ACT Pet Crisis Fund Application
Date of Application
Email address/contact email address for treating vet clinic
Email Address of Client
What is the financial situation of the pet owner?
Signalment for pet (breed, age, sex)
How much do you want the fund to contribute?
Condition needing treatment and expected outcome of treatment
Please post a quick summary of the situation that we can post on social media (details about what the pet means to the owner and what it will mean to them if we help are particularly social-media friendly!).
Has the owner applied for VetPay?
Yes, but they were declined or VetPay can't cover the entire amount
No (please do this first!)
Is the owner happy to have their story shared on social media and have they signed the social media release form?
Picture and name of pet only
Happy to have their picture and first name used, as well as their pet's name
Please email a picture of the pet/client and pet to email@example.com or send via text to 0430926060. Cute pictures of pets, particularly with people (perhaps in the arms of a nurse if the owner is not keen to have their photo on Facebook) help us to fundraise so we can help more pets.
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