Emergency Pet Food Bank Request Emergency Pet Food Bank Request "*" indicates required fields Contact InformationName * Required First Last Address * Required Postal Code * Required Do you live in Ottawa? * Required Yes No City * Required Have you tried to access support in your own city or town? * Required Yes No Phone * RequiredEmail * Required Do you agree to be contacted by the OHS? * Required Yes No Information about your petsHow many pets do you own? The OHS can only provide support for up to three pets per household. * Required One Two Three More than three How many pets do you own? * Required Pet 1 informationName * Required Species * Required Dog Cat Rabbit Other Breed or size * Required Age * Required Dietary restrictions (if any) * Required Pet 2 informationName * Required Species * Required Dog Cat Rabbit Other Breed or size * Required Age * Required Dietary restrictions (if any) * Required Pet 3 informationName * Required Species * Required Dog Cat Rabbit Other Breed or size * Required Age * Required Dietary restrictions (if any) * Required Information about youWe are asking this information for evaluation purposes. It will be used to make sure the program is meeting its goal and to improve the program in the future. Please select all that apply: * Required I cannot afford the cost of pet food I recently got a new pet I am caring for animals that do not belong to me (such as a family member’s pet) I have considered rehoming a pet because of the cost (in the last year) My pet has special needs My financial situation recently changed None of the above apply to me Are you currently enrolled in any of the following programs? * Required Employment Insurance (EI) Ontario Works (OW) Ontario Disability Support Program (ODSP) Guaranteed Income Supplement (for seniors) (GIS) None of the above Is there anything else that you would like to share with us related to your pet(s), your circumstances, or other details?Terms and conditionsI understand the Ottawa Humane Society is not liable for illness or damages resulting from the consumption of the food received at the OHS Emergency Pet Food Bank. * Required I agree I understand that the pet food provided at the OHS Emergency Pet Food Bank was donated or purchased in bulk, and it may not match my exact preferences. * Required I agree I understand that I can access the Emergency Pet Food Bank a total of four times, with a minimum of four weeks (once a month) between pick-ups. * Required I agree I confirm that all of the information provided above is complete and accurate. * Required I agree Δ
Emergency Pet Food Bank Request "*" indicates required fields Contact InformationName * Required First Last Address * Required Postal Code * Required Do you live in Ottawa? * Required Yes No City * Required Have you tried to access support in your own city or town? * Required Yes No Phone * RequiredEmail * Required Do you agree to be contacted by the OHS? * Required Yes No Information about your petsHow many pets do you own? The OHS can only provide support for up to three pets per household. * Required One Two Three More than three How many pets do you own? * Required Pet 1 informationName * Required Species * Required Dog Cat Rabbit Other Breed or size * Required Age * Required Dietary restrictions (if any) * Required Pet 2 informationName * Required Species * Required Dog Cat Rabbit Other Breed or size * Required Age * Required Dietary restrictions (if any) * Required Pet 3 informationName * Required Species * Required Dog Cat Rabbit Other Breed or size * Required Age * Required Dietary restrictions (if any) * Required Information about youWe are asking this information for evaluation purposes. It will be used to make sure the program is meeting its goal and to improve the program in the future. Please select all that apply: * Required I cannot afford the cost of pet food I recently got a new pet I am caring for animals that do not belong to me (such as a family member’s pet) I have considered rehoming a pet because of the cost (in the last year) My pet has special needs My financial situation recently changed None of the above apply to me Are you currently enrolled in any of the following programs? * Required Employment Insurance (EI) Ontario Works (OW) Ontario Disability Support Program (ODSP) Guaranteed Income Supplement (for seniors) (GIS) None of the above Is there anything else that you would like to share with us related to your pet(s), your circumstances, or other details?Terms and conditionsI understand the Ottawa Humane Society is not liable for illness or damages resulting from the consumption of the food received at the OHS Emergency Pet Food Bank. * Required I agree I understand that the pet food provided at the OHS Emergency Pet Food Bank was donated or purchased in bulk, and it may not match my exact preferences. * Required I agree I understand that I can access the Emergency Pet Food Bank a total of four times, with a minimum of four weeks (once a month) between pick-ups. * Required I agree I confirm that all of the information provided above is complete and accurate. * Required I agree Δ
