Pet Food Pantry Application

Please fill out this form if you need pet food for your cat(s) or dog(s). Your request will be reviewed by the Pet Food Pantry Manager and we will contact you as soon as possible. If you have any questions, the Pet Food Pantry line is 231-590-8133. Please be aware that we serve only the counties of Antrim, Benzie, Kalkaska, Grand Traverse, Leelanau and Wexford. The Pantry is available by appointment only, usually one to two days per week, so please be sure you apply before you completely run out of pet food.

Pet Food Pantry Application

Date *

Name *

Address *

City *

State *

Zip Code *

Phone *

Email *

Have you recently lost your job or been laid off? *

Yes No

Do you expect to return to work? *

Yes No Not applicable

Are you currently getting assistance or help from other agencies for your financial situation? *

Yes No

Please explain the circumstances that led you to ask for pet food assistance? *

How many dogs do you have? *

Please give names, ages and weights of your dogs *

How many cats do you have? *

Please give names, ages and weights of your cats *

Do you have any other pets? How many and what kind? *

What are you currently feeding your pets now? *

How did you hear about HOPE? *

Please type your name here if you agree to indemnify and hold HOPE harmless for any liability for any sickness or injury resulting in your pet food assistance and you attest to the fact that the above information given is correct in the application. *

Submit