Client Profile Form printable pdf download

The Fur to Feathers Client Profile

Client Name: ___________________________________________________________________________

Address: ______________________________________________________________________________

City: ____________________________Zip Code: _____________ Wk Phone________________________

Phone _________________________ C __________________________________ Other_______________________

E-mail Address:__________________________________________

Daily updates? ___Yes ___ No

How preferred? ________________________________________

Do you own or rent your home? ___Own ___Rent If renting, landlord’s name and telephone #

(in the event of emergency) _______________________________________________________________

Emergency Contact

Relationship

Telephone

Key ?

______________________________ ______________________ ___________________

__Yes __ No

______________________________ ______________________ ___________________

__Yes __ No

______________________________ ______________________ ___________________

__Yes __ No

anyone

Does

else have access to your property during your absence (housekeeper, gardener, pest

control, relative or friends)? ________________________________________________________________

Location of Main water turn off _____________________________________________________________

Location of electrical panel box _____________________________________________________________

Do you have homeowner / liability insurance that would cover your home in an emergency, or

Injuries caused, in the event of bites, scratches, mauls, etc.? __Yes __No

If yes, who is your carrier and agent? __________________________________________________________

Is there a WEAPON in the house? Y N

Which car/truck will be at home? _________________________

Location of pet food / treats / can opener: ________________________________Litter Box(s)___________________

Location of cleaning supplies extra paper towels: _________________________________________________

Location of the inside and outside trash Inside_____________________ Outside_______________________

Would you like Fur to Feathers to bring in mail / newspapers? ___Yes ___No - mailbox locked? ___Yes ____ No

If Yes, where is the key? _____________ Box #__________

Adjust lighting __Yes __No

Adjust Window coverings __Yes __No

Radio/TV ON __Yes __ No

Water Plants ___Yes ___No

Take garbage out - When_______________________

Do you have a security system ? ____Yes ___ No

Advise Company you are using our service.!

Name of Security Service__________________________________________Phone___________________

Entry: ________ Exit Code: _________ Password: __________Location______________________________

Where is the nearest phone? _________________________________________________________________

Miscellaneous Instructions___________________________________________________________________

KEYS: ___ Keep for future visits ___ Return

Due to security concerns, Fur to Feathers will NOT leave keys

Returned keys will result in a pick up fee for future services.

Key Retention Form

locked inside your home.

Please notify us upon your return to avoid additional fees for additional visits.

Call Home Form

_____________________________________

_________________________

Client Signature

Date

(Company Name)

This signed document is authorization to enter the above address for the purpose of pet care or home security checks.

Client Profile Form

Related Articles

Related forms

Related Categories