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Spay/Neuter Assistance Program Application - Saukville

 

Please note:

Please send fees and proof of income to the campus you intend on visiting for the SNAP program.  

The Milwaukee Campus no longer accepts applications to the SNAP program.  Please check out our new Spay/Neuter Clinic in West Allis.

If you are applying to the Ozaukee Campus, please send documentation and payment to:

SNAP Application 
Wisconsin Humane Society: Ozaukee Campus
630 West Dekora St.
Saukville, WI 53080


*1.
Question - Required - Please select the campus you are applying to:

2. General Information:

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Name:

 

 

   

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City/State/ZIP:

 

    

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*3.
Question - Required - How did you hear about the Wisconsin Humane Society Spay/Neuter Assistance Program?
Please make at least 1 selection from the choices below.

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Household Income Verification

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Question - Not Required - Please check all that apply to your household. You will need to bring proof of qualification to your initial exam appointment.

 

OR

11.
Question - Not Required - If none of the above apply, you may qualify based on household income. Households with income at 70% or less of level qualify for SNAP services. Please check types of income and total monthly household income below. You will need to bring proof of qualification to your initial exam appointment.

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Please remember to mail a $10 non-refundable fee for each animal to the appropriate campus.

 

 

Animal Information

 

Animal 1

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Animal 2

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Animal 3

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(Maximum response 255 chars, approx. 5 rows of text)

 

After we review your application, we will contact you to confirm that you qualify for the program and to set an appointment. 

Please bring any medical records you have for your animal(s) to the first scheduled appointment for your animal.

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   Please leave this field empty