Form draft - OC Animal Allies

ARF Spay/Neuter Application 2026

"*" indicates required fields

Step 1 of 7 – Instructions and acknowledgement

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Name

This field is for validation purposes and should be left unchanged.

Application process*

I have read and understand the guidelines, instructions and requirements as outlined. I understand that while OC Animal Allies makes effort to respond to everyone, due to the overwhelming number of applications submitted, I may not hear back at all, and acknowledge that it is my responsibility to find alternative resources to assist with the spay or neuter of my animal.

Applicants must be 18 years of age or older.*

Applications falsely submitted by minors will automatically be denied. OC Animal Allies reserves the right to verify age and ask for proof of identification.

I certify that I am at least 18 years of age or older.

Owner's Name*

First Last

Physical Address (PO BOX or Mailbox locations will be denied)*

Street Address Address Line 2 City* State ZIP Code

*Must reside in Orange County CA

Phone*

Please enter area code and phone number only. DO NOT enter a “1” before your number.

Email Address*

Enter Email Confirm Email

Are you filling out this application on behalf of someone else?*

Yes

Your Name*

Please fill out your own full name.

First Last

Your Email Address*

Please fill out your own email address.

Enter Email Confirm Email

Your Phone Number*

Please enter your own phone number. DO NOT place a “1” before your number.

What is your relationship to the applicant?*

Are you single or married?*

Head of Household

Married

Single

Enter the total number of people in your Household*

Enter the total number of people in your Household

Please enter a number from 1 to 25.

How many adults are in your household?*

Do you have legal dependents?*

Yes

How many dependents over 18 in your household?*

How many children (under 18) in your household?

Household Monthly Income

Please provide the total income for your entire household. Include income from other family members, spouse, partner or anyone who contributes to the expenses of your household. Answer honestly and provide explanations below.

What is your TOTAL MONTHLY income?*

This includes ALL forms of income; income from family members, employment, child support, alimony, rental, pension or retirement income and any income from government income or assistance programs.

Please provide details on your sources of income:*

Please full explanations on the sources of all your households monthly income.

Sources of Income:*

Employment

Family members

Child support

Alimony

Retirement pension or retirement income

Government income or assistance programs

Do you receive any other form of financial assistance? Please list which forms of assistance you receive.

Can you provide proof of income? Orange County Animal Allies reserves the right to request proof of income documentation.

Yes

Does your household pay rent or mortgage?*

Rent

Mortgage

Own Home, no mortgage.

What is the TOTAL monthly rent or mortgage payment?*

Please enter the total amount you pay to a bank or landlord.

What is your portion of the monthly rent or mortgage payment?*

If you split with someone, please note only YOUR portion.

Are you 18 years of age or older?*

Yes

Prefer not to answer.

Are you 62 years or older?*

Yes

Prefer not to answer.

Are you a veteran or active military?*

Yes

Thank you for your services. Which branch and when did you serve?*

Have you received assistance from OC Animal Allies in the past year?*

Yes

Are you affiliated with a rescue or animal welfare group?*

Yes

Please note which rescue or organization and in what capacity you are involved.*

Please note that you will no longer be eligible to receive vouchers from OC Animal Allies if information is falsified or omitted.

Have you applied for CARE Credit?*

Yes

I did not apply

Please Note: Applying for CARE Credit is a requirement for validation to receive financial assistance from Orange County Animal Allies. If you choose not to apply, your application may be denied.

Were you approved or denied?

Approved

Denied

Denial Code?

Approval Amount?

Do you have Pet Insurance?*

Yes

How many pets are in your household?

How many pets are NOT spayed or neutered?*

There will be additional costs or a co-payment required. How much are you able to pay out of pocket per pet?

Vouchers ONLY cover basic costs for anesthesia and organ removal. If you are unable to pay for the minimum required copayments we will not be able to issue a voucher.

$50

$75

$100 plus

Your household is limited to two vouchers per quarter. If you have more than two animals needing spaying or neutering, please email OC Animal Allies at Info@ocanimalallies.org with an explanation of your request. REF: SN Additional Voucher Help

Pet's Name*

What Species of pet?*

Dog

Cat

Rabbit

Breed*

NOTE: an additional cost for Brachyphalic breeds or flat-faced dogs and cats, may be required to receive an injection of Cerenia to ease breathing difficulties during anesthesia.

Age*

Indicate years, months, or weeks. Please note most vets require pets to be at least 4 months old before spay/neutering.

Sex?*

Female

Male

Weight*

Please enter weight in pounds (lbs). Numerical values only.

Spay/Neuter vouchers DO NOT cover vaccinations. Is the pet(s) you are applying for current on vaccinations?*

Note that Veterinarians will require that your pet is current on vaccinations prior to surgery.

Yes

Please upload copies of required current vaccinations for your pet:

Please provide proof of current vaccinations Vaccinations needed: For DOGS – Rabies, DHPP and Bordetella. For CATS – Rabies, FVRCP and FeLV. For RABBITS – Rabies and RHDV.

Drop files here or

Max. file size: 4 MB, Max. files: 6.

How long have you had your pet?*

Where did you get your pet?*

California law requires that pets adopted from shelters or rescues be spayed or neutered before adoption, including in Orange County. If you have adopted your pet from a shelter or rescue, please contact them for proof of spaying or neutering.

What is the name of the Rescue or Shelter where you adopted your pet?*

Are you applying for a second pet?*

Yes

Pet's Name*

What species of pet?*

Dog

Cat

Rabbit

Breed*

NOTE: an additional cost for Brachyphalic breeds or flat-faced dogs and cats, may be required to receive an injection of Cerenia to ease breathing difficulties during anesthesia

Age*

Indicate years, months, or weeks. Please note most vets require pets to be at least 4 months old before spay/neutering.

Sex?*

Female

Male

Weight*

Please enter weight in pounds (lbs). Numerical values only.

How long have you had your pet?*

Where did you get your pet?*

Spay/Neuter vouchers DO NOT cover vaccinations. Is the pet(s) you are applying for current on vaccinations?*

Note that Veterinarians will require that your pet is current on vaccinations prior to surgery.

Yes

Please upload copies of required current vaccinations for your pet:

Please provide proof of current vaccinations Vaccinations needed: For DOGS – Rabies, DHPP and Bordetella. For CATS – Rabies, FVRCP and FeLV. For RABBITS – Rabies and RHDV.

Drop files here or

Max. file size: 4 MB, Max. files: 6.

If you have a regular veterinarian, please list name and city below.

Any Other Notes:

How did you hear about us?

If you qualify for a voucher, will you be the one dropping your pet(s) off at the vet?*

Please indicate who will be dropping your pet(s) off at the vet if not yourself.*

Include the first and last name of this person as we will need to include them on the voucher.

Why you are applying for Spay/Neuter vouchers?

Terms*

I declare under penalty of perjury that the information provided above is true and correct to the best of my knowledge and I give OC Animal Allies permission to verify any information provided.

Privacy Policy: Orange County Animal Allies respects your privacy, and will never sell, loan, lease, or exchange your information