Emergency Vet Care Application

Guidelines, Instructions, and Requirements*
- I have read and understand the guidelines, instructions and requirements outlined for applying for financial aid for my pet. I understand that while OC Animal Allies endeavors to respond to everyone, due to the overwhelming amount of applications submitted, I may not hear back at all, and that it is my responsibility and obligation to seek treatment for my pet. I agree to provide honest and factual information for consideration of aid for my pet.
Verification of applicant's age.*
- I certify that I am 18 years of age or older and agree to provide evidence of age upon request.
Applications falsely submitted by minors will automatically be denied. OC Animal Allies reserves the right to verify age and ask for proof of identification.
Human Check

Your Name*
First Last
Physical residence address (PO Box or Mailbox housing will be denied)*
Street Address Address Line 2 City State ZIP Code
Mailing Address*
Same as physical address.
Street Address Address Line 2 City State ZIP Code
Please provide the address where your mail is delivered (if different from above).
Phone*
Alternate Phone
Alternate phone (work, spouse cell, etc.)
Email*
Please provide a valid email where we may reach you.
Enter Email Confirm Email
Are you 62 years of age or older?*
- Yes
- No
- Prefer not to answer
Are you a current or former member of the Military?*
- Yes
- No
Thank you for your service. What branch of service and when did you serve?*

Have you received assistance from OC Animal Allies (formerly the Orange County SPCA) in the past?*
- Yes
- No
How many pets are in your household?*
How many UNspayed/UNneutered pets are in your household?*
REQUIRED STEP: Have you applied for a Care Credit? If so were you approved or denied?*
Applying for Care Credit is a requirement to be considered for financial aid from the Orange County Animal Allies. Applicants who do not apply for credit assistance will not be eligible for a financial pledge. Please apply at www.carecredit.com. Please make sure to record your denial code if you are denied.
- Approved
- Denied
- I did not apply for a Care Credit
CARE CREDIT REQURIEMENT
You will need to apply for Care Credit before your application can be processed. Care Credit is used to help determine your eligibility. Remember that if you do qualify for our financial assistance, you will still need additional sources of funds to care for your pet.
I understand that Care Credit is a Requirement.
If you were approved, how much has Care Credit approved you for? If denied, please include denial code.*
What other organizations have you asked for assistance?*
How much have other groups offered to pledge?*
Have you contacted family, friends, credit card companies, etc. to ask for help?*
Have you discussed a payment plan with the veterinarian?*
- Yes
- No
What is the estimated total cost of treatment for your pet? (Please ask the vet for a quote.)*
How much of this estimated cost can you afford to pay?*
Please upload a legible copy of your estimate, invoice or treatment plan(s), including costs.
Drop files here or
Max. file size: 5 MB, Max. files: 6.
PLEASE EXPLAIN YOUR FINANCIAL HARDSHIP. Why are you currently unable to pay for your pet's veterinary care?*

OC Animal Allies REQUIRES that your pet be be spayed or neutered as a condition of you receiving financial assistance for your animal. Spaying and neutering will make your pet healthier and may dramatically extend its life, as well as help reduce pet overpopulation and reduce health risks associated with not being altered. Be part of the solution. If the veterinarian determines your pet to be healthy enough at the time of treatment or after it has recovered, you MUST authorize your pet to be fixed.*
- Yes, I authorize my pet to by spayed or neutered. I understand that OC Animal Allies will work with me to make arrangements and assist in the costs associated with the procedure.
OC Animal Allies is a local non-profit organization, and is not connected with or funded by the ASPCA or any other national or government funding. All funding comes strictly from public donations. It is strongly encouraged that when your situation improves that you work toward making donations back to the organization to enable us to continue funding care for animals such as yours. Are you willing to take the pledge toward making donations back to help other animals in need?*
- Yes
- No
How did you hear about us?
Agree to provide follow up story ?*
OC Animal Allies survives on public donations. We love to share with our donors and supporters the real stories of the animals we are so proud to be able to help. If you are approved for financial aid, OC Animal Allies does ask that you provide a follow up testimonial and some photos to help us tell our story of success in helping animals. Your cooperation is greatly appreciated.
- I agree to provide a follow up story and photos in appreciation for the support I receive for my animal.
- I do NOT agree to provide any information or photos regarding the outcome of my animals care.
Please upload images of your pet here.
Drop files here or
Max. file size: 5 MB, Max. files: 6.
Terms*
- I (we) declare under penalty of perjury that the information provided above is true and correct to the best of my knowledge and I (we) give OC Animal Allies permission to verify any information provided. OC Animal Allies reserves the right to request additional information to verify residency and income qualifications and to deny applications who provide false or misleading information. I (we) further understand that in order to receive financial assistance, that I (we) must meet the conditions outlined in and required. I (we) assume full and complete responsibility for the health and care of my animal and understand that OC Animal Allies will not be held responsible for should my pet not recover from illness/injury.
Comments
This field is for validation purposes and should be left unchanged.

Emergency Vet Care Application

OC Animal Allies may provide financial assistance to low-income Orange County pet owners, such as the elderly and disabled whose pets need emergency veterinary care.

Step 1 of 6 - Agreement

Information about your Pet in need of care

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