Paws 4 A Cure - Applying For Assistance

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If an outside website brought you here, you must start at our Ask For Help page to read our policies and procedures before you complete the online application below. Press HERE to begin.

Please review the Applicant Packet below before proceeding. Once we receive the required documents listed on the attached Application Checklist, we will start processing your application. You MUST prove hardship.

If you are not going to send your required documentation, do NOT complete the online application below.

Applicant Packet.pdf
Size : 1008.579 Kb
Type : pdf

Paws 4 A Cure does not store any data about our website visitors in a cookie that would identify them, locate them, and determine their preferences or their financial activity.

Application For Financial Assistance

Paws 4 A Cure does not store any data about our website visitors in a cookie that would identify them, locate them, and determine their preferences or their financial activity.

* I have ALL of my required documentation read to be emailed or faxed TODAY and I have already provided my treating veterinary practice with the Veterinary Packet. If not, STOP HERE. Please have everything ready BEFORE applying for assistance.

* I understand that if my dog or cat does not have a treating veterinarian that diagnosed my dog or cat and has a treatment plan in place, my application will be automatically denied. STOP HERE

* By continuing, I acknowledge that I have read and agree to Paws 4 A Cure's guidelines, policies and procedures. I understand that Paws 4 A Cure CANNOT assist with charges incurred prior to approval of application. I understand that Paws 4 A Cure does not pay for routine veterinary care. This includes spaying/neutering, vaccinations, routine dental care, routine office visits and euthanasia. I understand that I should not rely on a grant from Paws 4 A Cure only. I have or will apply to several different financial assistance programs along with applying to Paws 4 A Cure, links to which can be found on the Helpful Resources page. I understand that my online application will not be responded to until all of my required documentation is received by Paws 4 A Cure. I agree to complete the application process by providing your required documentation to prove hardship to grants@paws4acure.org. A list of acceptable documents can be found on the Ask For Help page along with your Applicant Packet. You agree to provide the Veterinary Packet that can be found on the Ask For Help page to your dog or cat's treating veterinarian.

* I understand that IF I am approved, I am REQUIRED to fundraise by sharing the fundraising page that Paws 4 A Cure creates with my friends, family and local news media to generate donations for my dog or cat's veterinary care. I understand that I must provide Paws 4 A Cure the contact information for the news media that you reached out to. I also must provide the links to the online news media articles. I understand that if I do not fundraise for my dog or cat veterinary care, Paws 4 A Cure will not send payment to the veterinary practice.

Please do not fill out the online application if you are not going to follow through with the application process. Every application needs our attention, by you not submitting in your documentation, it takes us away from those that do. If your required documentation is not received within 48 hours of your online application being submitted, your application will move from pending status to closed status and you will have to re-apply for assistance.

** Required Fields - If you do not complete the required fields on the application that have an * next to them, your application cannot be processed. Incomplete applications will be automatically denied. **

Please turn OFF your CAPS LOCK before filling out the application for assistance below.

YOUR INFORMATION

* Your First AND Last Name

* Your Date of Birth

* Your Street Address

* Your City

* Your State

* Your Zip Code

* Your Email Address

* Confirm Your Email Address: *REQUIRED

* Your Contact Phone #

If your dog or cat does not have a diagnosis and treatment plan, STOP HERE. Please visit your veterinary clinic for your veterinarian to provide you with a diagnosis and treatment plan. After you have your diagnosis and treatment come back here and apply for assistance if you meet the qualifications on the Ask For Help page and have all of your required documentation ready to be sent in via email or fax.

* Your Employer Name

* Your MONTHLY net income

* Your Marital Status:

Your Spouse/Domestic Partner's First and Last Name

Spouse/Domestic Partner's Date of Birth

Spouse/Domestic Partner's Employer

Spouse/Domestic Partner's total MONTHLY net income

* I understand that my online application will not be responded to until all of my required documentation is received by Paws 4 A Cure.

* Your Living Situation

* How many adults (over 18 years of age) are in your home?

* How many children (under 18 years of age) are in your home?

* NAME, RELATIONSHIP and BIRTH DATE of EVERYONE living in the home. Examples: John Smith (roommate) 07/17/1967 or Jane Smith (daughter) 05/23/2011. Do not include yourself.

********************************************

* Is your total household income normally above poverty level?

Yes
No

* Do you own or rent your home

* Monthly Rent/Mortgage

* Please select the statement that applies to your normal financial situation

Other please explain

Please check all that apply to your current financial situation:

I receive child support
I receive alimony
I receive a monthly inheritance
I receive unemployment benefits
I receive disability payments
I receive Social Security
I receive public assistance (welfare, food stamps, etc.)

