Financial Assistance Application

Please note that 4 Paws 1 Heart is dedicated exclusively to assisting stray, abandoned, and abused animals. All requests for medical assistance must be submitted using the form below.

Name
Are you associated with a rescue group?
Animal
Is the Animal:
Animal Reported?
(collar, tag, microchip, leash, clothing, etc.)
(address, street, city, crossroads, etc.)
The animal is:
Is the animal secured and transportable?
Are you able to transport the animal?
Are you able to foster the animal?
Are you able to find a permanent placement for the animal?
Please select the option that best describes your plan.
Please select the option that best describes your plan.
Have you ever received assistance from 4 Paws 1 Heart?
Is there a dollar amount you are able to donate toward treatment?
By selecting "Yes" and typing my name below, I confirm the following:
1) I do not own or know if the animal is owned, and the information provided is accurate to the best of my knowledge. 2) I consent to 4 Paws 1 Heart publicly sharing images, videos, information and/or correspondence I provide, without payment, including but not limited to social media, event presentations and marketing. 3) I can provide clear, full-body photos of the animal, including any injuries, if applicable (limit 3 photos). Send photos to: 4paws1hearthelp@gmail.com.
I will email the photos separately to 4paws1hearthelp@gmail.com with the animal's name in the subject line
Type your first and last name
Today’s date

To submit a printed copy, please download THIS FORM, complete and mail along with photos to:

4 Paws 1 Heart
P.O. Box 84
St. Clair Shores, MI 48080