COVID-19 Request for Assistance from Friends of Tri-City Animal Shelter

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Friends of Tri-City Animal Shelter is working to provide assistance for pet owners from Cedar Hill, Duncanville, and DeSoto who are experiencing hardships as a result of the COVID-19 pandemic. Please answer these questions to the best of your ability so we can know how we might best be able to assist you.

PLEASE NOTE THAT WHILE WE WOULD LOVE TO BE ABLE TO PROVIDE EVERY PET OWNER WITH THEY HELP THEY NEED, OUR FUNDS ARE LIMITED AND WE MAY NOT BE ABLE TO FULFILL YOUR REQUEST.

* AN APPLICATION DOES NOT GUARANTEE ASSISTANCE. *

Thank you for reaching out to us. We will be in touch soon regarding your request.

Date of Request

YYYY

First Name *

Last Name *

Phone Number *

Email Address *

Address *

City *

Zip Code *

Pet's Name(s) *

Type of pet(s) *

Cat(s)

Dog(s)

Other

Required

Why are you in need of assistance right now? *

I lost my job because of COVID-19

I lost hours/pay because of COVID-19

I was already in need of assistance for my pet prior to COVID-19

I am a senior citizen on a fixed income

I am a citizen with a disability on a fixed income

I am homeless

I am a first responder

Required

Where do or did you work? *

Are you currently receiving any government assistance? (unemployment, food stamps, etc.) *

Yes

Have applied but not yet received any

Are you currently receiving assistance from any other local non-profits or organizations? (food pantry, church, etc.) If so, from where? *

Who is your regular veterinarian? *

Is your pet current on their vaccines? *

What kind of assistance do you need for your pet? *

Food or other pet supplies

Financial assistance with urgent or emergency veterinary care

Financial assistance with routine veterinary care (vaccines, etc.)

Temporary boarding or housing for my pet

Pet deposit for apartment or rental home

Other:

Required

If you are requesting food, what type of food does your pet currently eat? (dry, canned, brand, etc.)

If you are requesting supplies, what do you currently need?

If you are requesting financial assistance for urgent or emergency veterinary care, please describe the treatment your pet needs and for how long they have been ill or injured.

If you are requesting financial assistance for urgent or emergency veterinary care, do you have an estimate for the cost of the treatment needed from your vet?

If you are requesting temporary boarding or housing for your pet, please tell us why and for how long you expect to need help.

If you are requesting assistance with a pet deposit, how much is the deposit?

If you do not receive assistance, how likely is it that you will have to surrender your pet to the animal shelter? *

Very likely

Likely

Not likely

I will not surrender my pet

I'm not sure

How did you hear about our program for assistance? *

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