Animal Euthanasia Authorization Form

Please complete this Animal Euthanasia Authorization Form to evaluate and confirm the necessary consent for the humane euthanasia of an animal.

I, the undersigned, do hereby certify that I am the owner (or duly authorized for the owner) of the animal described above. I do hereby give the doctors of McClintock Animal Care Center, the staff, and representatives full and complete authority to euthanize and handle the aftercare of said animal in whatever manner the said doctors and staff of McClintock Animal Care deem fit.

I do hereby certify that to the best of my knowledge the said animal has not bitten any person or animal during the last ten (10) days and has not been exposed to rabies.

Date: Date

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