Emergency Vet Care Grant

Emergency grants of up to $625 for a sponsoring vet or $500 for a non-sponsoring vet paid directly to the provider will be available within the following limits for pets:

Owner must live in the Mon Valley.
An individual can only receive this grant once per calendar year.
The grant is for one of the reasons listed below:
- Accident by auto vehicle or physical harm by an individual or other animal.
- Emergency treatment due to accidental poisoning.
- Emergency treatment due to ingestion of a foreign substance or object.
- Emergency treatment for Lyme disease.
- Emergency treatment for excessive vomiting/diarrhea, difficulty breathing or refusal to eat.
- Emergency evaluation and treatment of a recently found abandoned dog or cat.
Grant can’t be used for ongoing medical needs such as medicine, chemotherapy, or other reoccurring treatments.

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Your application has been sent

Please submit the below application only if all of the above conditions are met. Updates regarding the status of your application will be sent via email. If you don’t respond to requests for additional information, your application will not be processed.

Name

Street Address

City

Zip Code

Phone Number

Email Address

Your Age

Total Annual Gross Household Income (wages, interest, investments, and other income sources before taxes)

Number of Individuals in Household

Vet’s Name

Vet’s Address

Vet’s Phone Number

Type of Pet

Pets Name

Please provide a description of the emergency incident and any other information relevant to your application that you want considered in the decision to approve or reject your application.

If reason for application is the treatment of a stray/abandoned animal, please describe the circumstances which the animal was found including the date, what you attend to do with the animal and the nature of the treatment required.

Do you authorize your vet to share information with the Mon Valley Paws representative regarding the nature of your appointment and resulting diagnosis?

Signature (Enter full legal name) – I verify all information entered on this form is correct

Date Signed (YYYY-MM-DD)