Dog Spay/Neuter Voucher Application Form

Online Dog Voucher Application Form

Do I Qualify?

Check this box if you live in Centre County

To qualify for a dog voucher from PAWS, you must be a Centre County resident.

Dog voucher applicants must have a date for a spay/neuter with a participating veterinarian before they will be approved for a voucher.

Vet Practice:

Appointment Date:

Must be at least 2 days after today

First Name:

Last Name:

Street:

City:

State:

Zip Code:

Phone:

Email:

Please Confirm Your Email:

Do you have a printer and would you like to receive the voucher via email?

Yes

No

Would you like to receive the free PAWS monthly email newsletter?

Yes

No

Dog's Sex:

Male

Female

Dog's Name:

Dog's Age:

Dog's Breed:

Dog's Color:

Dog's Weight (pounds):

Was the dog adopted from a rescue or shelter? If yes, please select from the list or enter the rescue's name in the box below. Select from list:

OR

Enter Rescue Name:

PLEASE HELP PAWS BY RESERVING SNAP FUNDS FOR INDIVIDUALS TRULY IN NEED OF FINANCIAL ASSISTANCE.

You may download the mail-in voucher application form.