Don't Pay to Spay MDA Spay & Neuter

Grant Program Application

Complete the application below and we will contact you soon! Thank you for your interest!

   

Thank you for wanting to have your pet Spayed or Neutered! Our Grant Program offers a way to receive funding to help defray the cost of Spaying or Neutering. To get started, please complete the following and we will be in touch soon!
Please note: This program is only available to residents of Caroline County.



THANK YOU for your support in keeping the pet population down in Caroline County Humane Society by having your pet spayed or neutered. In order to begin the process, please carefully read and complete the following:

Please be sure to fill out the application completely. We make every effort to have the applications completed within a 48-hour period; however, incomplete applications may result in a delay in this process.

"I have read the above statements and understand there are no guarantees for financial assistance for the Spay/Neuter Grant Program. I acknowledge all information on this application is true and correct. I give the employees of Caroline County Humane Society permission to verify all information, and understand that any misrepresentations or omissions of fact may result in the cancellation of my application. I certify that I am over 21 years old."

Spay/Neuter Grant Application

ALL MEMBERS OF THE HOUSEHOLD: Household income is to include EVERYONE who works in the home.

(If you or anyone else in your household collects SSI/Disability/Unemployment, we will need to have a copy of the letters sent to you, or other persons in your household, stating what you receive per month in order to process your application.


If you or other persons in your household file income taxes, we will need a copy of last year's tax returns, showing what your annual income is to process your application.

Please list all pets that you are requesting assistance for. If you are applying for more than one pet, please complete the below questions separately for each. If you are applying for only one (1), please scroll to the last question.

IMPORTANT!!

Please be sure you read all of the following information:


Once your application is approved, you will be mailed a letter stating the amount of the co-pay, per animal, that you are required to pay the veterinarian. It is your responsibility to call the veterinarian for an appointment to have your dog or cat spayed or neutered. THIS DOES NOT COVER AN OFFICE VISIT EXAM THAT YOUR PET MAY NEED AT THE TIME OF THE VISIT. If you feel you cannot afford the co-pay assigned, please contact CCHS immediately. This letter that you receive must be given to the veterinarian at the time of service to receive the assistance.


THE LETTER(S) IS ONLY GOOD FOR 1 MONTH, PLEASE SCHEDULE YOUR PET(S) TO BE SPAYED OR NEUTERED BEFORE IT EXPIRES. THERE WILL NOT BE ANY EXTENSIONS.


Upon receipt of this electronic application, you will be contacted and required to submit a copy of last year's tax return for everyone in the household (Form 1040, 1040-A, 1040-EZ); if your income is substantially different this year from last, submit supporting documentation and a written explanation along with the form. If you didn't file taxes last year, please provide proof of income. Your application will not be considered until this step is completed.

I agree to indemnify and hold the CCHS and the Bissel Grant Program harmless from and against any and all liabilities arising from the performance of any of the procedures necessary to spay or neuter my pet. Please make sure you've filled in all important information and check the box to verify.

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