J. Kirk Foundation
& Animal Assistance League

Emergency Assistance Application

 

The J. Kirk Foundation will reimburse pet owners for emergency food or supply purchases up to $100 or emergency veterinary medical costs to $200, per owner, per year, per address.
 
Emergency Animal Fund

For consideration of financial assistance for emergency food purchases  or emergency veterinary medical costs for your pet, please complete the following information. All applicants must mail or email a copy of the invoices or receipts and proof of residence to the J. Kirk Foundation with in 14 days of sending this request.

Not all applications will be approved for payment.

First Name:
Last Name:
Address Street 1:
City:
State:
Zip Code: (5 digits)
Daytime Phone:
Evening Phone:
Email:
Type of Pet:
Name of Pet:
Age of Pet:
Gender of Pet:
Type of Emergency:
Veterinarian Hospital or Retail Store:
Date Medical Procedure Performed or Food/Supply Purchased:
Why do you need assistance for your pet:

 

For additional information,
please contact us at
info@jkirkfoundation.org
or
J.Kirk Foundation
P.O. Box 1721
Post Falls, Idaho 83877

 
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