Helping Paw Fund Application
Before completing the application, please review the guidelines at http://carecentercu.org/wp-content/uploads/2016/10/CARE-Center-Helping-Paw-Fund-Application.pdf. At this time, we can only provide support to individuals and families living in East Central Illinois.
As an all volunteer organization, please know that review of your application might take up to a week. If your request is to help your pet with a life threatening emergency, please also call us at (217) 417-3160. We will try to review within 24 hours, but urge you to seek medical care in the meantime if you are concerned your pet is experiencing a life threatening emergency. NOTE: APPROVAL IS REQUIRED BEFORE SERVICES ARE PROVIDED.
Email address *
First Name *
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Last Name *
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Street Address *
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City *
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State *
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Zip Code *
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Phone Number *
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Alternate Phone Number
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E-mail Address *
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Number of Adults in Household *
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Number of Children in Household *
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Number of Cats in Household *
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Number of Dogs in Household *
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Number of Cats/Dogs in Household that are Spayed/Neutered *
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Number of Cats/Dogs in Household that are Vaccinated *
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How did you hear about the CARE Center's Helping Paw Fund? *
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