REQUEST FOR ASSISTANCE

Request for Assistance
Basic Household Information
Tell us about the other pets in your household OTHER THAN the pet(s) who need our assistance
Now please tell us about the pet(s) that need(s) our help
We ask where the pet is housed because if surgery is necessary, and for spay/neuter, there is usually a requirement for animals to be kept quiet and contained. We must know that you are prepared for this possibility, or that you will work with us for arrangements to be made for this to be accomplished.
Advocates for Animals in Jackson County, Inc. requires all funding recipients to:

  1. Consider a future monetary donation when your financial situation improves.
  2. Consent to follow-up phone calls/emails from an AAJC representative within 2 weeks, 6-months, and 1-year post-assistance. If AAJC does not hear back after two attempts to contact you, you will not be eligible for any future assistance from AAJC.
  3. Inform AAJC if your address and/or phone number changes during the 12-month post-assistance period.
By entering my name below and submitting this form, I certify that I am agreeing to these requirements and that the answers on this application form are true and correct to the best of my knowledge. I agree to release Advocates for Animals in Jackson County, Inc. and its service providers (veterinarians, trainers, and fosters) from liability should the veterinary care, foster care, or behavioral training rendered prove unsuccessful or the animal becomes ill or injured while in our care.