Transitions Veterinary Services
| www.transitionsvet.com mvollaire@transitionsvet.com phone 619-255-6066 fax 619-269-3153 |
AUTHORIZATION TO SCATTER CREMATED REMAINS
I/we ________________________________________________________________________
hereby authorize Transitions to take possession of and make arrangements for the
disposition of the cremated remains of the following named pet:
____________________________________________________________________________________
in accordance with all applicable federal, state, and local laws.
hereby authorize Transitions to take possession of and make arrangements for the
disposition of the cremated remains of the following named pet:
____________________________________________________________________________________
in accordance with all applicable federal, state, and local laws.
I certify that I have the full legal right to authorize the disposition of the remains of the
above-named pet. I hereby authorize Transitions to disperse the ashes in the Pacific
Ocean off the coast of San Diego, CA.
Once the cremated remains are scattered they are unrecoverable. Unless otherwise
directed, Transitions will dispose of the container that held the remains.
The obligation of Transitions will be limited to the disposition of the cremated remains
as directed herein.
I/we agree to release and hold harmless Transitions, its affiliates, agents, employees,
successors and assigns from any and all loss, damage, liability or causes of action
(including attorney’s fee and expenses of litigation) in connection with the disposition of
the cremated remains of the pet as authorized herein or respect to the identification
of said cremated remains as being those of the pet.
above-named pet. I hereby authorize Transitions to disperse the ashes in the Pacific
Ocean off the coast of San Diego, CA.
Once the cremated remains are scattered they are unrecoverable. Unless otherwise
directed, Transitions will dispose of the container that held the remains.
The obligation of Transitions will be limited to the disposition of the cremated remains
as directed herein.
I/we agree to release and hold harmless Transitions, its affiliates, agents, employees,
successors and assigns from any and all loss, damage, liability or causes of action
(including attorney’s fee and expenses of litigation) in connection with the disposition of
the cremated remains of the pet as authorized herein or respect to the identification
of said cremated remains as being those of the pet.
_______________________________________________________________________________________________
Signature Date
_______________________________________________________________________________________________
Print Name
_______________________________________________________________________________________________
Address City State Zip
_______________________________________________________________________________________________
Phone E-mail
Signature Date
_______________________________________________________________________________________________
Print Name
_______________________________________________________________________________________________
Address City State Zip
_______________________________________________________________________________________________
Phone E-mail
 |  |  |  |  |  |  |