C.A.Re Fund Application

Companion Animal Relief Application
  • Max. file size: 256 MB.
  • *A copy of your photo ID is required upon submission of this application. If your photo ID does not reflect your current address, please provide a copy of a utility bill showing your name and the correct address.
  • Pet Information

  • Name of PetSexAgeUp to Date on Rabies Vaccine?Approximate WeightCat or Dog 
  • Household Income

  • Max. file size: 256 MB.
    *A verification of your household's income is required upon submission of this application.
  • Please note: The Roanoke Valley SPCA may offer only a portion of the total amount of your bill, depending on the amount of aid funds available in the C.A.Re Fund and the amount of the veterinary services required. The maximum amount of funding offered through this fund will not exceed $400.00 and will be paid directly to the veterinary clinic offering the service. You are responsible for a minimum of 10% of the overall bill. The amount you are responsible for over and above the C.A.Re Fund assistance will need to be arranged for with the veterinary office.
  • Required: It is state law that your pet's rabies vaccination be current or updated at the time of receiving services. The Roanoke Valley SPCA C.A.Re Fund assistance may or may not include the cost of a rabies vaccine, depending on the amount awarded.
  • I HEREBY GIVE THE ROANOKE VALLEY SPCA CONSENT TO COMMUNICATE WITH ANY OTHER PERSONS OR PARTIES CONCERNING MY HISTORY FOR THE PURPOSE OF VERIFYING THE INFORMATION ON MY APPLICATION. I CERTIFY THAT THE ABOVE NAMED ANIMALS ARE OWNED BY ME PERSONALLY. IF APPROVED, I WILL BE NOTIFIED OF THE AWARD AND THE ROANOKE VALLEY SPCA WILL WORK DIRECTLY WITH THE VETERINARY CLINIC TO DISCUSS PLAN OF TREATMENT AND MAKE PAYMENT ARRANGEMENTS FOR THE AMOUNT OF THE AWARD. I UNDERSTAND THAT I WILL BE RESPONSIBLE FOR PAYMENT OF ANY AMOUNT DUE TO THE VETERINARY CLINIC OVER AND ABOVE THE CARE FUND ASSISTANCE.
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