Euthanasia Authorization Form

I, undersigned, am the owner or duly authorized agent of the owner of the animal described hereon. I verify that said pet has not bitten any person during the last ten (10) days and to the best of my knowledge has not been exposed to rabies. I hereby consent to and request humane euthanasia for my pet and release the doctor and staff from any and all claims for negligence, arising from or connected with this life-ending procedure and the subsequent disposal of my pet’s remains.

I, undersigned, am the owner or duly authorized agent of the owner of the animal described hereon. I verify that said pet has not bitten any person during the last ten (10) days and to the best of my knowledge has not been exposed to rabies. I hereby consent to and request humane euthanasia for my pet and release the doctor and staff from any and all claims for negligence, arising from or connected with this life-ending procedure and the subsequent disposal of my pet’s remains.