Veterinary Assistance & Safety Net Application

Veterinary Assistance & Safety Net Application
Cat Depot offers a variety of safety net programs for cat owners in the community with limited resources or who have fallen on hard times.

Cat Depot's Safety Net program provides resources to support healthy relationships between cats and people and to prevent relinquishment when possible.

The services offered include discounted veterinary care, free pet food and supplies, short-term foster care, pet deposit assistance, and transportation.

While Cat Depot is committed to offering support whenever possible, please be aware that availability of some services may depend upon our current resources and may be offered on a case-by-case basis.

Upon completion, a Cat Depot Safety Net representative will be in touch to discuss how we can best support you and your cat(s).
Name*

First NameLast Name
Please provide details about the cat(s) that you are seeking assistance for, including name, breed (if known), age, and any pertinent information regarding their health and behavior.*

Please complete the following if you indicated you are in need of pet food and supplies. If you do not require assistance with pet food and supplies, please click "next" below.
Are the cats you are seeking assistance for personal pets or community/colony cats?

Personal Pet(s)Community / Colony Cat(s)Both
Are you able to pick up these supplies from Cat Depot?

Yes, I can pick up the food and/or supplies.Maybe, I have someone who could pick up food and/or supplies for me.No, I will have difficulty picking up food and/or supplies.

Please complete the following if you indicated you are in need of veterinary care assistance. If you do not require veterinary care assistance, please click "next" below.
If you indicated your pet is in need of veterinary support, please indicate why. Please select all that apply.

Routine Wellness Care Including VaccinationsUrgent / Emergency CareSpay or Neuter SurgeryChronic IllnessPet Medications / Special DietsOther
If you selected "Other" above, please explain so we can best support you.
Are you considering giving up your pet due to their medical condition?

YesNo

Please complete the following if you indicated you are in need of behavioral support. If you do not require behavioral support, please click "next" below.
If you indicated you are in need of behavioral support, please indicate why. Please select all that apply.

Aggression Towards PeopleAggression Towards Other AnimalsFear / AnxietyScratching FurnitureHouse Soiling (House Training, Litter Box Issues)Other
If you selected "Other" above, please explain so we can best support you.

Please complete the following if you indicated you are in need of assistance with a pet rental deposit. If you do not require assistance with a pet rental deposit, please click "next" below.
Are you considering giving up your pet(s) due to the financial impact of a pet rental deposit?

YesNo
Please explain your circumstances so we can best support you.

Please complete the following if you indicated you are in need of assistance with temporary, short-term foster care. If you do not require temporary, short-term foster care, please click "next" below.
Please include the dates needed for temporary, short-term foster care.
Date From

MonthDayYear
Date
Date To

MonthDayYear
Date
Please explain your circumstances so we can best support you.

Please complete the following if you indicated you are in need of other assistance. If you do not require other assistance, please click "next" below.
If you indicated you require 'Other Assistance', please describe the type of support you are in need of and explain your circumstances:

Please take a moment to read the following.

Documentation

Some programs, including our community food bank and veterinary assistance discount SHARE program require proof of income or government assistance in order to qualify. You may be contacted to provide copies of these documents* or you may upload them below. All documents are confidential and no copies of your financial information will kept by Cat Depot.

If you are not currently receiving government assistance, we may still be able to help with discounted veterinary care for low-income households or with alternative payment arrangements. Please speak to a Cat Depot Safety Net representative for assistance with qualifying.

Please be aware that Cat Depot is accepting a limited number of new veterinary clinic patients due to high demand for services. While Cat Depot is committed to providing support whenever possible, resources are currently available on a case-by-case basis, and we may not be able to provide veterinary care to your pet at this time.

*You will need to provide photo identification and proof of income and/or need verified with current enrollment documents/statement from one or more of the following programs: Medicaid, SSI, TANF, SNAP or WIC, EITC, Housing Assistant, Social Security Benefits or Disability, or Unemployment. Documents must be dated within the last twelve months.
I understand the above and will provide necessary documentation and clarification as needed.*

YesNo
File Upload

Cancelof

Please take a moment to read the following.

Permission to Use Images

Cat Depot programs are supported through the generosity of our community, and Cat Depot may share photographs/videos of you and/or your pet(s) along with a dsecription of the care they receive. Because your privacy is important to us, please let us know if you have any concerns prior to submitting this agreement. It is important to us that this permission to use photos is not a barrier to you/your pet accessing care. Cat Depot will not release images of clients or pets receiving support for protective custody. By submitting this form, I grant Cat Depot, its assignees, licensees, and legal representatives the right to use my and/or my pet(s) images in all forms of media.
Select a Choice*

I agreeI do not agree
We want to hear from you! Stay in touch with us to share your feedback and get updates about future services for your pet.*

I agree to receive updates about services.I do not agree to receive updates about services.

All done!

After verifying the information you have entered, please click "Submit" below.

Thank you for inquiring about Cat Depot's Safety Net services. A member of our team will be in touch with you shortly.
Should be Empty: