Angel Fund Grant Application

This fund is intended for low-income Lancaster County residents without resources to care for their pet’s injury or sudden illness. Low income is defined as less than $14,000 annually for one person and $30,000 for a family of four. It can be utilized for emergency care for an injury or sudden illness, provided there is a high chance of a successful outcome for the pet.

Please read the qualifying criteria below and be prepared with your documentation before completing this application.

To be eligible for an Angel Fund grant, each recipient must complete this application and meet the following qualifying criteria:

✅ Photo ID proof that you are a Lancaster County, SC, resident
✅ Pet owner must demonstrate financial hardship and have exhausted all other payment efforts.
✅ Proof of income - This can be a copy of a check stub, unemployment benefits, disability benefits, etc. The proof of income must be recent (within the last three months), and we CAN NOT use tax forms for this purpose.
✅ Proof of application for and rejection by CareCredit (www.CareCredit.com). Proof can be a copy of the rejection email or a written letter from CareCredit dated within the last 30 days.
✅ A copy of the veterinarian's written cost estimate and treatment plan must be provided. Pet must have a good prognosis (a high chance of successful outcome).
✅ Name, address, and telephone number for your treating veterinarian, if other than Faulkner Animal Hospital.
✅ The applicant must make and keep all scheduled appointments with the veterinary hospital.
✅ Pet owners must agree that if their pet is not spayed or neutered, LSPCA will cover that service when the veterinarian deems it appropriate.
✅ Individuals receiving an Angel Fund grant will be asked to contribute a co-pay (amount determined on a case-by-case basis) to the veterinarian at the time of service to be applied toward the pet's care.
✅ Individuals receiving an Angel Fund grant will be asked to complete ten service hours volunteering with LSPCA or the Lancaster County Animal Shelter to benefit homeless pets, if possible.

Angel Fund Important Information:
We cannot cover every situation or assist with every case. Any funds granted may not cover 100% of the amount needed.
The maximum lifetime grant is $1500 per household. This amount may be subject to change based on the needed medical care and the amount available in the fund.
Covered care is only for non-elective emergency medical or surgical procedures for sick or injured personal pets (cat or dog only). The LSPCA Angel Fund does not cover routine exams or dental care.
Breeders are not eligible for Angel Fund grants.
Those who meet the qualifications must sign the release below allowing LSPCA to use the case for advertising and fundraising efforts (the owner’s name will not be identified in success stories without permission).

I have read, understand and agree to the above requirements to apply for this grant. If you agree, type your name in the box below:*

I have read, understand and agree to the grant requirements stated above.

Is this request for an emergency/urgent situation or a long-term illness or injury?*

Urgent / EmergencyLong-term illness or old injury - STOP - The fund is intended for emergencies only.Other

Today's Date*

Date

This is my first time applying for an LSPCA Angel Fund grant*

YesNoOther

Applicant's Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I am a resident of Lancaster County, SC*

YesNo - STOP - The Angel Fund is open to Lancaster County residents only.

Applicant email address*

example@example.com

Applicant's Phone Number*

Please enter a valid phone number.

How many pets do you have?*

How many do you have and what kind of pets are they?.

Please provide a picture of your driver's license or other PHOTO ID showing your name and address.*

File types accepted - pdf, doc, docx, jpg, jpeg, png

Annual Household Income*

Low income is defined as less than $14,000 annually for one person and $30,000 for a family of four.

Estimate how much money you think you will need for treatment for this pet.*

I can pay this amount toward my pet's care:*

How much will you contribute?

I have applied for (check all that apply): As a requirement for this grant, applicants must apply for CareCredit (www.CareCredit.com) within the past 30 days.

CareCreditI have not applied for CareCredit in the last 30 daysOther

Was your application for CareCredit approved or denied*

CareCredit approvedCareCredit deniedI have not applied for CareCredit in the last 30 days.Other

Date of application for CareCredit

Please insert the CareCredit application ID or Key number

Provided to you by CareCredit when you applied

I certify that I have exhausted the following alternatives (check all that apply)*

My SavingsMy Credit CardsFamily and FriendsOther

If you have a screenshot, photo or pdf of the email you received from CareCredit proving you applied and were rejected, please upload it here.

File types accepted - pdf, doc, docx, jpg, jpeg, png

Proof of income. Photo or file must be dated within the past 3 months. Please upload a recent check stub, unemployment benefits, social security benefits, disability benefits or similar. DO NOT UPLOAD TAX FORMS.*

File types accepted - pdf, doc, docx, jpg, jpeg, png

Pet's Name Requiring Treatment*

Is this pet a cat or dog? This fund is only applicable for a cat or dog.*

CatDog

Pet's gender*

MaleFemale

My pet has been spayed or neutered*

YesNoOther

If my pet is not spayed or neutered, I agree to allow the veterinarian to perform spay/neuter surgery on my pet when appropriate.*

YesNo - STOP. You are not eligible to apply for this grant.My pet is already spayed or neuteredOther

My pet is current on all vaccines (if you have proof of vaccines, please upload below)*

YesNoOther

Pet's Age*

Pet's Breed*

Pet's Approx Weight*

Pet's Coloring or Markings*

Please describe you pet's illness or injury and include what you know about what happened to him/her and what steps you have taken to get help for him/her.*

Please be as detailed as possible as this information will be used in determining the outcome of your grant applicaion.

Date of injury or when did you first notice this illness or condition?*

Please attach a copy or photo of your proof of current rabies and other vaccinations, if any.

File types accepted - pdf, doc, docx, jpg, jpeg, png

Has this pet seen a vet for the condition you describe?*

YesNoOther

If your pet has seen a vet for this injury/illness, please tell us the veterinary hospital name*

Type NA if no veterinarian has seen this pet for this condition.

Veterinary Hospital Address*

Street address and city

Veterinary Hospital Phone Number*

Street address and city

Attending Veterinarian Name*

Does this pet have a regular veterinarian he/she sees routinely?*

YesNoOther

What veterinary hospital do you normally use for this pet?*

Hospital name and phone number

Please attach a copy or photo of the veterinarian's written treatment plan and cost estimate if you have one.

File types accepted - pdf, doc, docx, jpg, jpeg, png

While everything possible is done to award Angel Fund funding to all who request assistance, I acknowledge that I understand the fund is 100% donation-based, funds are limited and therefore all requests for funding cannot be covered. I further acknowledge that grant fund payments, if any, will be made directly to the veterinarian providing the services and will not be made to individuals. I agree to allow Lancaster SPCA to use my pet's name, photographs and details of his/her medical situation in advertising, website and social media. The owner's name will not be disclosed in advertising, website or social media with their permission. I further agree to and understand that angel fund grant recipients will be asked to perform up to 10 hours of volunteer service with Lancaster SPCA or the Lancaster County Animal Shelter*

Please add any comments or information that you would like us to consider while processing this application for grant funding.

Please include any photos of your pet that you would like to share.

File types accepted - pdf, doc, docx, jpg, jpeg, png

www.LancasterSPCA.net

LancSPCA2.SC@gmail.com

Lancaster SPCA of South Carolina

Angel Fund Grant Application

Please provide thorough and accurate information in the spaces below. Inaccurate or missing information will slow down the review process.

Income Verification

Pet's Information

Veterinarian Information

Please allow 1-2 business days for application processing. If the situation is urgent, we will make every effort to respond quickly.