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Click ‘Get Form’ to open it in the editor.
Begin by checking the appropriate boxes under '501C3 Status Pet Rescue Organization' to indicate your organization's status. If applicable, be prepared to provide the necessary IRS documentation.
Next, review the 'Government Assistance Programs' section. Check any programs you participate in, such as Medicaid or SNAP, to ensure accurate representation of your financial situation.
In the 'Limited Income' section, enter your total gross income per year and the number of people in your household. This information is crucial for determining eligibility for discount pricing.
Finally, attest to the accuracy of your information by signing and dating the form. You can download it directly from our platform or print it for submission during your appointment.

Start filling out your New Clients Forms today for free and streamline your experience with Mercy Pet Clinic!

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (83 Votes)
2013	4 Satisfied (35 Votes)

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