APPLY FOR HELP page 2
Required documents:

You will need to supply proof of income with one of the following:

Bank statement showing income for last two months.
Paycheck stub from last two months.
Social Security, SSI or VA income report.
Unemployment or State Aid letter.

You will need to supply proof of residency with one of the following:

Rent receipt for last two months.
Utility bill in your name for last 2 months.

Security

All information should have social security numbers blacked out.
All bills used for proof should have account numbers blacked out.

Support

Hope Before Heaven is funded solely on donations. The amount if any that we will pay is
determined on a case by case basis when funds are available
Money is paid directly to Doctor or Clinic.
Any remaining charges must be paid by the pet owner.
Pet owners will try and pay back Hope Before Heaven Inc. so that others in need can be
helped.  No amount of time limit is set just try.

“HOPE BEFORE HEAVEN INC. IS NOT RESPONSIBLE FOR THE OUTCOME
OF THE EMERGENCY TREATMENT OR SURVIVAL OF YOUR PET
”   

Owner’s signature_______________________________________Date__/__/__
APPLY FOR HELP pg 2