Follow the steps to complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill out the 'Personal Information' section. Provide your last name, first name, address, city, state, zip code, phone number, and email address. Ensure all details are accurate to avoid processing delays.
3. In the 'Pet Information' section, specify the type of your pet by selecting either 'Cat' or 'Dog'. Next, provide the pet's gender, breed, name, color, and age in years and months, as well as their weight in pounds.
4. Complete the 'Household Information' section. Input your annual gross household income and the number of dependents, including yourself. This information is crucial for eligibility verification.
5. Indicate where you obtained your pet from by selecting the appropriate option or providing relevant details.
6. Review the certification statement, ensuring you understand the implications of the information you are submitting. Sign and date the application to authenticate it.
7. Return the completed form with proof of income through your preferred method: mail, fax, or email to the Animal Care and Control address provided.
8. Once submitted, keep an eye out for your approval notification, voucher, and additional information from the program. Follow up with your chosen veterinarian to schedule the surgery appointment.

Complete your application online today to take advantage of the spay/neuter assistance available in Lake County.