Paws
Memorial Services Veterinarian Authorization Form
Please fill out and print this form then take
it to your Veterinarian at your time of need.
To Print, use the print button on your browser or select 'File',
'Print' from the menu bar
Pet First Name
Family Last Name
Type of pet (dog, cat, etc.)
Date of death
Owner
DVM
Other ______________
I authorize my veterinarian
to contact Paws Memorial Services to handle the cremation
services of my pet
X___________________________________
Signature of Relative or Approved Representative
Date: _____/_____/_____
Veterinarian
Please fill out the veterinarian form
located on the
'Veterinary Partners' page of our website at www.pawsmemorial.com
or simply call us at 256-431-2122
