We are currently not accepting applications for financial assistance grants.

Please go to our Resource Network webpage to find other avenues for assistance.

Financial Assistance Grant Application


Your application WILL ONLY BE CONSIDERED if you & all adult members of your household:

 Are a resident(s) of Monterey or Santa Cruz counties;

Establish proof of need.

Email help@birchbarkfoundation.org upon submission of the below application.


The following criteria is mandatory to apply for BirchBark Foundation funding:

  • BirchBark Foundation is only able to grant assistance to cases treated at one of our Participating Partners for a life-threatening or life compromising situation with a good prognosis. We do not fund routine care.
     
  • BirchBark does not provide any funding for medical services that have already been rendered. A grant application does not guarantee funding. Your application and treatment estimates must be approved for funding by our review board prior to the animal receiving the applied for treatment.
     
  • If approved, BirchBark provides funding for up to 50% of the bill and Participating Partners discount 25% from their services. The owner will have to use the entire amount of Care Credit towards the pet's treatment. The owner and hospital must come to a payment agreement for the client's portion of the bill.
     
  • All animals that receive BirchBark funding must be spayed or neutered. If an animal is not spayed/neutered at the time funding is given, the owner will agree to have their animal sterilized within a set time frame determined by the treating veterinarian (based on the health of the animal).
     
  • All recipients of BirchBark funding agree to allow BirchBark to use their story, photos and video. BirchBark requests that owners provide photographs of their pets to the BirchBark Foundation. BirchBark will send a representative to take photos and write up your story for our donors to learn about the successful outcome for your pet.
     
  • Recipients are asked to do whatever possible to help BirchBark save other family pets. This includes sending an e-mail to family and friends, volunteering when possible and participating in special events.

I have read and agree to the grant qualifications. By submitting this application, I agree that it has been completed in good faith. I understand that incomplete applications and/or the submission of false information may result in my application being denied


*Do NOT refresh the page as you are working, it does NOT save as you go!*

Help Line: (831) 471-7912


We are currently not accepting applications for financial assistance grants.

Please go to our Resource Network webpage to find other avenues for assistance.

About the Applicant
First Name, Last Name *
First Name, Last Name
Phone *
Phone
Is there an alternate contact for this case? *
Alternate Contact Name
Alternate Contact Name
Additional Phone
Additional Phone
You must provide the name of the vet or practice your pet is usually seen.
Regular Vet or Vet Clinic Phone Number *
Regular Vet or Vet Clinic Phone Number
You must provide the phone number of your pet's regular clinic. We will need this to call for records.
Has the applicant ever received a BirchBark financial assistance grant? *
Is the applicant applying again for a grant request that was previously denied? *
Please type a number
Which of the following items will the applicant provide as proof of need? *
Please email to help@birchbarkfoundation.org - required for application to be considered complete.
Which of the following apply for the applicant? (Please check all that apply.) *
Has the applicant applied for Care Credit? This is a requirement to apply for assistance. *
Please email a copy to: help@birchbarkfoundation.org
About the Animal
Sex *
Spayed or Neutered *
When did the animal join the applicant’s household? *
When did the animal join the applicant’s household?
Is the animal certified as a therapy pet?
About the Animal's Injury or Illness and Treatment
When did this injury/illness first occur? *
When did this injury/illness first occur?
Is the animal at the hospital now? *
Has the applicant applied for help with other organizations? *
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About the Clinic Treating the Animal
Clinic Phone *
Clinic Phone
Clinic Fax
Clinic Fax
Contact Name
Contact Name

 help@birchbarkfoundation.org

We will notify the veterinarian treating your animal, upon successful completion of your application.