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ACAP
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Apply for Assistance


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    PLEASE ANSWER ALL QUESTIONS COMPLETELY. QUESTIONS WITH A RED ASTERISK (*) ARE REQUIRED. LEAVING OUT REQUIRED INFORMATION WILL DELAY APPROVAL OF YOUR APPLICATION. CLICK SUBMIT AT THE BOTTOM ONCE COMPLETED.​


    ACAP IS DESIGNED TO HELP PET OWNERS WITH BASIC, PREVENTATIVE AND INTERVENTIONAL VETERINARY NEEDS ONLY. PLEASE NOTE THAT WE CANNOT RESPOND IMMEDIATELY, THEREFORE EMERGENCIES OFTEN CANNOT BE ADDRESSED. DUE TO OUR LIMITED FUNDS, ACAP CANNOT HELP WITH THE ​COST OF SPECIALTY OR
    ​ALTERNATIVE CLINICS AND THERAPIES, NOR CAN WE HELP WITH PETS OTHER THAN CATS AND DOGS.


    PLEASE NOTE THAT WE SERVE CENTRAL, SW & OTHER RURAL PARTS OF VIRGINIA ONLY.

    ​CLICK THE LINK BELOW TO SEE LISTINGS OF ORGANIZATIONS THAT HELP IN OTHER AREAS OR NATIONWIDE


    Speaking for Spot - http://www.speakingforspot.com/index.php?p=Financial-Assistance-for-Veterinary-Care

    Community Animal Rescue Effort (C.A.R.E.) - https://carenorthshore.org/pet-financial-aid/




    YOUR INFORMATION
    please include your area code

    CURRENT ANIMALS IN YOUR HOUSEHOLD
    Select the number of each type of animal in your household whether owned by you or someone else. Provide additional information in the box below if needed.​

    SPAY/NEUTER REQUIREMENT

    ​ACAP strives to encourage responsible pet ownership.  Our program requires proof that ALL of your pets are spayed (females) or neutered (males) to be eligible for assistance. If any of your pets are not spayed or neutered, we will refer you to free or low-cost spay/neuter clinics in the area.  We will not provide assistance to anyone breeding animals. 
    answer yes or no
    answer yes or no
    ABOUT OUR PROGRAM
    ACAP provides financial assistance to low-income and disadvantaged pet owners to prevent unnecessary suffering of pets and to avoid surrender of pets due to manageable conditions or financial hardship. There are several qualifying factors involved in being approved for our program. Please read the following information carefully.

    ASSISTANCE WE PROVIDE, COPAYS
    ACAP assists clients by arranging basic preventive and interventional veterinary care such as vet visits, diagnostic testing, vaccinations and prescribed medications.  Services are provided through our network of veterinary partners in our service area. We provide flea/tick, heartworm preventative and dewormer medications. ACAP covers $200 of treatment costs per pet, per year; clients are responsible for a copay of $10 per approved vet visit and $5 per medication for flea/tick, heartworm preventative and dewormer medications. Vet visit copays are payable to the vet office at the time of service. Medication copays are payable to ACAP when medications are received. Pet food can be provided at no cost on an emergency basis.

    ACAP will coordinate and schedule all veterinary services and visits in advance and will pay our partner providers directly, less any applicable copay. Failure to show up for a scheduled visit, late cancellations of scheduled visits, excessive cancellations of scheduled visits and improper behavior by the client toward ACAP staff or our partners may result in denial of assistance, at the sole discretion of the ACAP Board. Acquiring additional animals after you have been approved for our program may make you ineligible for our assistance. ACAP feels that if you are asking for financial help with the pets you already have, then you cannot afford to care for more pets.

    LIMITATIONS ON ASSISTANCE
    ACAP program guidelines limit assistance to a maximum of three (3) pets per client, per year and an average amount of $200-$300 per pet, per year. 

