Get Participating Veterinarians Application - Ct

Filling out the Participating Veterinarians Application for Connecticut's Animal Population Control Program is essential for veterinarians looking to certify their practices. This guide will walk you through each section of the online application, ensuring you complete it accurately and efficiently.

Follow the steps to complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the identification section, provide the name of your practice or facility, phone number, street address, city, state, zip code, fax number, and federal employer identification number or social security number.
3. Next, review the agreement section. Familiarize yourself with the responsibilities related to spay and neuter procedures and record-keeping requirements, as these will guide your compliance as a participating veterinarian.
4. List any veterinarians practicing at your facility by providing their printed names, professional license numbers, and obtaining their signatures. Ensure accuracy to facilitate the verification process.
5. The owner or operator of the practice or facility should sign and date the application, affirming the accuracy of the information and commitment to the agreement outlined in the application.
6. Once you have completed all sections, you can save your changes. Decide whether to download, print, or share the form for submission.

Complete your application online today to become a certified participating veterinarian!