Small Claims for ACT Pet Crisis Support

Small Claims for ACT Pet Crisis Support
If you have seen a pet owner who needs urgent assistance with treatment under the value of $250, please fill out the following form. Please check VetPay first before utilising our funds, as we are being inundated with requests for help.

Email the invoice to actpetcrisis@gmail.com, including your clinic's bank details and we will arrange a bank transfer within 14 days.
Person filling out form*

First NameLast Name
Vet clinic:*
Vet clinic email address*
Client's name:*

First NameLast Name
Client's email address*
Owner's phone number*
Pet's name:*
Pet's age and breed:*
Amount requested:*
Condition treated:*
Has the owner applied for VetPay?*
Is the pet owner receiving Centrelink payments, if so what type?*
Has the pet owner applied for help previously?*
Please upload a picture of the pet here for social media.

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