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Spay and Neuter Voucher Request form -

San Bernardino County, California

Be Advised Hooks Home Bound Rescue does not issue Spay/Neuter Vouchers. 

The following application will be forwarded to Pet Over Population Coalition Inc. (POPCO) with the assistance of Hooks Home Bound Rescue.  


Vouchers are issued at a limited basis. Vouchers can be only be used at veterinary offices that are associated with the program. 

(Please check with Hooks Home Bound Rescue for list of participating Veterinary Offices.)



 Spay/Neuter Voucher Request Form

For

 San Bernardino County, California

Spay and Neuter voucher request form
please provide your phone number so we may be able to contact you if there is any questions or concerns with your application!
Application Submitted
I attest I currently live in:
Do you agree to the following:
I understand Hooks Home Bound Rescue is not associated with POPCO*
I understand that vouchers are issued on a limited basis.*
I understand that there can only be 6(six) vouchers issued per address per lifetime *
I agree vouchers will be mailed to me in about 4-6 weeks if approved*
Pet information:
2nd pet information
Is there other pets in the home you are requesting Vouchers for?*
I agree to fill in another application if I have more then 2 pets I am requesting vouchers for*
Legal
I authorize Hooks Home Bound Rescue to Forward my information to POPCO for this application*
I authorize POPCO and Hooks Home Bound Rescue to contact me based on this application*
I understand my voucher may or may not be approved based on the following: home address, income, Senior status, and sometimes Breed of pet *
By typing my name in the following signature box below I agree all information is true and correct to the best of my knowledge*
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Thank you! Your application is being processed. We will contact you with-in 7(seven) business days to follow up on your application!

When Submitting your application please check the following:

Please be sure you review your application.

All Starred questions must be answered. If they are not answered you will receive an error and your application will not be received.

Errors on page have been seen as follows:

If nothing occurs after you hit submit button - Please scroll up and fill in all areas in Red!

If after submission you do not receive a check mark and any error message comes on your screen your application has not been submitted,

Please wait some time and try again.

If you receive an "Error occurred please try again" this is an automatic message that a required question is not answered. Please check all starred questions.

If you have received a check mark with a courtesy message you have made it to the tow line and your application has been submitted.