RedRover Relief

Urgent Care grant application

This form can time out. If that happens the submit button will not work. You will need to refresh the page and reapply, but that will clear the application. You may want to copy the longer answers to another document (Word, Notepad, etc.) before refreshing so that you have those answers to paste into the new application.

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Our business hours are 8:30 - 4:30 Pacific time, Monday - Friday. Applications submitted outside of these hours will be reviewed by our case managers as soon as possible the next business day. We review applications in the order they are received, and a reply can take 1-2 business days. Calls from RedRover will be from a 916 area code.

If an animal is in need of immediate care, where any delay will put the animal at risk, it is the owner’s responsibility and duty to seek care for the animal immediately. There is no guarantee that the RedRover Relief Urgent Care program will be able to provide financial assistance.

* Please note that n/a is not an acceptable answer to any question in this application

Please note that starting Tuesday, December 17, the RedRover Relief Urgent Care program will be temporarily closing to new applications for the remainder of 2024. We will reopen and begin accepting new applications in mid-January 2025.

"*" indicates required fields

About the Pet Owner

Name*

First Last

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Daytime Phone Number*

Please start with the area code, do not add "1" at the beginning of the phone number.

Additional Phone Number

Please start with the area code, do not add "1" at the beginning of the phone number.

Email Address*

Is the person submitting this application 18 or older?*

Yes

Please note that the applicant must be 18 years of age or older. Minors may submit an application on behalf of an adult as long as the applicant's name is the adult's. The minor may include themselves as an alternate contact.

Is there an alternate contact for this case?*

Yes

Alternate Name

First Last

Alternate Address

Street Address Address Line 2 City State ZIP Code

Alternate Phone Number

Please start with the area code, do not add "1" at the beginning of the phone number.

Alternate Email Address

What is the relationship to the pet owner?

Have you ever received a RedRover Relief or LifeLine Grant?*

Yes

When?*

Are you applying again after a previous grant request was denied?*

Yes

How many adults are in your household?*

How many children (under 18) are in your household?*

What is the annual household income?*

If your yearly household income exceeds $60,000, unfortunately, you do not qualify for a RedRover Relief grant. Please be sure to visit www.RedRover.org/help to view our list of other financial assistance programs that may be able to help.

We understand that veterinary care is expensive. Please share information about your specific circumstances and why this care is difficult to afford.)*

Which of the following apply for you?*

Unemployed/Underemployed

Disabled

65 or over

Military veteran/Active military/Military spouse

None

(Please check all that apply.)

How did you hear about us?

Local Shelter/Humane Society

Veterinarian

Internet Search

RedRover Volunteer

Other

Other: Please Specify

RedRover is committed to Diversity, Equity, Inclusion, and Belonging. To help us ensure that our application process is accessible to as many people as possible, we invite you to answer these optional questions.

The information collected will be anonymous and will NOT impact whether or not we can help. Our case managers will not see this information with your application.