Fields marked with an asterisk (*) are required.
Veteran Client Application
This application is for Veterans of the United States Armed Forces who would be operating as the primary handler of the service dog. Please carefully fill out this application, only fully completed applications with submitted DD214, health forms, and reference letters will be processed. Upon receiving your application you will receive an email receipt with links for the additional needed forms! This email will be going to the email provided in the first section of the application. 4 Paws places a handful of service dogs with veterans each year. 4 Paws uses funds from a grant and donations as we do not ask veterans to financially contribute towards the cost to breed, raise and train the service dog. Once a veteran has been accepted into the 4 Paws for Ability program to receive a service dog, they will receive the next open spot which averages about 2 -2.5 years out.
Personal Information
All of the contact information under the Veteran will be the primary way that 4 Paws contacts you regarding the application process as well as communication going forward.
Emergency Contact Information
Spouse/Sponsor Information
What is the relationship of this person to the client?
Medical Information
Physician Information
If Applicable
Description
Employment Information
Spouse/Sponsor's Employer's Information
Household Information
Pets & Veterinary Information (Past & Present)
4 Paws for Ability requires that all pet dogs within the home are: up to date on vaccines, receive monthly heartworm medication, friendly towards other dogs, inside dogs, and that the number of dogs in the home does not exceed three dogs by the time that the service dog would be placed in the home. Applicants understand that they are agreeing to not add any additional pet dogs to the home from now until at least one year after the service dog is placed to give the service dog time to adjust and bond appropriately.
Maintaining a Service Dog
4 Paws for Ability requires that families maintain a high level of care with their service dog. It is expected that your dog will be fully up to date on all medical care, provided a high quality diet, maintain a healthy weight and be properly groomed. 4 Paws for Ability is not currently a member of Assistance Dogs International. The VA uses membership as the determining factor of whether they will financially provide for the dog's care. 4 Paws for Ability Veteran Applicants should be prepared for a cost of around $1,500-$2,000 each year in caring for their service dog.
Service Dog Information
To be the handler of the service dog, the individual must be capable of making 100% correct choices for themselves and the service dog.
4 Paws reserves the right to deny services to any applicant which doesn’t meet the criteria necessary for placement of a service dog or who requires services not trainable within the guidelines of the agency.
Contact info:
Jennifer Lutes
jennifer@4pawsforability.org
(937)374-0385
www.4pawsforability.org