Pet Care Assistance Application

group-of-dogs-and-cats 2The Windham County Humane Society’s Pet Care Assistance Program is designed to help Windham County residents who are struggling to provide adequate care for their companion animals. It is our goal to keep pets in their homes whenever possible.

The WCHS Pet Care Assistance Program includes:

Pet Food Assistance: Thanks to the generous support of our community, bags of dry dog and cat food are available to supplement what food you are able to provide on your own. Occasionally, we may have other types of pet food or cat litter. Our supply changes from month to month, based on the donations we receive. We recommend calling ahead to ensure we have what you need, before you make the trip.

Basic Veterinary Medicines: Flea / tick treatments, and dewormers are available on a sliding scale based on need.

Vaccination clinics: Held once a month, on a Friday. Rabies, distemper, and other vaccinations available. Please check our website for the next clinic date, or ask a staff member.

To qualify for the WCHS Pet Care Assistance Program, one must:

  • provide proof of Windham County residency
  • provide proof of limited or fixed income (SSI / Disability / pay stub)
  • agree to work with WCHS to have all family pets spayed or neutered
  • agree not to acquire any more pets while receiving assistance
  • agree to inform WCHS if financial status changes such that assistance is no longer needed

Once approved, participants are invited to visit WCHS once per month during normal business hours to pick up food and/or other supplies for their pets. Our hours are:

● Wed – Sun 12:00 – 5:00pm

● Mon & Tues Closed to the public, no pet assistance on these days.

Please feel free to call (802) 254-2232 or email info.wchs@gmail.com with any questions or concerns you may have. Thank you for your interest in the WCHS Pet Care Assistance Program!


To apply for Pet Care Assistance, please complete and submit the form below.  You will also need to supply us with

  • A signed application
  • Proof of Windham County residency (copy of driver’s license, passport, item of mail, etc.)
  • Proof of low income (Social Security / Disability benefits form, pay stub)
  • Completed spay/neuter application for any unaltered pets in home

Personal Information

 

Pet Information

  • Tell us about each of your pets. If you have more than three pets, please email us details about the additional pets that do not fit on this form.
  • Pet One

  • Pet Two

  • Pet Three

 

Terms

  • With my signature, I certify that the information I have given is true. I understand pet care assistance is being provided to my pets, based on the information above. I understand in order to receive pet care assistance the following conditions must be met:

    • I am a resident of Windham County, Vermont
    • I will work with WCHS to have all my pets spayed or neutered
    • I will not acquire any more pets while I am receiving pet care assistance
    • I will inform WCHS if my financial status changes such that I no longer require assistance

    Along with this application, I will supply WCHS the following (please note, if these items are not included, you will not qualify for this program):

    • Signed copy of Pet Care Assistance Terms
    • Proof of Windham County residency (copy of driver’s license, passport, item of mail, etc.)
    • Proof of low income (Social Security / Disability benefits form, pay stub)
    • Completed spay/neuter application for any unaltered pets in home
 

Verification