Unemployment benefits amount received monthly

Child support amount received monthly

Alimony amount received monthly

Disability benefit amount received monthly

Social Security benefit amount received monthly

Public assistance received monthly

* Please explain why you cannot afford the veterinary care. (Not about your dog/cat's veterinary care, you will answer about your dog/cat's needs later.)

How did you hear about Paws 4 A Cure?

* How many animals are in your home?

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* About The Dog/Cat

Dog
Cat

* Dog/Cat's Name

Dog Breed (if a dog)

* Age

* Sex

Male
Female

* My dog is a REGISTERED service dog.

Yes
No

* What is the date that you adopted your furchild?

* Is your furchild spayed or neutered?

Spayed (female)
Neutered (male)
Not spayed or neutered

* Is you dog/cat injured or ill?

Illness
Injury

* What is the date that the illness or injury started?

* Please explain your pet's illness or injury.

* I understand that Paws 4 A Cure does not pay for routine veterinary care. This includes spaying/neutering, vaccinations, routine dental care, routine office visits and euthanasia.

* Please provide your dog or cat's diagnosis (you MUST have a diagnosis from veterinary office). This is not a yes or no question, you must provide us with the diagnosis.

* I understand that Paws 4 A Cure CANNOT pay for diagnostics (testing).

* Please explain the treatment received so far and the initial onset of the illness or injury.

* Please explain the treatment still needed. (As a reminder: Paws 4 A Cure CANNOT assist with charges incurred prior to approval of application and receipt by the veterinarian of the Acceptance Letter.)

* I understand that Paws 4 A Cure CANNOT assist with charges incurred prior to approval of application.

* What is the estimated cost of the proposed treatment? (Your veterinary practice must provide an estimate for services still needed.)

* What amount are you able to contribute towards your pet's veterinary care?

* What amount are you asking for Paws 4 A Cure's help? (maximum grant is $500)

* Have you applied for CareCredit?

Yes
No

* Amount approved from Care Credit

* Have you applied to Scratchpay?

Yes
No

* Amount approved from Scratchpay?

* Is the dog/cat receiving financial assistance from any other organization?

Yes
No

* Please list all of the organizations that you have applied to so far. A list of organizations can be found on our Helpful Resources page. Please do not rely on a grant from Paws 4 A Cure, you need to apply to many organizations. GoFundMe, CareCredit and ScratchPay are not an organization.

* Please list organizations that have approved your application for assistance AND amount you have been granted.

Please provide the link to your GoFundMe page

Please provide the link to your YouCaring page

Please provide any other fundraising URL that you have

* Explain in detail how have you been trying to raise money for your dog/cat's veterinary care.

Pet Insurance Company Name

Policy #

Contact #

VETERINARIAN INFORMATION

You must have a treating veterinary practice.

* Treating Veterinarian's Name

* Veterinary Practice's Name

* Veterinary Practice's Address

* City

* State

* Zip Code

* Phone Number

Fax Number

Veterinary Practice's Email Address

Please be advised that your application will be immediately denied if you did not read and accept the User Agreement at the top of the application, if you do not complete the required fields with a * next to them or the drop down menus are not used. Please scroll up to review your application for financial assistance to ensure that ALL required fields have been completed.

* I understand that if my application is approved that I am required to fundraise for my own furchild's veterinary care by sharing the fundraising page that Paws 4 A Cure creates.

* I'm not actually reading this, I am just checking the boxes. If you actually read that, do not check the box. If you have checked this box off, your application is invalid and automatically denied.

* I certify that the above statements are true and correct to the best of my knowledge. I understand that a false statement may disqualify me for a grant. I understand that my application will be immediately denied if I did not completed the required fields throughout the application or the drop down menus are not used. I have scrolled up to review my application for financial assistance to ensure that ALL required fields have been completed.

If you are not going to send your required documents PLEASE do not click submit.

You will receive an email acknowledgement within 24 hours of receipt of your required documentation. If not received, please check your spam folder. Every application that has sent their required documentation is responded to. If the email response is not in your spam folder then your email server has blocked the email, please email grants@paws4acure.org

If your required documentation is not received within 48 hours, your application will move from pending status to closed status and you will have to reapply for assistance.

Please provide the attached Veterinary Packet to the treating veterinarian or direct them to the Veterinary Professionals page. Do not write on the veterinary forms.

Veterinary Packet.pdf
Size : 356.896 Kb
Type : pdf

Applicant Packet.pdf
Size : 226.952 Kb
Type : pdf