LOUISIANA PET FOOD BANK Pet Food Assistance Program Application
Rescue Alliance understands that it can be difficult to provide care for pets. The Louisiana Pet Food Bank Pet Food Assistance Program is designed to help you keep your pet healthy, happy, and most importantly, in your home. This food is distributed at no charge to pet owners that qualify for the program. If you need assistance with dog or cat food for your family, please fill out this form. Our goal is to help you keep your pets in your family. By filling out this form you agree that "I hereby agree to forever release Rescue Alliance Pet Food Bank from any and all liabilities in any way related to, or arising from, participation in the pet food bank." Thank you for understanding. ALL SECTIONS MUST BE FILLED OUT TO BE CONSIDERED** If you are using an IPhone to fill out the application you may need to turn it so it is in Landscape mode in order to see the full application**
Drivers License or photo Id
Street Address Line 2
State / Province
Postal / Zip Code
How many cats and what sizes? Any special dietary needs? (if none type None) *
How many dogs and what sizes? Any special dietary needs (if none type None)? *
How much pet food do you have on hand? How urgently do you need pet food? *
Photo of Pet needing Assistance
Submit a Picture for Each Pet Needing Assistance. Without pictures of pets being submitted your application will not be approved.
Due to high such high demand. Some requests could take between 7 and 21 days to respond.
Should be Empty: