Request for Humane Advocate Assistance

Request for Humane Advocate Assistance










Full-timePart-timeUnemployedDisabledRetiredStudent

Pet Information



DogCatOther


YesNo





Other Pets in Household



YesNo

Please confirm all of the following statements

I agree to have all my pets spayed or neutered, if not already done so, within 90 days of receiving assistance:
I agree

I understand that I may only receive assistance once a year, no matter how many pets I have:
I agree

Household Information


*For assistance, income proof dated within the last 90 days IS REQUIRED
$




**Household refers to number of people in your family that your income is supporting. Roommates or renters do not qualify.

Services currently receiving

*need to provide proof, a statement or card.
MedicaidMedicareFood AsssitanceOther

You're a human, right?

By submitting this form, I certify that all of the above information is true and correct to the best of my knowledge. I understand that falsifying information will result in immediate denial of this request and any and all future requests. I understand that assistance is not guaranteed and I may be required to provide further information and/or documentation before a decision is made. I understand that I will be contacted by the Manager of Humane Advocacy and interviewed for this request. I understand that approval of one request does not guarantee me approval of future requests or services for the above named animal or any other that I may present for treatment.

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Where to Find us

Oakland

Adoption Center & Theodore B. Travers
Family Veterinary Clinic

8323 Baldwin Street
Oakland, CA 94621

Adoption Center Hours
Wednesday - Sunday
11am - 6pm
510-569-0702

Veterinary Clinic Hours
Monday - Saturday
(by appointment)
510-569-1606

Oakland Spay/Neuter Surgery Center

410 Hegenberger Road
Oakland, CA 94621

Surgery Center Hours
Tuesday - Saturday
(by appointment)
510-639-7387

Dublin

Adoption Center & Spay Neuter Clinic

4651 Gleason Drive
Dublin, CA 94568

Adoption Center Hours
Wednesday - Sunday
11am - 6pm
925-479-9670
Spay/Neuter Clinic Hours
Wednesday - Thursday
925-479-9674
(by appointment)

charity-navigator

GuideStar Platinum Charity

We are a non-profit organization that has obtained a four star rating from Charity Navigator and participates in GuideStar Exchange at the Platinum level. The East Bay SPCA's Tax ID number is 94-1322202.