Cremation Authorization Form

All Cremations, regardless of weight are done 100% privately, one-in-one-out & the ashes can be picked up within 48 hours of the cremation at the clinic or at Pet Cremation Iowa.

Des Moines, IA 
1200 Valley West Drive #206-24
West Des Moines, IA 50266
Phone: (515) 689-5522
Zearing, IA 
310 N. Center Street
Zearing, IA 50278
Phone: (641) 487-7500
Baxter, IA
107  East Fox Avenue
Baxter, IA 50028
Phone: (641) 227-3403
Polk City, IA
302 S. 2nd Street
Polk City, IA 50226
Phone: (515) 984-7000

 

This Authorization Form is required to be completed and 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 different options available prior to signing it. 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.

Release and Certification; I/We agree to release and indemnify the Crematory, agents and employees, from any claim, liability, cost or expense resulting from the their reliance on or performance consistent with the directions, declarations, representations, authorizations and agreements herein. I/We agree that the Crematory’s liability for negligent acts (of itself or its agents or employees) is limited to a refund of the cremation fees paid by me/us. I/We warrant that all representations and statements contained in this form are true and correct. I/We have read and understood this document.

Return; I understand I must pick up the ashes within 30 days. After such time, Pet Cremation Iowa reserves the right to dispose of the ashes in a dignified manner when no provisions have been made.

Pet Disclosure; I/We further represent and warrant that the animal has not bitten any person or other animal during the past ten (10) days, is not suffering from Rabies, and has not been exposed to other animals suffering from Rabies.

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