DURABLE POWER OF ATTORNEY RE: PET/ANIMAL CARE

DURABLE POWER OF ATTORNEY RE: PET/ANIMAL CARE
of agent to make any and all pet care decisions for my pet(s), except to the extent that I state otherwise in this document or as prohibited by law. This Durable Power of Attorney shall take effect in the event that I become unable to care for my pet(s) or when I die.
Statement of Desires, Special Provisions and Limitations Regarding Care of my Pet(s)
If I must be unexpectedly hospitalized, I have made arrangements with:
[person, kennel, animal hospital] of [address] responsible manner. I authorize my agent to set up an account from my assets to pay for these care services.

Yes
[phone] to care for my pet(s) in a

2. continue living with a comfortable quality of life, I authorize my agent to direct that my pet(s) be humanely euthanized, before ever being relinquished to a shelter/pound.

At no point should my pet(s) be taken to an animal shelter. Should my pet(s) be unable to
Yes

No check or “x” your choice and initial beside it
3. [check or “x” your choice of “a.” or “b.” and initial beside it]

If I should die or be permanently institutionalized:
I authorize my agent to use his/her best judgement in finding good homes for my I realize that there is the possibility that my pet(s) may be euthanized if suitable
I authorize my agent to use his/her best judgement in finding good homes for my

pet(s). I realize that there is the possibility that my pet(s) may be euthanized if suitable homes cannot be found.
I have made arrangements with
of my pet(s) for the rest of his/her/their natural lifespan.
In the event that the person I appoint above is unable, unwilling or unavailable or ineligible
[name/address]
to act as my pet care agent, I hereby appoint

[phone] as alternative agent.
Miscellaeous Prosions
(Seal)
have a signed copy:

Clear
Should be Empty:

DURABLE POWER OF ATTORNEY RE: PET/ANIMAL CARE

Statement of Desires, Special Provisions and Limitations Regarding Care of my Pet(s)

Miscellaeous Prosions

(Seal)