Welcome to ALSPCA

Pet Pantry Application

Alabama SPCA Pet Pantry program assists qualifying low-income families in the Tuscaloosa, AL area by providing them with dog or cat food at no charge. To ensure it is helping those most in need, this application and proof of low-income status is required. Our goal is to keep pets in their current loving homes with their family.

Being dependent on the generosity of the public, availability may be limited. Recipients should be prepared to provide appropriate care for your pet during these times. Applying for assistance through this program does not guarantee acceptance.

Restrictions for this program:

Only one applicant per household will be accepted.
Our goal is to provide a two week supply of pet food per household, up to a reasonable limit. We are dependent on donations and can not guarantee availability.
Only the applicant may pick up the food - unless other arrangements have been made with volunteers - photo identification and proof of limited/low income is required at each pick up
Agree that pets are for companionship and not for breeding or illegal activities
Agree to maintain healthy condition/environment living conditions for all pets, or let someone know if this is not possible
Agree to give fresh water daily
Agree not to tether or chain dog or cat 24/7
Agree that you understand that the quantities and brands of food as well as distribution limits are subject to change
Recipients MUST show proof of limited/low income to register for this program. Acceptable proof includes:
- Medicaid or Medical Assistance Card
- Social Security Disability
- Food Stamps/Bridge Card, WIC
Pick up day is once a month, when donations are available. We must limit the number of pets that are given food and this will be on a discussion/situation basis.
Do NOT bring your pets to pick up food.

Contact Information

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
-

County*

Email*

Home Phone

Work Phone
x

Cell Phone*

Alt Email

Text/Pager Email

*=required

Financial Situation

Do you use text messaging?*

Place of employment or if unemployed, for how long?*

Do you expect to return to work?*

Are you currently receiving SSI, Food Stamps, Family Assistance or any other benefits*

Are you currently getting assistance from other agencies for your financial situation?*

Please list ALL assistance programs you are receiving from:*

Please explain the circumstances that led you to ask for this assistance:*

Do you have transportation?*

*=required

About Your Animals

Do you agree with spaying or neutering animals?*

Are your pets spayed/neutered?*

Are your pets up to date with their vaccinations and preventatives?*

How many dogs do you have?*

Please list their Names, Weights and Ages:*

How many cats do you have?*

Please list the Names, weights and ages of your cats

What do you feed your current or past pets?*

Do you have any other pets?*

How many and what kind of other animals?

I agree to indemnify and hold Alabama SPCA, its volunteers/agents, harmless for any liability, any sickness or injury resulting in your pet food assistance and you attest to the fact that the above information given is correct in the application. My signature below or submission of this application states that I have completed this application to the best of my knowledge.

Yes	No
Not Applicable

*=required

Adopt Me!

Alfred
Shepherd / Shar Pei / Mixed (medium coat)