Food Bank Application

Fields marked with an * are required

Recipient Information:

You may designate TWO alternate people to pick-up the pet food on your behalf. In order to pick up, they must be listed below and have his or her personal ID at pick-up:

Income Information:

To be eligible for PAWS’ Food Bank, you must qualify as low income, be a current participant in a state/federal/local assistance program, or be experiencing financial hardship due to a current economic situation.

Please fill out the section that is most applicable to your current situation.

Family Income Level:

*Proof of annual income may be requested.

Pet Information:

PAWS will provide assistance for a maximum of five (5) animals, not to exceed a total of 80 lbs. of food per month.