Disaster Grant

1. Disaster Grant Application

Disaster grants are funded in partnership with Merial's Paws to Save Pets program and individual donors. The Petfinder.com Foundation disaster relief program is to assist Petfinder.com members who have been struck by natural disaster. Grants are not provided at this time for disaster preparedness.

Please complete the application to the best of your ability. If you have any questions, please contact Denise Bash at denise@petfinderfoundation.com

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1. Petfinder.com Shelter ID:

Petfinder.com Shelter ID:

*
2. Shelter Name:

Shelter Name:

*
3. Shelter Address:

Shelter Address: Address:
City:
State:
Zip:

*
4. Shelter Contact:

Shelter Contact:

*
5. Shelter Contact Phone Number: Please include extension if required to reach you.

Shelter Contact Phone Number: Please include extension if required to reach you.

*
6. Shelter Contact Email:

Shelter Contact Email:

*
7. Secondary Shelter Contact:

Secondary Shelter Contact:

*
8. Secondary Contact Phone Number:

Secondary Contact Phone Number:

*
9. Secondary Contact Email:

Secondary Contact Email:

*
10. Employee Identification Number (EIN):
(This is your tax ID number that can be located on any tax forms for your organization)

Employee Identification Number (EIN): (This is your tax ID number that can be located on any tax forms for your organization)

*
11. Average monthly intake of animals:

Average monthly intake of animals:

*
12. How many animals do you expect to care for as a result of the disaster?

How many animals do you expect to care for as a result of the disaster?

*
13. Does your organization have insurance?

Does your organization have insurance? YES

*
14. If yes, will they be providing financial assistance in your recovery efforts? If no, why not?

If yes, will they be providing financial assistance in your recovery efforts? If no, why not?

*
15. Have you approached or are you planning on approaching other sources for funds with this project?

Have you approached or are you planning on approaching other sources for funds with this project? YES

16. If yes, please indicate the other sources you've requested or will request support from for this project:

If yes, please indicate the other sources you've requested or will request support from for this project:

*
17. Funding Request:

Funding Request: Support Amount Requested for Disaster:
Total Cost of Project:

Disaster Grant

1. Disaster Grant Application

*1. Petfinder.com Shelter ID:

*2. Shelter Name:

*3. Shelter Address:

*4. Shelter Contact:

*5. Shelter Contact Phone Number: Please include extension if required to reach you.

*6. Shelter Contact Email:

*7. Secondary Shelter Contact:

*8. Secondary Contact Phone Number:

*9. Secondary Contact Email:

*10. Employee Identification Number (EIN):(This is your tax ID number that can be located on any tax forms for your organization)

*11. Average monthly intake of animals:

*12. How many animals do you expect to care for as a result of the disaster?

*13. Does your organization have insurance?

*14. If yes, will they be providing financial assistance in your recovery efforts? If no, why not?

*15. Have you approached or are you planning on approaching other sources for funds with this project?