P.O. Box 183
Sistersville, WV 26175
5/26/2020 2:02 PM
© 2020 OBARR
Olive Branch Animal Rescue & Refuge, Inc.
Family Assistance Program (FAP) Application
Applicant's name __________________________________ Date ______________
Street Address __________________________________ Zip Code ____________
Home Telephone ________________ Cell # _______________ Work # ____________
# of People in your household ______ # of People have income _______
LIST ALL SOURCES OF INCOME FOR EVERYONE IN YOUR HOUSEHOLD
EMPLOYMENT INCOME _______ SOCIAL SECURITY INCOME _______ FOOD STAMPS INCOME ___________
OTHER INCOME __________ COMMENT ___________________________
TOTAL HOUSEHOLD INCOME ____________ OTHER REASON FOR APPLYING _______________________
RABIES ID # _____________________ (REQUIRED BY WV LAW)
ALL PETS IN THE STATE OF WEST VIRGINIA RE REQUIRED BY LAW TO HAVE A RABIES VACCINATION. ANIMALS THAT ARE BEING SPAYED OR NEUTERED BY THE FAP PROGRAM WILL
RECEIVE A RABIES VACCINATION IF NEEDED AT THE TIME OF SURGERY. NO SICK OR INJURED PETS CANNOT BE SPAYED OR NEUTERED. ALL OTHER PROCEDURES ARE THE RESPONSIBILITY OF THE PET OWNERS.
IT IS IMPORTANT TO KNOW THIS APPLICATION CAN ONLY BE APPROVED IF THE APPLICATIONS IS TOTALLY COMPLETE. ANY INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.
APPLICATIONS CAN BE MAILEDTO OLIVE BRANCH ANIMAL RESCUE FAX 304 652 3402
PO BOX 183
SISTERSVILLE, WV 26175
SIGNATURE OF APPLICANT ____________________________________ DATE _____________
APPROVED BY ____________________________________ DATE __________________
The Olive Branch Nancy Dabbs Animal Birth Control (FAP) Program
In honor of our beloved board member, Nancy Dabbs, we have dedicated our Animal Birth Control Program to her memory. The Olive Branch Animal Rescue and Refuge Nancy Dabbs FAP Program. This program is made possible through the donations and support of our community members.
The Family Assistance Program or FAP is a low or no-cost program to assist the citizens of Tyler County and the surrounding areas with the spaying and/or neutering of their pets. We will help defray the cost of the spaying or neutering for qualifying applicants. Our mission is to ensure all pet owners, regardless of income, have their pet spayed or neutered. Applications may be picked up at The Olive Branch and Friends Shop, 727 Wells St. Sistersville, Tuesday through Friday between the hours of 12:00 PM-4:00 PM. Applicants must call Dr Meckley for their appointment and are responsible for the transport of the animal to and from Mountain Valley Animal Clinic.