Bring a Pet to Work Form
Bring a Pet to Work Form
Employee Name:
Employee Name:
*
First
Last
Employee Email:
*
Employee Department:
*
Employee office location / location you intend to have pet:
*
Supervisor Name
*
Supervisor Email:
*
Type of animal:
*
Breed:
*
Name of animal:
*
Upload current vaccination records:
*
Attach Files
Intended timeframe to have pet in office:
*
Intended timeframe to have pet in office:
Work Hours
Evening Hours
Weekdays
Weekends
I agree to help make this program a success by:
● Showing respect for those who do not want to be near an animal by making sure pet does not approach anyone without permission
● Preparing for visit with proper grooming
● Keeping pet on leash or behind a baby gate at all times
● Accepting responsibility for any damages caused by pet
● Cleaning up after the pet indoors and outdoors
● Avoiding all food service areas
*Note: permission may be revoked at any time
*
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.
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