Pet Assistance Program

Apply for assistance with pet food, supplies, or pet insurance. If approved, you may be eligible to get help paying for pet insurance and other pet care needs.

Personal Information

Full Name *

Email Address *

Phone Number *

Date of Birth *

Address *

City *

State *

ZIP Code *

Financial Information

Annual Household Income *

Number of Dependents *

Reason for Application *

Pet food Pet supplies Overall pet assistance

Pet Information

Pet Name *

Pet Type *

Pet Age *

Pet Breed

Pet Health Conditions

Upload Photos (3 Required) *

Please upload 3 photos showing you with your pet(s)

Photo 1

Photo 2

Photo 3

Lemonade Pet Insurance Quote

Before finishing your application:

Click the link below to generate a quote with Lemonade Pet Insurance.
Take a screenshot of your quote.
Upload the screenshot here to attach it to your application.

Get your Lemonade pet insurance quote

Upload Lemonade quote screenshot (optional but recommended)

Join Pethoria Connect Affiliate Marketing Program

Become a brand ambassador/content creator and receive rewards. This will increase your odds of getting approved for the pet assistance program.