• Zach's Second Chance - Request for Assistance

    Fill out form for assistance
  • Housing type*
  • Format: (000) 000-0000.
  • Are you over 18?*
  • Age Group*
  • Are you currently employed*
  • Type of Assistance*
  • Please attach any documents such as medical bills, TNVR costs or photo's below.

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  • Do you give permission for Zach's Second Chance to use your story in our social medial posts and any publications. We will only use your first name, town, pets name, photo and situation.*
  • By signing below, I acknowledge that the evaluation of the above questions may determine my eligibility to become a recipient of Zach’s Second Chance, Inc. 

    If I/we are granted assistance, Zach’s Second Chance, Inc. will pay the provider directly or by reimbursement with proof of payment.  Proof of payment can be attached or sent by email to Zachssecondchance@gmail.com. 

    If additional information is required, please contact us at 856-244-1016.  

    To help as many animals, families and organizations as possible throughout the calendar year (January–December), Zach’s Second Chance thoughtfully and thoroughly reviews each request with discretion. Please note that assistance is not guaranteed, and every application is carefully considered.

    If you have already received assistance during the current calendar year, your request will still be considered for eligibility. If your request cannot be approved, you are welcome to apply again in six (6) months from the original date.

    Zach’s Second Chance is unable to support all applications and unable to assist with pets requiring 24 hour or emergency assistance.  

    Please allow up to 72 hours for a response.

     

  • Zach's Second Chance, Inc. is a registered 501(c)3 nonprofit Tax ID# 41-2605150

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