Petstablished | Manage your Animal Welfare Organization (AWO) with our easy-to-use software.

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Personal Information

* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

* GenderMaleFemale

Country

*State/Province

General Information

In certain cases, we help cat owners cover a portion of the cost of veterinary care to help reduce the overwhelming number of cats suffering, being euthanized, or entering shelters simply because their owners or caretakers cannot financially provide the veterinary support they need. Through this program JSCR provides financial assistance to shelters and the general public for cat related needs, such as spay/neuter, vaccines, and general or emergency veterinary care.
Please note: Although we try to assist as many cats and cat owners as we can, submission of this form does not guarantee you will receive assistance through the Help Meowt program.

Additionally, any financial assistance approved and further provided through the Help Meowt Program is paid directly to the veterinary clinic that provides the agreed upon services.

Incomplete applications will not be processed. Please ensure to include the complete estimates and complete medical records with your applications. Failure to upload or email the necessary documents pertaining to your case with your application will result in an incomplete application.

Please respond to the following questions with as much detail as possible. Make sure to upload a photo of the cat you are applying for with your application. If you are experiencing any issues uploading a picture, photos can be emailed to info@junesseniorcatrescue.org.

Today's Date

mm/dd/yyyy

My Cat's Photo

Upload your cat's photo here.

Assumed urgency/level of care needed

Please select the option that best describes your cat’s current medical care needs.

The cat is currently hospitalized or requires hospitalization or other emergency care.The cat needs urgent medical care but does not require hospitalization.My cat needs routine care to ensure continued quality of life.I have serious concerns about the cat’s health but am not sure yet what type of care they need.

Tell us about your cat(s)

If you’re requesting assistance for more than one cat, please answer every question in this section for each cat.

Cat Name

Color

Fur Length

Long-hairedShort-haired

Age

Sex

MaleFemaleUnknown

Is the cat spayed/neutered?

YesNoUnknown

Is the cat indoor, outdoor, or a mix of both?

Indoor OnlyOutdoor OnlyIndoor and OutdoorUnknown

Tell us about your situation

Please describe the health issues the cat is experiencing. If your cat has any other known medical issues, list them here. Please also explain your reason for requesting assistance (for example, difficulty paying vet bills due to living on a fixed income).

Has a veterinarian seen the cat for these health concerns?

Yes, and the cat is currently hospitalized.Yes. The cat is not currently hospitalized.No

If yes, did the vet provide you with a cost estimate for the care your cat needs?

Yes (Please provide a copy of the estimate with this application.)NoNot Applicable

If you have an estimate, upload it here. *Ensure you upload all necessary documents pertaining to your case. Failure to include the complete records/estimates will results in an incomplete application.

Is there a specific timeframe when the cat needs to receive veterinary care for the issues described above?

Is there anything else you’d like us to know about the cat or the situation?

How did you hear about us?

JSCR use only. Please do not fill out this section.

Outcome of request:

DeniedApproved

If applicable, describe the reason for denial.

Will JSCR provide future assistance for this applicant?

YesNo

If not, list the reason.

Date of veterinary care:

Cost of care:

Veterinary visit or visits completed?

YesNo

If not, provide an explanation.

Internal notes: