Request Good Samaritan Funds

About the Fund

Good Samaritan Funds must be used for the care of animals at the WSU Veterinary Teaching Hospital(VTH) in Pullman, Washington. Pullman is in southeast Washington State near the Idaho border. Funds are intended for the care of stray animals or animals owned by persons unable to pay for care because of serious extenuating personal circumstances. Funds are intended for animals requiring lifesaving care and which have a good prognosis for long-term recovery.

Please complete the following to be considered for financial support through the Good Samaritan Fund at Washington State University VTH.

Funds must be used at VTH Pullman, WA.

Terms

I understand that any funds that may be awarded must be used at the Washington State University Veterinary Teaching Hospital in Pullman, Washington.

I further understand that any funds received will likely not cover the entire cost of the treatment and I will be responsible for any additional costs of treatment.

I understand that Good Samaritan funds may only be used for the patient and purposes requested in this application.

I understand that any money awarded by the Good Samaritan Fund may not be used for back paying any debt accrued prior to the application date.

I understand the Good Samaritan Fund is NOT eligible to be used as a deposit for initial care given at the WSU VTH.

Your Information

First Name

Last Name

Address

City

State

Zip Code

Phone

Information about your Animal

Name

Species

Breed

Age

Sex

Diagnosis / Condition needing treatment

Describe your extenuating financial circumstances.

Do you have a treatment estimate? If so, how much of that estimate are you needing help with today?

Understanding that any funds received will likely not cover the entire cost of the treatment, and only cover treatment at the WSU Veterinary Teaching Hospital in Pullman Washington, do you have accommodations for an overnight stay?

Yes