Senior Pet Connection Assistance Application

Senior Pet Connection is a program of the Humane Society of Pinellas. SPC allows seniors to apply for pet food assistance on an indefinite, monthly basis.
  • Provide information on your pet. If you are requesting assistance for more than one pet please list each pet individually in the provide sections.
  • Select only one
  • 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.
  • Enter your pet's weight (approx)
  • Provide information on your pet. If you are requesting assistance for more than one pet please list each pet individually in the provide sections.
  • Select only one
  • 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.
  • Enter your pet's weight (approx)
  • Provide information on your pet. If you are requesting assistance for more than one pet please list each pet individually in the provide sections.
  • Select only one
  • 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.
  • Enter your pet's weight (approx)
  • 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.
  • Entering your name and date serves as your signature consent on this application.