Pet Trust Data Form Please enable JavaScript in your browser to complete this form.Your Name:Your address:Day Phone Number: Cell Phone Number:Pet #1 Name:Type:DogCatHorseBirdOther _________Age:Description of Pet:Pet #2 Name:Type:DogCatHorseBirdOther _________Age:Description of Pet:Pet #3 Name:Type:DogCatHorseBirdOther _________Age:Description of Pet:Pet #4 Name:Type:DogCatHorseBirdOther _________Age:Description of Pet:Name of Caregiver:Address:Day Phone Number:Cell Phone Number:Alternate Caregiver:Address:Day Phone Number:Cell Phone Number:Alternate Trustee:Address:Cell Phone Number:Veterinarian:Address:Day Phone Number:Describe any medical conditions:Standard of care requested:First ClassAbove AverageAverageMinimumIs Trustee to be compensated?YesNoIf yes, describe:Other Instructions:Do you have life insurance?YesNoWhole Life PolicyTerm Life Policy to ____________ (year terminates) Amount $____________Final Deposition:BurialCremationOtherSubmit AffordableLivingTrusts.net 818-991-9019