Pet Food Assistance

The Coffee County Humane Society’s (Tennessee) program of assistance for pet food is available to individuals and families with income of no more than 150% of the Federal Guidelines Poverty Level, which is about $45,000 per year for a family of four. Recipients are limited to recieve food every 6 months, as our supply is limited and reserved for emergencies. You must provide proof of assistance or income, such as a pay stub, bank statement, entitlement letter, or copy of an EBT card. All family income must be included. All information is kept confidential.

Coffee County Humane Society (Tennessee) Application for Pet Food

Have you recieved pet food from us within the past 6 months? *	NoYes
First Name *
Last Name *
Home Address *
City *
State *
County *
Zip Code *
Phone Number * Please provide accurate number. This is how we will contact you.
Number of Adults in Household *
Number of Children in Household * If no children in household, please put none or 0.
Total MONTHLY Household Income * Please include all sources of income you recieve in a month.
What public assistance do you receive? *
Proof of Income Please provide a photo of proof of income or assistance (pay stub, bank statement, entitlement letter, or copy of an EBT card). Take a photo, click "choose file" and select photo to upload.
List of all owned animals: *
Are all of your animals spayed/neutered? *	NoYes
Additional Comments If there is anything else you think we should know, you can comment here.