603-369-3422 thehappypet@thehappypetcaregivers.com

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Household Information Form

Please review the POLICIES & PROCEDURES document.

(*) Required Fields

Download Printable Form

Your Name *

Others living in house

Your Email *

Other Email

Address *

Brief Directions *

Mailing Address

Are you an Existing client?

Yes
No

Preferred Primary Caregiver

Have you had a meet and greet with a caregiver?

Yes
No

Home #

Cell #

Work #

Other #

Emergency Contact Name

Relationship

Phone #

Pet Guardian

Address

Key To Home

Yes
No

Emergency Contact Name

Phone #

Relationship

Pet Guardian

Address

Key To Home

Yes
No

Plumber

Phone #

Electrician

Phone #

Snow Plower

Phone #

General

Phone

Where will the key be?

Leashes

Pet Toys

Pet Meds

Food

Treats

Litter Box

Brushes

Pet Carrier

Garbage Can

Broom/Vacuum

Towels

Electrical Panel Box

Water Shutoff Valves

Fire Extinguisher

Pet Supplies

Bring In Mail

Yes
No

Water Indoor Plant

Yes
No

Water Outdoor Plants

Yes
No

Fill Outdoor Feeders

Yes
No

Bring In Paper

Yes
No

Additional Instructions

Comment

In An Emergency

We are available 24 hours a day for emergencies. Please call and include your name, town, your Happy Pet caregiver's name if applicable, and a number where you can be reached; call us at 603-369-3422.

Contact Us

The Happy Pet Caregivers
PO BOX 134
Newport, NH 03773

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