Free Pet Cat Spay/Neuter Application

Eligibility

In order to be eligible for FREE spay/neuter of your pet cats(s), you must meet the following criteria.

What is your zip code?*

You must live in one of the following zipcodes to be eligible for this free spay/neuter program for pet cats. Proof of residence required.

Is your household income below $40,000 per year?*

You will be asked for documentation regarding income.

Yes
No

To be eligible for this free spay/neuter program, your household income must be below $40,000 per year. The following documentation will be accepted as proof of income. Please note which documentation you can provide*

Please check all of the following documentation which you will be able to provide. Documentation of income must be provided prior to surgery. If not provided, our low-cost fees will be charged.

Awards Letter (Notice of Action ) for CALWORKS, CAPI, General Relief or Food Stamps
HUD Assistance (Section 8)
Previous year state or federal income tax return
Previous year Social Security Benefits Statement, or copy of Social Security or SSI check
Low-income/Lifeline DWP bill
Paycheck Stubs, Layoff Notice, or notarized letter from employer stating income

Owner Information

Name*

FirstLast

Address*

Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code

Home Phone*

Cell Phone

Email*

How did you hear about this free program?*

What is your primary language?

Preferred Appointment Days*

Wednesday, 7am-5pm
Thursday, 7am-5pm
Friday, 7am-5pm
Saturday, 7am-5pm

About Your Cats

NOTE: We do not fix cats that are more than 5 years old. We do not fix cats of the following breeds: Abyssinian, Bengal, Persian, Himalayan, or purebred Siamese.

Total number of cats in your household?*

Please enter a value greater than or equal to 1.

Total number of your cats that need to be spayed or neutered?*

Please enter a value greater than or equal to 1.

Are your cats allowed both indoors and outdoors?*

Indoor Only
Outdoor Only
Both Indoor & Outdoor

Are all cats at least 10 weeks old and weigh 2lbs?*

Kittens under 2 lbs. are not eligible for surgery.

Yes
No
Unknown

Is any cat sick?*

(i.e., Runny nose/eyes, upper respiratory infection)

Yes
No
Unknown

Is any cat pregnant?*

Please note that if so, any kittens will be humanely aborted.

Yes
No
Unknown

Is any cat nursing or lactating?*

Yes
No
Unknown

Neighborhood Cat Information

Are there other cats in your neighborhood that live outdoors and are unfixed?*

Yes
No
Unknown

Are these cats owned by a person or family? Are they pet cats?*

Yes
No
Unkown

If these are pets, would you refer the owners to FixNation for spay/neuter surgery?*

Free spay/neuter available to pets of households making less than $40k in the following zip codes: 91405, 91342, 91331, 91605, 91402.

Yes
No

If these are NOT pets, and they are stray or homeless cats, would you be willing to work with FixNation to trap these cats and bring them in for free spay/neuter surgery?*

Yes
No
Not sure, what's involved?

Additional Notes

Is there anything special you would like us to know about your cat(s)?

Owner Agreement

By submitting this application, I confirm that each cat I am bringing to FixNation for service is owned by me, that I live in the designated zip codes, and that my household annual income is less than $40k/year.

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