PAWS Services Application Form

In order to qualify for funding, you must reside in one of the four counties we currently service: Middlesex, Brant, Hamilton, Waterloo

1. Application Details

I am a/an:

2. Animal Details

Animal Species

3. Reason for Applying

I need help with:

4. Qualification Criteria

If you are a member of the general public, please answer the below:
Are you receiving government income assistance (e.g. GIS, ODSP, CPP, etc.)?
Members of the public must attach proof of income or proof of their enrollment in a government program to their application form before their application can be processed.
If you reside in a residential facility, please answer the below:
For all other individual applicants:
If you represent a community agency or rescue group, please answer the below:

5. Veterinary Details

Veterinarian-recommended procedures required for the health of the animal (check all that apply):
Please check the box below to confirm that you have given your consent to the following: