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FOAC’s Spay and Neuter Voucher Program and Application

We’ve recently revamped our Spay and Neuter program and process. Please note that FOAC Volunteers are volunteering their time for this program and should be treated with respect.

People in need of a voucher must fill out the application and upload the proper documentation to
qualify. If you can not upload documents and your name is picked on the lottery you will be required to show qualifying documentation at the time you pick up voucher.

The new process will be done on a lottery basis ONLY. FOAC will pick five applicants weekly who have been drawn in the lottery to receive a voucher. If you are picked a FOAC volunteer will notify you (please do not call us, if you are not called you did not get picked) then you can come in and pick up voucher. You must bring proof of your documentation at that time if you had not already provided. You may only apply once per month. For feral cat community please check other box on the form and state for feral cats.

You must be a current Tuolumne County resident.

Please check the programs in which you are currently participating and supply us with a copy of the
documentation verifying your participation in the program(s) indicated below.

o County Medical Services Program (CMSP)
o Food Stamps
o MediCal
o MediCaid
o Section 8 Public Housing
o Social Security Disability (SSD)
o Supplemental Security Income (SSI)
o Temporary Assistance to Needy Families (TANF)
o Unemployment
o Women, Infants and Children (WIC)
o Other (Feral cats) or No computer

I hereby certify that the information I have provided is truthful and correct to the best of my knowledge.

I authorize release of the above information for the purpose of determining my eligibility for the
spay/neuter program. I recognize that many veterinarians require specific vaccinations prior to
sterilization, and I will be responsible for any additional services that they are required to perform.
If you are requesting special consideration, please explain why you are requesting a voucher at this time.

Qualified applicants will be picked in a lottery basis.

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