ACO Special Assistance Fund Online Application

CHS may utlize community veterinary partners to provide treatment for animal control pets when funding is available.
How did this pet come to you?(Required)

Does this pet already have an adopter lined up?(Required)
Is this pet up-to-date with vaccinations?(Required)
Has this pet ever shown aggression toward people or animals?(Required)

Medical Records & Pet Photos

Drop files here or
Max. file size: 256 MB.
    Drop files here or
    Max. file size: 256 MB.

      Sharing the good work of CT Humane Society is key to inspiring the community to support this program and make it available for pets in need. CT Humane Society may use photos of this pet(s) and their name(s) for this purpose. We will not use confidential legal guardian information, like your name without your consent.
      Will you allow CHS to use photos of you and /or this pet for promotional purposes?(Required)

      By signing, I attest that I have legal guardianship of the above pet and that the information provided on this application is true and accurate to the best of my knowledge.
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