Jameson Humane CAAP Grant Application

With the ultimate goal of keeping responsible pet families and their pets together, Jameson Humane administers grants to assist guardians and their pets with the following needs and expenses: food, needed emergency attention and care, behaviorist in cases where animal behavior warrants it, spay/neuter services and landlord required pet deposits.

As we value the family unit staying together, Jameson Humane believes these proactive and preventative measures go a long way. Tearing animals away from their families is painful for all involved, so we strive to keep pets together with their loving and responsible owners.

Due to the high demand for assistance coupled with the limited resources in our CAAP Grant Program, we request that applicants must apply for Care Credit beforehand (whether you are approved or denied), make an effort to pay part of the costs up front, make a payment plan with us to pay back all or part of the funds, and/or set up a volunteering schedule.

Date *

Are you currently at a veterinary hospital with your animal? *
Applicant First Name *
Applicant Last Name *

Home Phone Number *
Mobile Phone Number
Email Address *
How do you prefer to be contacted? *

Street Address *
State *
City *
Zip Code *

Pet Name * Please list the name of your pet needing care.
Pet Age * Please list the age of your pet needing care.
Pet Gender Please specify your pets gender (male/female)
Species *
Breed
Spayed/Neutered? *
Current on vaccinations? *
Do you have other pets? *
If applicable, please list the name, species, breed, gender (if spayed/neutered) of any other animals in your home: *

What type(s) of assistance do you need? * Please select all that apply
What is the nature of your emergency? *

Have you consulted with a veterinarian? (Yes/No) *
Did the vet provide you with an estimate? (Yes/No) *
If yes, please provide details including the name and contact information of the veterinarian you have consulted:

Have you applied for veterinary CareCredit? (Yes/No) *
* PROOF OF DENIAL MUST BE SHOWN BEFORE WE CAN PROCEED *
CareCredit link: https://www.carecredit.com/vetmed
Are you receiving any of the following? * Please select all that apply
I am able to help with: * Please select all that apply
I have the following skills or resources I can contribute - i.e. truck, tractor, trailer for hauling: *
How did you hear about our Community Animal Assistance Grant Program? *

While Jameson Humane may contribute to the financial support and cost of your companion animal's medical needs, Jameson Humane is not liable for the companion animal in any way, including but not limited to medical or veterinary complications or issues that may occur.

Additionally, I grant JAMESON HUMANE, its representatives, and employees the right to take photographs of me, my pet, and my property. I authorize JAMESON HUMANE its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that JAMESON HUMANE may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content

I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. *

Jameson Humane is a registered non-profit 501(c)(3) organization, #47-1230166