    The care and assistance provided by ACAP is not comprehensive and is not meant to be a substitution for regular, preventative veterinary care. We are an all-volunteer organization and are not equipped to adequately respond to emergency situations. Please note that we cannot help with veterinary care for the following:
    1. Animals other than puppies, dogs, kittens and cats
    2. Feral cat colonies
    3. Pets who are being bred by their owners regularly (unless owners agree to spay/neuter)
    4. Veterinary bills that have already been incurred by owners (ACAP does not help "pay down the balance" of vet bills)
    5. Other rescue groups or people seeking veterinary treatment for animals they are planning to rehome
    6. Animals who are currently involved in litigation or animal control custody situations

    Should a veterinarian determine that additional conditions are present in a client's pet or if any unexpected emergency situation should arise during an ACAP-arranged vet visit, the client is medically and financially responsible for any additional treatments or services they agree to and any resulting complications unless pre-approved in writing (email, text, instant message) by an ACAP representative.

    Should circumstances warrant denial of assistance now or in the future for any reason, ACAP reserves the right to do so at the sole discretion of the ACAP Board. Eligibility for assistance may be terminated if clients acquire new animals after being approved for assistance as this suggests financial means.

    PET #1 INFORMATION
    If cat, skip to next question
    Max file size: 20MB
    To upload: 1) click on the Choose File button; 2) find the image or file you want and click on it; 3) click "Open" on bottom right. The selected file name will be listed next to the Choose File button below
    Max file size: 20MB
    To upload: 1) click on the Choose File button; 2) find the image or file you want and click on it; 3) click "Open" on bottom right. The selected file name will be listed next to the Choose File button below

     PET #2 INFORMATION
    Max file size: 20MB
    To upload: 1) click on the Choose File button; 2) find the image or file you want and click on it; 3) click "Open" on bottom right. The selected file name will be listed next to the Choose File button below
    Max file size: 20MB
    To upload: 1) click on the Choose File button; 2) find the image or file you want and click on it; 3) click "Open" on bottom right. The selected file name will be listed next to the Choose File button below

    PET #3 INFORMATION
    Max file size: 20MB
    To upload: 1) click on the Choose File button; 2) find the image or file you want and click on it; 3) click "Open" on bottom right. The selected file name will be listed next to the Choose File button below
    Max file size: 20MB
    To upload: 1) click on the Choose File button; 2) find the image or file you want and click on it; 3) click "Open" on bottom right. The selected file name will be listed next to the Choose File button below

    Max file size: 20MB
    To upload: 1) click on the Choose File button; 2) find the image or file you want and click on it; 3) click "Open" on bottom right. The selected file name will be listed next to the Choose File button below
    Max file size: 20MB
    To upload: 1) click on the Choose File button; 2) find the image or file you want and click on it; 3) click "Open" on bottom right. The selected file name will be listed next to the Choose File button below

    ELIGIBILITY VERIFICATION
    The ACAP program was designed to provide financial assistance to low-income and disadvantaged pet owners.  Participation in the program requires verification of your financial eligibility. YOU MUST INCLUDE FINANCIAL INFORMATION WITH YOUR APPLICATION OR IT WILL NOT BE CONSIDERED.

    Please answer the following questions and provide proof of financial need by uploading supporting documents such as check stubs or bank statements showing amounts of deposits, copies of your government assistance program approval letters, or other documentation as requested by ACAP for the purpose of determining your eligibility. You may email this to us instead at apply@acapva.org. Please blackout account numbers and other sensitive information for your protection.
    ​
    enter 0 if no adults
    enter 0 if no children
    enter 0 if you don't pay mortgage or rent
    enter n/a if no one works
    enter n/a if no one receives any of these
    enter n/a if no one receives any of these
    Max file size: 20MB
    To upload: 1) click on the Choose File button; 2) find the image or file you want and click on it; 3) click "Open" on bottom right. The selected file name will be listed next to the Choose File button below
    Max file size: 20MB
    To upload: 1) click on the Choose File button; 2) find the image or file you want and click on it; 3) click "Open" on bottom right. The selected file name will be listed next to the Choose File button below
    Max file size: 20MB
    To upload: 1) click on the Choose File button; 2) find the image or file you want and click on it; 3) click "Open" on bottom right. The selected file name will be listed next to the Choose File button below
    Max file size: 20MB
    To upload: 1) click on the Choose File button; 2) find the image or file you want and click on it; 3) click "Open" on bottom right. The selected file name will be listed next to the Choose File button below

    CERTIFICATIONS FOR THIS APPLICATION
    ACAP uses this data to apply for grants and does not share individuals' information
Submit
Copyright © 2021 ACAP  Contact Us @ 540-850-2680 or apply@acapva.org
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