Make Plans For Your Pet After Your Death | RSPCA Sussex North & Brighton

PET LIFE CARE SCHEME

Looking after a pet means loving and caring for them for life. It can also mean making provision for them when you pass away. Our Pet Life Care Scheme means that in the event of your death we’ll care for your pet(s), then do all we can to find them a happy and loving home for the rest of their lives. Please refer to the terms and conditions applicable to the Scheme, before completing this form to register your pet(s) with us. Once you have completed this form and a History Form to register your pet(s) with us we will contact you to take more detailed information about your pet and we will then let you know whether your application has been successful. Applications are considered on a case by case basis.

Your details

Name(Required)

First Last

Email(Required)

Phone/ mobile(Required)

Address(Required)

Street Address City County Postcode

Your pet’s details

Please share as much information as you can with us about your pet. This will help us to ensure that your pet receives the care needed and will also help us to find the perfect future home. Once we receive your completed application, we will contact you by telephone to gather a more detailed profile of your pet. If anything changes you can always get in touch with us to update or add information. If you have more than one pet, please fill in these details on a separate form.

Type of animal(Required)

Dog

Cat

Other

Name of pet:(Required)

Breed:(Required)

Year of Birth:(Required)

Colour and any significant markings:(Required)

Gender:(Required)

Male

Female

Has your pet has been neutered?(Required)

Yes

Has your pet been microchipped?(Required)

Yes

Microchip number:

Details of vaccinations received and the dates on which they were given:(Required)

Health Record

Does your pet have any health conditions or allergies? Please provide details.(Required)

Please provide details of any medication prescribed for your pet.(Required)

Is there any other special medical information we should know about your pet?(Required)

Does your pet have any dietary requirements? What do they like to eat? What is their favourite food(Required)

Please provide any other information that you think would help us to ensure your pet receives the care needed and to find your pet the perfect forever home.(Required)

Your Vet

Please provide details of the Veterinary Practice where your pet is registered.

What vet are you registered with?(Required)

Address(Required)

Street Address Address Line 2 City County Postcode

Phone

Please indicate if you are happy for us to contact your Vet?(Required)

Yes

Please confirm that you consent to your Vet sharing your records with us(Required)

Yes

Adding Pet Life Care Scheme to your Will

Please leave instructions in your Will confirming that you would like RSPCA Sussex North & Brighton Branch to care for your pet until it can be rehomed.

We recommend you add the following suggested Pet Life Care Scheme wording to your Will as this formally acknowledges RSPCA Brighton in any future arrangements. It also ensures that your Executor is fully aware of your wishes as this is the only official document that they must refer to when dealing with your estate.

“I give my pet [name of animal(s)] or any animals I own at my death [and amount / percentage of my residuary estate] to the RSPCA Sussex North & Brighton Branch of Braypool Lane, Patcham, Brighton, BN1 8ZH (RSPCA Brighton), registered charity no 206630, for its general purposes and I direct that once the animal(s) is/are delivered to RSPCA Brighton it shall take over full responsibility for it/them and seek to place it/them in a suitable home(s). The receipt of the honorary treasurer or other appropriate officer of RSPCA Brighton for the time being shall be a good discharge of my Executors.”

It is not essential for you to leave us money to care for your pet, however if you are able to this will help support the work we do at the Animal Shelter and will help us continue to look after yours and other pets while we find them new forever homes.

Please confirm that you have added the Pet Life Care Scheme wording to your Will.(Required)

Yes

You may enclose a copy of your Will if you wish, but this is optional.

Accepted file types: pdf, doc, docx, Max. file size: 8 MB.

Your Solicitor

Sharing your Solicitor’s details will help us fulfil your wishes.

Name of Solicitor:(Required)

First Last

Law Firm Name:(Required)

Address(Required)

Street Address Address Line 2 City County Postcode

Phone

Responsible Person’s Details

Please give details of the person with whom you have agreed can sign over ownership of your pet to the RSPCA, so that we may ensure that your wishes are fulfilled. This could be a trusted friend, family member, vet or solicitor. You will also need to give them our contact details.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City County Postcode

Phone(Required)

Declaration

Name(Required)

First Last

Date(Required)

Your information

The information you have provided on this form will be used by the RSPCA for the purposes of facilitating your application to adopt a pet. We will not use your personal information for any other purpose without prior notice to you and we will not share your personal information with third parties for their own marketing purposes.

Can we keep in touch?(Required)

Post

Text

Phone

We’d love to keep you updated about our fundraising activities, products and ways in which you can support us to help animals. Please tell us how you would like to hear from us:

How did you hear about us?(Required)

Previous adopter

Word of mouth

Social media

RSPCA member

Other

Call Cruelty Line: 0300 1234 999

Pet Care Form

PET LIFE CARE SCHEME

Your details

Your pet’s details

Health Record

Your Vet

Adding Pet Life Care Scheme to your Will

Your Solicitor

Responsible Person’s Details

Declaration

Your information