Herman Bennett Foundation : Do I Qualify?

Herman Bennett Foundation Vouchers

The Herman Bennett Foundation is a private non profit organization. We offer our vouchers to Ventura County residents needing financial assistance with spaying or neutering their family pet. The Foundation pays the veterinarian for the surgery.

Your animal will be given a brief examination and pain medication prior to surgery. The surgery will be performed in the standard manner of all spays and neuters with no difference in care, attention or materials used.

What is NOT included in the Herman Bennett spay/neuter voucher?

The voucher does not cover owner requested medical procedures such as blood work, IV catheterization, fluids, aftercare, or any medical complications. If you desire take home pain medication or an E collar to protect the surgery site they will be provided at your expense.

Please ask if you will incur any additional costs before leaving your animal, as these will be your financial responsibility.

Do My Pet and I Qualify for a
Herman Bennett Foundation
Spay / Neuter Voucher?

*All Fields Required
Are you a Ventura County Resident with a valid
CA Drivers License or CA ID card?*

Yes No

License or ID Number:

Do you have a total household income of less
than $30,000 yearly?*

Yes No

Do you have valid proof of:*

Unemployment AFDC Disability
SSI Active Military

Where or how did you get your pet? *

How long have you owned this pet?*

Dog Cat

Male Female

Pet's Name*: Breed*:

Weight*: Age*:

*Your Name:**
*Address:**
*Zip Code:**
*City:**
*State:**
*Email:**
*Home Phone:**
*Work Phone:**
How did you hear about us?*

Questions/Comments:

NOTE: Submission of this application does not guarantee you will be approved for a voucher. We must process your application first. You will be notified of your application status as soon as possible!

Email: contact@hermanbennettfoundation.org

The Herman Bennett Foundation
194 Camino Ruiz
Camarillo, CA 93012

Tel: (805) 445-7171
Fax: (805) 445-7110

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