CAAP Veterinary Assistance Application

With the ultimate goal of keeping responsible pet families and their pets together, Jameson Humane offers various forms of assistance.

Complete this application for financial assistance to have your pet seen by a veterinary doctor. Our grants provide a maximum of up to $100 towards your future veterinary expenses (limit one per household, per 12 calendar months). We cannot reimburse you for previous vet visits. Grants are paid directly to the veterinary office of your choosing.

Due to the high demand for assistance coupled with the limited resources in our CAAP Grant Program, we require applicants show proof that they are either on Food Stamps or have been denied CareCredit (this can also include if applicants have been fully maxed out). To apply for CareCredit visit https://www.carecredit.com/vetmed/ and make an effort to pay costs up front. All applications will be reviewed and responded to via email within 24-48 business hours. Please ensure a valid and correct email address is provided.


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

Phone Number *
Email Address *
Housing (please select one) *

Street Address (or location of residence) *
State *
Zip Code *
City *

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 (please select one) *
Breed
Spayed/Neutered? (please select yes or no) *
Current on vaccinations? (please select yes or no) *

Please describe your need. *

Please upload an image (screenshot, photo etc.) of your CareCredit denial confirmation/proof that your account balance is maxed out or proof that you are on Food Stamps: * We require applicants to show either proof they are on Food Stamps or CareCredit Denial. Please apply for CareCredit and make an effort to pay costs up front. If a CareCredit account exits and has been fully maxed out, proof showing the full credit has been used is required.

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

By typing my name, I certify that I have read the foregoing and 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