• Community Programs and Pet Assistance Request

    Community Programs and Pet Assistance Request

    If you are from Allegheny County and/or the greater Pittsburgh, PA area, please complete this form so we can explore ways to assist you. We look forward to connecting with you! If you don’t see a response from us, please check your spam or junk folder, as our emails can occasionally end up there.
  • Format: (000) 000-0000.
  • Is this a cell phone or a home phone?*
  • Do you have a permanent address?*
  • Are you a Veteran or current Service Member?*
  • What Pet Retention Service or Community Support Program can we best assist you with?*
  • Are you able to consistently arrange transportation to pick up your pet food?*
  • Please select the primary reason you are seeking (or requesting) pet food assistance.*
  • Are you in need of assistance with any of the following human social services? Please select all that apply.*
  • Are you a colony caretaker?*
  • What type of veterinary care assistance are you in need of?*
  • What type of community cat care resources are you in need of?*

  • Pet(s) Information

    We want to hear all about your furry family members.
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  • Is this pet microchipped?*
  • Is this pet housebroken?*
  • Tell us what temperament / personality best describes your pet? Check all that apply.*
  • Are they good with dogs?*
  • Are they good with cats?*
  • Are they good with kids?*
  • Has your pet bitten anyone in the last 10 days that required medical attention on the human?*
  • Is your pet fearful/reactive to new/unfamiliar humans?*
  • 0/500
  • Do you have a second pet that you are requesting assistance for? *

  • Second Pet's Information

    Share the details of your second pet with us.
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  • Is this pet microchipped?*
  • Is this pet housebroken?*
  • Tell us what temperament / personality best describes your pet? Check all that apply.*
  • Are they good with dogs?*
  • Are they good with cats?*
  • Are they good with kids?*
  • Has your pet bitten anyone in the last 10 days that required medical attention on the human?*
  • Is your pet fearful/reactive to new/unfamiliar humans?*
  • 0/500
  • Do you have a third pet that you are requesting assistance for?*

  • Third Pet's Information

    Share the details of your third pet with us.
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  • Is this pet microchipped?*
  • Is this pet housebroken?*
  • Tell us what temperament / personality best describes your pet? Check all that apply.*
  • Are they good with dogs?*
  • Are they good with cats?*
  • Are they good with kids?*
  • Has your pet bitten anyone in the last 10 days that required medical attention on the human?*
  • Is your pet fearful/reactive to new/unfamiliar humans?*
  • 0/500
  • Do you have a fourth pet that you are requesting assistance for?*

  • Fourth Pet's Information

    Share the details of your fourth pet with us.
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  • Is this pet microchipped?*
  • Is this pet housebroken?*
  • Tell us what temperament / personality best describes your pet? Check all that apply.*
  • Are they good with dogs?*
  • Are they good with cats?*
  • Are they good with kids?*
  • Has your pet bitten anyone in the last 10 days that required medical attention on the human?*
  • Is your pet fearful/reactive to new/unfamiliar humans?*
  • 0/500
  • Do you have a fifth pet that you are requesting assistance for?*

  • Fifth Pet's Information

    Share the details of your fifth pet with us.
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  • Browse Files
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  • Is this pet microchipped?*
  • Is this pet housebroken?*
  • Tell us what temperament / personality best describes your pet? Check all that apply.*
  • Are they good with dogs?*
  • Are they good with cats?*
  • Are they good with kids?*
  • Has your pet bitten anyone in the last 10 days that required medical attention on the human?*
  • Is your pet fearful/reactive to new/unfamiliar humans?*
  • 0/500

  • Additional Information

    Demographic questions assist us with applying for grants to continue providing pet assistance support for the community. Please take a few minutes to complete the information. The information that you provided DOES NOT disqualify you for assistance.
  • Would you like to add a spouse/partner/relative to your case?*
  • Do you have a disability that could potentially limit your ability to access our programs and services?*

  • Pet Pantry Participation Agreement

  • To be considered for assistance, you are stating that you agree with all of the following statements by initialing next to each statement. Please check next to each line to acknowledge your qualification.*

  • Acknowledgement

    By submitting this form, you acknowledge that all / any information provided is true and correct.
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