Friends Forever™ Enrollment

Friends Forever Enrollment Form

Use this form to enroll your pets in Friends Forever. The information you provide will remain confidential. Should your pets ever be received by OHS, the information will be available to authorized personnel so they can immediately begin providing the quality care your pets deserve.

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Step 1 of 2

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Easy Step By Step Enrollment

I would like to enroll the pets listed below in Friends Forever. In the event that I am unable to care for them, I ask that the Oregon Humane Society immediately receive, care for and rehome my surviving pets.

Date*

Name*

First Last

Your Date of Birth

Name of Spouse (optional)

First Last

Spouse's Date of Birth (optional)

Address*

Street Address City State ZIP Code

Phone*

Email*

I/We

have already included

are in the process of including

OHS in my/our estate plan.

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I/We have made/intend to make OHS a beneficiary of

I/we have already included

are in the process of including

Please specify the type of gift you have made/intend to make:

Will

Your Estate Plan Attorney’s Information

Attorney's Name

First Last

Attorney Law Firm

Law Firm

Attorney Address

Street Address City State / Province / Region ZIP / Postal Code

Attorney Phone

Phone

Attorney Email

Percentage of the Will designated to OHS

Will designation estimated value

Notes / Comments

Related Documents

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Max. file size: 20 MB.

Trust

Your Estate Plan Attorney’s Information

Same information as Will

Attorney's Name

First Last

Attorney Law Firm

Law Firm

Attorney Address

Street Address City State / Province / Region ZIP / Postal Code

Attorney Phone

Phone

Attorney Email

Percentage of the Trust designated to OHS

Trust designation estimated value

Notes / Comments

Related Documents

Drop files here or

Max. file size: 20 MB.

Checking/Savings

Checking/Savings Account Information

Checking Financial Institution

Financial Institution & Branch

Checking Last Four Digits of Account Number

Checking Last Four Digits of Account #

Checking Percentage of the account designated to OHS

Percentage of account designated to OHS

Checking designation estimated value

Savings Last Four Digits of Account Number

Savings Last Four Digits of Account #

Savings Percentage of the account designated to OHS

Percentage of account designated to OHS

Savings designation estimated value

Notes / Comments

Related Documents

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Max. file size: 20 MB.

Certificate of Deposit Account

Certificate of Deposit

CD Account Information

CD Financial Institution

Financial Institution & Branch

CD Last Four Digits of Account Number

Last Four Digits of Account Number

CD Percentage of the account designated to OHS

Percentage of the account designated to OHS

Account designation estimated value

Notes / Comments

Related Documents

Drop files here or

Max. file size: 20 MB.

Investment/Brokerage

Investment/Brokerage Account Information

Checking Financial Institution

Financial Institution

Investment/Brokerage Last Four Digits of Account Number

Last Four Digits of Account Number

Investment/Brokerage Percentage of the account designated to OHS

Percentage of account designated to OHS

Account designation estimated value

Notes / Comments

Related Documents

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Max. file size: 20 MB.

Annuity Account

Annuity

Annuity Account Information

Annuity Financial Institution

Financial Institution

Annuity Last Four Digits of Account Number

Last Four Digits of Account Number

Annuity Percentage of the account designated to OHS

Percentage of account designated to OHS

Account designation estimated value

Notes / Comments

Related Documents

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Max. file size: 20 MB.

Pension Account

Pension

Pension Account Information

Pension Financial Institution

Financial Institution

Pension Last Four Digits of Account Number

Last Four Digits of Account Number

Pension Percentage of the account designated to OHS

Percentage of account designated to OHS

Account designation estimated value

Notes / Comments

Related Documents

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Max. file size: 20 MB.

Life Insurance Account

Life Insurance

Life Insurance Account Information

Life Insurance Financial Institution

Financial Institution

Life Insurance Last Four Digits of Account Number

Last Four Digits of Account Number

Life Insurance Percentage of the account designated to OHS

Percentage of account designated to OHS

Account designation estimated value

Notes / Comments

Related Documents

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Max. file size: 20 MB.

Other Account

Other Assets (Please describe)

Other Information

Description

Related Documents

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Max. file size: 20 MB.

Retirement Accounts

Retirement Account Type	Financial Institution	Last Four Digits of Account Number	Actions

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For OHS’s planning purposes only, please estimate the approximate future value of your gift:

Contact information for person administering your estate who will contact OHS about receiving your pets:

Administrator Names

Their Name(s)

Administrator Address

Street Address City State Zip Code

Administrator Phone

Telephone

Administrator Email

To honor your commitment and inspire others to make legacy gifts, may we add your name to listings of OHS estate gift donors?*

Yes, OHS may print my name as an estate gift donor.

No, I would prefer not to be recognized as a donor of a future estate gift at this time.

Pet's name	Type of animal	Pet's breed	Actions

There are no Entries.

Friends Forever™ Enrollment