Apply for a Wheelchair Donation

Dog in Walkin' Wheels Wheelchair

This form is for wheelchair donation requests only. No financial assistance request will be considered. Please follow this link to address such needs: www.handicappedpets.com/pet-services/financial-aid-for-pets.

An application must be completed to be considered. Requesters must provide a picture of the pet in need and show financial need.  Incomplete requests will not be considered.

Requests are reviewed once a month. You will be contacted at the end of the month whether  your request has been accepted or denied. (*) means this is a mandatory field.

Your Information
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Your Pet Information
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Only .jpg, .jpeg, .png, .gif, .bmp, and .tiff files allowed. Max file size of 50mb.
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Pet Health Information
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Please ensure any scan or image is in a high quality and legible resolution.
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In order to make sure that our assistance goes to the families who need it the most, we ask that you show us that you are already receiving assistance/support from state or local government assistance programs. Proof of financial hardship involves a document with the pet owners name and address on it, that shows you are getting state aid or assistance. Among such programs include disability, welfare, food stamps, section 8 housing assistance, TANF, SSI, unemployment, and more. Please upload a scan or photograph the document or mail a copy to our address (copies will not be returned).

Applications are reviewed once a month; all applicants will be promptly notified by email whether they have been denied or awarded a wheelchair grant.

NOTE:

  • Wheelchair grants will be held for 7 days from the date of the award email; if not ordered during that time the grant will be awarded to another applicant.
  • We do not hold request from month to month
  • Shipping to recipients outside of the USA/North America will be the responsibility of the recipient.

Applications are reviewed 3-4 times a month; all applicants are promptly notified by email whether they have been denied or awarded a wheelchair grant.

Wheelchair grants will be held for 7 days; if not ordered during that time the grant will be awarded to another applicant.

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