Shiva Foundation Fund Assistance Request Form

Purpose: This form is for individuals or organizations requesting financial assistance for medical care, Trap-Neuter-Return (TNR) services, or other animal welfare needs for community animals. Please provide as much detail as possible to help us process your request.

1. Contact Information

Full Name (First, Last): Phone Number (Include area code): Email Address: Organization Name (if applicable): Address (Street Address, City, State, ZIP Code):

2. Request Information

Type of Assistance Requested:

Medical care for community animal(s)

Trap-Neuter-Return (TNR) assistance

Emergency medical funding

General animal welfare assistance

3. Additional Information

Have you received any previous assistance from Shiva Foundation?

Yes

Is the request urgent?

Yes

4. Supporting Documents

Attach Document (PDF, JPG, etc.):

5. Acknowledgment and Agreement

By submitting this form, I confirm that the information provided is accurate and true to the best of my knowledge. I understand that the Shiva Foundation will review the request and that assistance is subject to availability and the Foundation’s guidelines. I agree to follow up as necessary and provide additional information if requested.

Signature (Digital signature or typed name): Date (MM/DD/YYYY):