Stanislaus Pet Resource Center Questionnaire
The goal of the Stanislaus Pet Resource Center is to help local pet owners help keep their pets in their homes by working collaboratively with owners to find alternatives to surrender to shelters. Resources may include but are not limited to: financial or medical assistance, pet food and supplies, assistance with pet deposit or impound fees, and home repairs/upgrades to keep pets safely contained. Our ability to accept pet families into the program is based on a combination of factors and currently available resources.

Please complete the following form to apply for assistance.
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Name *
Street Address *
City, State, Zip *
Phone Number *
Income Eligibility
Are you an active member or veteran of the United States armed forces?
Clear selection
Where did you hear about the Resource Center *
What programs or services would help you keep your pet? Select all that apply.
Pet's name?
What is the breed or breed mix?
How long have you had your pet?
Clear selection
How old is it (best guess)?
Clear selection
Is your pet microchipped
Clear selection
Has your pet received any vaccinations with the past year?
Clear selection
If yes, do you have the current vaccination records?
Clear selection
Are you requesting euthanasia?
Clear selection
Click submit and you will see a message that your form has been submitted.
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