Breed
If you are unsure of your pet’s breed, describe as mixed breed for dogs. For cats please list as domestic short or long haired.
Weight
Enter your pet’s weight (approx)
Breed
If you are unsure of your pet’s breed, describe as mixed breed for dogs. For cats please list as domestic short or long haired.
Weight
Enter your pet’s weight (approx)
Breed
If you are unsure of your pet’s breed, describe as mixed breed for dogs. For cats please list as domestic short or long haired.
Weight
Enter your pet’s weight (approx)
INCOME QUALIFICATION SECTION. What is the total monthly income for all residents in your household?*
Proof of income, e.g., copy of Social Security benefits statement. SNAP card, etc. is required with this application to process your request for assistance. Be sure to black out your Social Security Number before sharing your documents with us.