Spay/Neuter Assistance Application

Attention! All information must be provided with your application or it will not be processed!

If you prefer to print and mail your application, please click on the View PDF Form below.

View PDF Form

Personal Information


Employment Information


YesNo

Pet Information





yes





Instructions

If this application is approved, you will receive one authorization form for each pet being spayed or neutered. Once you receive the authorization form(s), call the vet to make an appointment. You must present the authorization form(s) to the vet when you take your pet for its appointment.

If you are unable to keep your appointment, you must give at least 24 hours' notice to the vet's office.

You Must Read and Acknowledge The Statement Below

By typing my name in the line below, I understand all questions on this application must be answered or this application will not be processed. I also certify the accuracy of the information I have provided.

Thank you for helping to make your pet a healthier and happier companion, and for helping stop pet over-population. Please call our office at 304.562.0300 if you have any questions.