LnT Pet Transport - AUTHORIZATION FOR EMERGENCY CARE

LNT PET TRANSPORT SERVICES
13624 Hwy 87E, Adkins, TX 78101
(210) 649-2004 www.lntpettransport.com

AUTHORIZATION FOR EMERGENCY CARE

Shippers Name:_________________________
Address:_______________________________
Telephone No's:__________________________
Alternate No's:___________________________
Alternate Contact and No's_________________

Description of Pet:
Breed:_______________Male__ Female:__ Age:_______ Markings____________ Name_____________________

In the event the animal(s) described above being transported with my authorization by LNT Pet Transport Services become ill or injured and require(s) veterinary care, I, ___________________________ authorize LNT Pet Transport Services to take the animal(s) to a licensed veterinarian. I further authorize treatment to be given, so long as such treatment does not exceed $____________.

I acknowledge by signing below that I will be wholly financially responsible for all care given due to any new or pre-existing conditions I may or may not have been aware of.

In the event that the transporter is unable to reach me, I authorize the transporter to make any emergency decisions they deem necessary for the well being of the pet.

By signing below I certify that I have read this document and agree to hold LNT Pet Transporter Services harmless for any illness or the death of my pet due to illness incurred during or after the transport.

Responsible Party:

___________________________
(Signature)
Dated_______

**This authorization becomes Null & Void upon delivery of this animal to it's intended destination.

*THIS FORM MUST ACCOMPANY THE ANIMAL(S) BEING TRANSPORTED

LNT Pet Transport