Requirements for Participation: This program is designed to assist individual equine owners who need emergency financial assistance with necessary equine care. All applications must be signed and payments will be made directly to the service provider. One application will be accepted per owner. Requests for more than $200.00 may require additional proof of your financial condition.

Please, carefully fill in as much information as possible. Incomplete forms or inaccurate information may delay our ability to assist you.

Please allow 7-10 days for approval and processing of non-emergency requests.
Owner/Equine Information

Numbers of equines for which you are responsible:
Best way to contact you*:

Entries marked with and Asterisk "*" are required.
Requested Assistance

*:
Entries marked with and Asterisk "*" are required.
Reference Information

Please provide three references (including two professionals):
Have you applied for this program before?*
Have you applied for other assistance programs?*
Have you ever been charged for or convicted of animal neglect or cruelty?*
Entries marked with and Asterisk "*" are required.
Next Steps

Please include as much information as you can and check everything for accuracy. The more information we have, the faster we can make a decision and get you the help you need. If there is anything else you would like to tell us, please use the box below.

Once you are satisfied with your entries, hit the "Submit" button below. The computer will check your form and make sure we have what we need. If anything is missing, you will be asked to review it again and correct the errors. If everything is OK, you will be asked to agree to our Release of Liability (preview it here) via a virtual signature. Upon submitting that, your application, along with the liability release, will be emailed to our review committee as well as copied to you.

Our committee will be in touch with you in a matter of days.