cremated remains for 30 days after cremation.  If during this period the cremated remains are not retrieved by the undersigned, or an owner-designee, or if other arrangements are not made, Pet Care will ship or deliver the cremated remains to the address below.  In the event that a good faith attempt at shipment and/or delivery is unsuccessful, and alternative arrangements have not been made within 60 days after cremation, and the default is due to a party other than Pet Care, the crematory may dispose of the cremated remains.  I agree that I am responsible for the cost of the cremation, as well as shipping or delivery fees if the cremated remains are not retrieved within 30 days following the cremation.


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Name of Pet

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Owner's Name (Please Print)

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Owner's Signature

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Address

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City/State/Zip Code

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Phone                                                       Date