Heavenly Pets Crematory

Losing a pet is a traumatic experience for everyone in your family. We offer your family an opportunity for a gentle farewell to your beloved pet. Please let us know how we can help you with this transition by completing the information below.

If you are a veterinarian, please print this linked PDF, complete it, and return it to us via email at heavenlypetscremation@gmail.com.

Getting Started

Please Complete This Intake Form.

Upon completion and submission of this form, our staff will begin the process of arranging for the final disposition of your pet. We will contact you with any questions and to arrange a time for your pet's pickup. Ensure that the correct information is provided. By completing and submitting this form, you are agreeing to our TERMS AND CONDITIONS.

(For Vet's Offices: Click Here)

Owner's Name

Address

City

State

Zip

Phone

Your Vet's Name/Business Name

Vet's Address

City

State

Zip

Vet's Phone Number

Pet's Name

Sex of Pet

Male

Female

Weight of Animal (We accept pets up to 500 lbs)

Date of Birth

Date of Death

SERVICE AUTHORIZATION

This Authorization Form is required to be completed an signed prior to the final disposition of your pet. CREMATION IS AN IRREVERSIBLE AND FINAL PROCESS. It is important that you understand the cremation process and the different options available before signing. We want you to fully understand the information provided in this Authorization Form, so we will be pleased to answer any questions you may have.

I/We represent that I/we have the right to authorize the cremation of the Pet’s remains and warrant that I/we are the Owner or an Agent of the Owner (“Authorizing Agent”/”Vet”) I/We have read and understand the description of the different available cremation processes described on the website of Heavenly Pets Crematory.

Type of Service (All Cremation will be Partitioned unless otherwise stated on the form.)

Pick Up Location

Pick Up At Vet

Pick Up At Owner's Home

Other

Type of Urn Requested.

Standard

Upgrade with Additional Cost

N/A

Indicate Urn Stock Number

Inscription on Urn (if available) Inscriptions are $1.50/character.

Paw Print on Clay Ornament (Select Qty)

Clay Paw Print Ornament Desired Stock. Please indicate the desired color of the paw print and the background surrounding the paw print. We will do our best to match your selected colors.

Stock #, Paw Print Color, Background Color

Shadow Box (Custom)

Include Photo of Pet

Include Inscription, Date of Birth, Date of Death

If inscription is selected, please provide the inscription and/or Date of Birth/Date of Death. Inscriptions are $1.50/character.

Inscription Selections

Brass/Alloy Urn with Vinyl Inscription

Wooden Urn with Vinyl Inscription

Wooden Urn with Burned-On Inscription

Upload a File of Your Pet Here

Once you make your selections, we will contact you with the final price that you will be charged. By submitting this form, you consent to have our team contact you with arrangements for your pet's cremation service. You agree to release and indemnify the Veterinarian, and Crematory, their officers, directors, agents, and employees from any claim, liability, cost, or expense resulting from their reliance on or performance consistent with the directions, declarations, representation, authorizations, and agreements herein. You also warrant that all representation and statements contained in this form are true and correct, and that you have understood all pages of this document. By signing below, your acknowledge that you agree to all conditions of the cremation process as stated on the website and services listed above.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date

Month

Day

Year

INQUIRIES AND REQUESTS

Getting Started