The applicant must submit:
1. a complete application, located here;
2. proof of income (forms accepted are last paycheck stub, unemployment benefits, or disability benefits); and
3. a copy of the written cost estimate for requested assistance from the veterinarian, including name, email address and mailing address of veterinarian.
4. at least one picture of your pet in need of medical care (to be used on our website).
Using the 'Submit Documentation Here' button below, select or drag and drop all files in a secure location. Using a smartphone? Use your smartphone browser to find our website and, using the same button, select and drop files or use your phone's camera to submit your additional files.