Become a Member
Ways to Help
Craig Animal Shelter
Gino's Fundraiser Saturday 9-2-23
the Humane Society of Moffat County
"Helping the pets of Moffat County since 2002"
Application for Assistance
Your Spouse's Employer (Name and Address)
Your Spouse's Length of Employment
List any Government Assistance
By checking this box, I certify that the above information is true. I understand any pet care assistance I may receive will be provided to my pets based on the information above. I understand in order to receive pet care assistance I must be a resident of Moffat County.
If request is for medical assistance, how much can you afford to contribute at this time?
Type of assistance requested and reason (please explain)
If the veterinarian is willing to offer a payment plan, will you take advantage of this option?
If no, why?
Number of dependents (including self/spouse)
Home Mailing Address
Thank you for contacting us! You will hear back within 48 hours.
Spouse's Name (if applicable)
Home Physical Address
Total household income
Your Employer (Name and Address)
Your Length of Employment
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