HARBORS ASSOCATION OF VOLUNTEERS FOR ANIMALS (HAVA)
APPLICATION FOR LOW INCOME FOOD ASSISTANCE

STEPS IN THIS PROCESS

  1. Review the qualifications below to make sure you qualify.
  2. Submit an application. (one for each pet)
  3. Mail your application and proof of income to:
    HAVA
    PO BOX 243
    Raymond, WA 98577
  4. You will be notified when you have been approved and can pick up food at the HAVA Food Bank.

QUALIFICATIONS

HAVA's Pet Food Assistance offers temporary assistance to help individuals and families in need feed their pets and should not be viewed as a permanent source of pet food. You must meet the following household income qualifications in order to qualify. You will need to mail a copy of your “proof of income” to HAVA. Our mailing address is PO BOX 243, Raymond, WA 98577. If you are not sure if you qualify, please call us at (360) 942-4716 and we will let you know.

People in
household 
Max income to qualify
1 $33,250
2 $38,000
3 $42,750
4 $47,500
5 $51,300
6 $55,100
7 $58,900
8 $62,700

ACCEPTABLE LOW INCOME DOCUMENTATION:

  • Wage Statement/Paycheck Stub
  • SSI/SSDI Statement
  • Approval Letter for Cash Aid
  • Approval Letter for DSHS Medical Coupons
  • Unemployment Statement
  • L & I Statement
  • Approval Letter for Food Stamps

HAVA does not donate to anyone breeding, selling or flipping animals and it reserves the right to refuse anyone under any circumstance.

 

PLEASE COMPLETE ONE FORM PER PET.

 

About You
About your Pet
Income details
Acknowledgement

By submitting this application you certify all the information provided on this application is accurate. I also agree not to hold HAVA, its volunteers, and benefactors legally liable in the unfortunate event your pet(s) become ill or the food upsets a pets(s) stomach.