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Community Assistance Spay/Neuter Application

Please fill out one form per animal.
My pet is a...*
Pet Owner's Name*
Mailing Address. This is where the coupon will be mailed to. Enter N/A if unsheltered.*
Do you want free microchipping for your pet?*
Please check any free vaccinations you are interested in having your pet receive:*
Sex of Pet:*
Hair Type:*
Max. file size: 64 MB.
for proof of residency in Chaffee County
Max. file size: 64 MB.
May include a letter of referral stating the pet owner's low-income/unsheltered status from a referring agency OR a referring agency staff member fills out the application on behalf of the pet owner. Referring agency examples: Law enforcement, a human services agency such as Chaffee County Hospitality, the Department of Human Services, Solvista, any church, The Mission, The Grainery, the Caring & Sharing Resource Center, etc. Pet owners may also provide proof of enrollment in CO assistance programs such as SNAP, Health First Colorado/Medicaid, Social Security Disability, etc.
Max. file size: 64 MB.
Our program has limited grant funding and any amount you can provide will allow this program to help more animals.
After submitting the application please keep an eye on your email for further instructions. You'll receive a follow up email soon.