RSPCA Lincolnshire Mid, North East & Lincoln - Animal Welfare Form
As a branch, we know how much it costs to look after a beloved pet and how worrying vet bills can be – particularly when they arise from emergency surgery or unexpected illnesses. We also understand how important it is for cats to be spayed or neutered, to ensure unwanted litters are prevented.

Here at RSPCA Lincolnshire Mid, North East and Lincoln, we have a small budget for a one-off welfare voucher for those most in need of our help.

These £50 vouchers are paid direct to the veterinary practice following a short application process. Please note, you will not receive a response if your request is unsuccessful.

If you are in need of assistance by way of a welfare voucher, please complete the form below:

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Full name  *
Email *
What is your full address? (Please note we cannot accept only a post code) *
Contact number  *
Please confirm your marital status: *
Your Pet’s Name: *
Species: *
Your Pet’s Breed: *
Your Pet's age: *
Your Pet’s Gender: *
Do you have any other pets? *
If 'YES' please advise details of your other pet(s)
Please confirm your employment status: *
Please confirm your net monthly household income (including benefits) *
Are you in receipt of benefits? *
If 'YES' please state which benefits you receive:
Do you hold pet insurance: *
If 'NO' please explain why you do not have any pet insurance
Is your pet registered to a vet? (to be able to send an voucher you do need to be registered with a vet) *
If 'YES' please provide full details of your veterinary practice
If 'NO' please provide full details of the veterinary practice who will be completing the procedure/treatment:
What you require financial assistance for (please provide detail): *
Please provide estimated cost of procedure: (if you have an estimate from your vets please send to office@rspca-lincoln.org.uk) *
Date form completed: *
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