Applying For Assistance

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User Agreement

* I have ALL of my required documentation for myself and for all members of my household that are over 18 years of age ready 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.

User Agreement

* I understand that Paws 4 A Cure provides financial assistance throughout the United States only.

User Agreement

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

User Agreement

* 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.

User Agreement

* 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

User Agreement

* 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 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. 

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 72 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.

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 INFORMATION

* Your First AND Last Name

* Your Date of Birth

* Your Home Address

* City/Town Name

* State

* Zip code

* Your Email Address

* Your Contact Phone #

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

PLEASE SELECT
Recent loss of job (within 6 months) - Email or fax your latest unemployment documentation
Major medical diagnosis
Senior Citizen
Permanently Disabled (SSDI) - Email or fax your latest disability statement/letter
Temporarily Disabled (SSI) - Email or fax your latest disability statement/letter
Veteran of the US Military
Other (explain below):

Other please explain:

* Are you currently employed?

Yes
No - If no, please provide your unemployment letter

* If you are currently working, what is your Employer's Name and Phone Number?

* What is your monthly net pay from your employer?

* If you are not currently working, when is the last date that you worked?

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* Living Situation

PLEASE SELECT
Single
Married
Domestic Partner (Boyfriend or Girlfriend)
Separated
Divorced

Your Spouse/Domestic Partner's First and Last Name

Spouse/Domestic Partner's Date of Birth

Spouse/Domestic Partner's Employer's Name and Phone Number

* Please select the statement that applies to your Spouse/Domestic Partner's normal financial situation

PLEASE SELECT
Recent loss of job (within 6 months) - Email or fax your latest unemployment documentation
Major medical diagnosis
Senior Citizen
Permanently Disabled (SSDI) - Email or fax your latest disability statement/letter
Temporarily Disabled (SSI) - Email or fax your latest disability statement/letter
Veteran of the US Military
Other (explain below):

Other please explain:

* What is your Spouse/Domestic Partner's monthly net pay from their employer?

* If your spouse/domestic partner is not working, what is the last date they worked?

* Names, AGES and RELATIONSHIP of all adults living in your home not including yourself or your Spouse/Domestic Partner

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* Household Assets (Check Account)

*Household Assets (Savings Account)

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Unemployment benefits amount received monthly

Disability benefit amount received monthly

Social Security benefit amount received monthly

Public assistance received monthly

* Who pays for the household expenses?

* Names AND Ages of anyone you claim as a dependent:

* 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 many animals are in your home?

PLEASE SELECT
1
2
3
4
5
6 or more

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Do NOT put more than one furchild on your application. If multiple furchildren are in need of assistance, you must complete a new application for each dog or cat in need of veterinary care.

* About The Dog/Cat

Dog
Cat

* Dog/Cat's Name

Dog Breed (if a dog)

* Age

* Sex

Male
Female

* My dog is a trained service animal.

Yes
No

A service animal is any dog that is individually trained to do work or perform tasks for the benefit of an individual with a disability, including a physical, sensory, psychiatric, intellectual, or other mental disability. Other species of animals, whether wild or domestic, trained or untrained, are not considered service animals.

* What is the date that you adopted/received your furchild?

* What is their birthday, if you know it?

* 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.

* 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.

* 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.)

* 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? (required)

Yes
No

* Amount approved from Care Credit

If you have not applied to CareCredit, why not?

* 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. DO NOT PUT GoFundMe, CareCredit and ScratchPay since they are not organizations.

* 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 any other fundraising page link 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 and Policy #

Policy #

Contact #

VETERINARIAN INFORMATION

You must have a treating veterinary practice.

* Treating Veterinarian's Name

* Veterinary Practice's Name

* Veterinary Practice's Address

* Phone Number

Veterinary Practice's Email Address

* If your application is approved, you would be required to fundraise for your dog or cat's veterinary care by sharing the fundraising page that Paws 4 A Cure creates with your friends, family and your local media to help generate funds. If you do not feel comfortable sharing the fundraising page with your local media, please explain why.

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.

User Agreement

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

User Agreement

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

User Agreement

* I understand that IF I am approved, I will complete the requirements so that Paws 4 A Cure can create your dog or cat's fundraising page that will be in the acceptance email. Paws 4 A Cure CANNOT use your already existing GoFundMe page. If the requirements are not received, Paws 4 A Cure is unable to fundraise for your applicant’s dog or cat therefore, no payment will be released and you will be responsible for the charges. Once you receive the email that your fundraising page is complete, we ask that each approved applicant helps to fundraise for their dog or cat's care by sharing the fundraising page that Paws 4 A Cure creates to bring in much needed funds so that we can continue to help those in need. You can help fundraise by sharing the fundraising page that Paws 4 A Cure creates with your friends, family and local news media to help generate donations for your dog or cat's veterinary care. If you do not want to share the fundraising page with your local media you will need to explain why. We do make exceptions, especially for domestic violence situations (please have your case worker send a letter or email stating that they are assisting you).

User Agreement

* 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 PROOF OF HARDSHIP DOCUMENTATION PLEASE DO NOT CLICK SUBMIT.