In an effort to encourage responsible pet ownership and decrease the numbers of homeless animals the Webster County Humane Society will assist low income households with the costs to have their pets spayed or neutered. To qualify for the program you must provide proof of income that meets these guidelines:

Number in Household (people)                                             Monthly Income (maximum)

                1                                                                                           $960.00

                2                                                                                         $1294.00

                3                                                                                         $1628.00

                4                                                                                         $1961.00

                5                                                                                         $2295.00

If your income falls within these guidelines and you need assistance to have your pet spayed or neutered please provide the following information.

Name:__________________________ Phone:_______________________

Address:______________________________________________________

Number of people in household_____ Total Household Income:___________

Pet Information

Name:__________________________________     Dog       Cat    (circle one)

Age:__________ Weight:________________     Male     Female   (circle one)

Breed and/or color:_____________________________________________

Current on shots? Yes No (circle one)

If female, has pet given birth before?________

If yes, date of last litter___________________

Please mail this form along with proof of income to: