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Please review our Love Me, Fix Me program qualifications and requirements prior to completing this application.
Driver’s license/picture ID, and proof of address (such as a utility bill) are required prior to receiving a voucher, in addition to proof of low income.
A dog license is required and may be purchased on the day of surgery.
* = Required Field
In order to qualify for the Love Me, Fix Me program, your household must meet one of the following criteria:
1) I or someone in my household currently participates in at least one of the qualified assistance program(s):
Or
2) My household's income does not exceed the "very low income" limitations by household size as established by the California Department of Housing and Community Development for Sonoma County. To use this method, please attach a copy of your last tax return that shows gross income and number of household members.
If submitting any form(s) containing Social Security Number(s), please block out the numbers(s) so they are not legible.
I declare under penalty of perjury under the laws of the State of California, that the above information is true and correct. I understand that this information is kept confidential. I also declare that I have not been convicted within the last five (5) years by any court of law for any violation of this chapter or any other law relating to animals, public nuisance caused by animals, or cruelty to animals in this or any other state.