Voucher Application

If you live in Cumberland or York counties, please contact the AWS Community Veterinary Clinic at (207) 292-2424 to inquire about having your pet spayed or neutered. Income-qualified pet owners residing in Maine’s Androscoggin, Aroostook, Franklin, Hancock, Kennebec, Knox, Lincoln, Oxford, Penobscot, Piscataquis, Sagadahoc, Somerset, Waldo and Washington counties can apply for the limited number of spay/neuter surgery vouchers available each month.

If you do not see an application below, that means we are currently out of Cleo Fund vouchers.  Please check back soon.  Learn more about other spay/neuter resources in the area.

Cleo Fund Voucher Application

Full Name

County of Residence

Mailing Address

City, State Zip

Email

Phone

Pet's Name

Pet is amalefemale

Pet is adogcat

Pet's coat color

Pet's age
monthsyears

Where did you get your pet from? BreederFamily/FriendOffspring from PetAdopted from Shelter/Rescue GroupPet StoreCraigslistLost/StrayFeralOther

If dog, please list
Weight:
Breed:

Cleo Fund vouchers are for income-qualified individuals. Are you able to provide proof of eligibility? YesNo

Please check off the qualifying programs in which you are enrolled
Food Stamps (EBT)SSISSDITANFMaineCareWICOther

How did you hear about the Cleo Fund?
Friend/FamilyLocal Shelter/Rescue GroupAWS WebsiteSpay ME/Help Fix MEInternet/Online/GoogleBrochure/Flyer/AdFacebookUsed Cleo BeforeLocal VeterinarianOther