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Apply for Assistance from NH Pet Aid

By completing this application, you are expressing a need for urgent veterinary care for your cat or dog. At this time, NH Pet Aid can only serve residents of Strafford and Rockingham counties. If eligible, NHPA may be able to provide a one-time grant of up to $500. 

 

NHPA funds cases with a positive prognosis but does NOT fund routine care such as neutering/spaying, wellness visits, immunizations, flea/tick/heartworm medications, routine dental care and euthanasia. Please ask your veterinary practice about low-cost or free clinics.  

 

PLEASE NOTE:  Your application is incomplete without a treatment plan from your veterinarian and proof of financial hardship.  Submission of your application does not guarantee funding.  If your pet's life is in immediate danger, you and your veterinarian must decide how to proceed. We will make every attempt to come to a decision as soon as possible.

We can respond more quickly if you complete this application online.  However, if you are unable to do so, print out this page, fill it out and bring it (along with the required proof of need) to your veterinarian's office.  Ask the clinic to scan and email your application, ID and estimate to: nhpetaid@gmail.com. 

To print the application form, click the button in the top left corner of this page.

 

PLEASE NOTE: You MUST fill in all fields with an asterisk * or you will not be able to submit your application.

Have you ever received a grant from NH Pet Aid?
Do you currently receive Federal, State or Local Assistance? (Check all that apply.) Please note that we may ask for proof of financial need.

About the Pet Owner

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Are you, the applicant, 18 or older?

About Your Pet

Is your pet a cat or dog
Is your pet male or female?
Do you own your pet?
Has your pet had any kind of medical intervention for ths incident, other than an exam and comfort care?
Have you received an estimate for veterinary services? An estimate/treatment plan MUST BE INCLUDED with this application
How did you hear about us?

Agreement

By submitting this application, I affirm that I have read and understand the grant requirements, that it has been accurately completed in good faith, and that incomplete applications and/or the submission of false information may result in my application being denied.  I understand my submission of application does not guarantee an award of a NH Pet Aid grant. If funded, I give permission to NH Pet Aid to use photographs and/or videos of my pet and/or me for promotional and fundraising purposes.

Required Documents

Upload your photo ID
Upload vet's treatment plan
Upload document file

If you have uploaded a document file, you can disregard the next three fields.

Upload photo of Page 1
Upload photo of Page 2
Upload photo of Page 3

We are so sorry to hear that your pet is in need of urgent medical care. We have received your application and are in the process of reviewing it. One of our volunteers will be back in touch with a funding decision as soon as possible. - NH Pet Aid

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