Cremation Assistance Application
This form should be used if your pet has passed away and you are in need of cremation assistance. If you are in need of emergency veterinary care or diagnostic testing assistance, please fill out the Application for Emergency Veterinary Care and/or Diagnostic Testing Assistance form.
***Please be sure to check your email to make sure you received a copy AND watch for an email from a volunteer after we have received your application.
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Email *
Rainbow Bridge Photo Credit: Caitlin-Marie Miner Ong
Are you requesting Cremation Services for a deceased pet? *
Do you understand IF approved, Hobo's Healing Heart pays grant money directly to the veterinary clinic and NOT the pet owner? *
Which county to you reside in? *
Pet Name *
What species is your pet? *
Required
Approximately, what is your pet's weight? *
Owner's First Name *
Owner's Last Name *
Physical Address *
City *
State *
Zip Code *
Is your mailing address the same as your physical address? If yes, enter "N/A". If no, please provide your PO Box, City, State, and Zip *
Phone Number (with area code) *
Name of preferred Veterinary Clinic or Crematory *
Phone Number of Veterinary Clinic or Crematory (with area code) *
What is the estimated cost your vet provided you for cremation services? *
Have you applied with Hobo's Healing Heart in the past? *
How did you hear about Hobo's Healing Heart? *
If approved, I would like you to share a memorial for my pet and a testimony about what it means to receive this assistance? *
I will submit photos, a memorial, and testimony about what receiving assistance will mean to my family using the following method:
*
A copy of your responses will be emailed to the address you provided.
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