ResQ Fund Application for Spay/Neuter and Vaccines

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Personal Information

Application Summary

How can the ResQ Fund help?

Please answer the following questions completely to ensure your application is submitted correctly and not rejected. 

Failure to provide accurate information on the number of pets in your household may result in your application being denied.
Example: Dog/Fido/Male or Cat/Patches/Female
If some of your pets are not spayed/neutered, as a condition for being approved, you will be asked to commit to having all of your pets spayed and neutered. Please be prepared to prove that all pets in the household have been spayed/neutered.
If this application is for a stray animal that does not belong to you, please state that.
Please check yes if you need to use our ResQ Shuttle service to transport your pets to the vet. Our ResQ Shuttle Manager will be in touch. You will also need to sign a release of liability form to use the ResQ Shuttle.
WVSNP is a grant program administered by the West Virginia Department of Agriculture by granting money to local organizations, humane societies, and local governments. These local grantees work with individuals to pay for spay/neuter services and an accompanying rabies vaccine.
If eligible, you may be required to apply as a condition of acceptance of financial aid. If you choose not to apply AND you are eligible, you may be asked to pay the value of the coupon which is $25-$35 per pet.

Applicant Eligibility Requirements

This application is for the ResQ Fund assistance for spay/neuter and vaccines only. If you are requesting help with an emergency or life-threatening situation, please return to our website and use the appropriate link for the Live for David Grant program. 

The ResQ Fund is currently only available to pet owners living in the counties that compromise the Eastern Panhandle of West Virginia and to rescues that serve and help our area. If you do not live in Berkeley, Jefferson, Grant, Hardy, Morgan, Hampshire, Mineral, or Pendleton county, please refer to our website for links to other organizations that may be able to assist you. 

All funds will be paid directly to a veterinary practice. No funds will be given directly to an individual. Please be truthful and accurate in answering all questions in this application. Any deliberate misrepresentations or falsehoods may affect your eligibility for assistance.

To The ResQ does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations.

If you do not need financial assistance, but need our help securing appointments, please skip questions regarding financial aid by simply marking an x in the text box or selecting the response showing you do not need financial assistance. If you are applying for help for animals that are stray/feral and do not wish to answer personal questions, please indicate that below and skip to the next question.
Be prepared to provide proof of government assistance. This will expedite the application process.
If you indicated above that you are receiving social services in the question above, you will be asked to provide proof before being approved so please upload documents. This may fast-track your application. All information will be held confidentially.
Proof of income may be requested. Please note, the totality of your circumstances will be considered when determining your eligibility for aid.
What is your family size?
It is beneficial for our team to know that you are willing to contribute a portion of the expenses, either now or in the future. If you do not need financial aid and can cover the full cost of the veterinary care, please indicate that below as this question requires a response.

Agreements and/or Acknowledgements

Please read and consent to the following. 

Please sign your full name. Example: John Edward Smith
Please sign your full name. Example: John Edward Smith
Example: December 10, 2022

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