Spay/Neuter Application

Edgefield County Spay and Neuter Application Form

The undersigned is a resident of Edgefield County and is seeking to apply for the Edgefield County Spay and Neuter Voucher Program.

I hereby consent and authorize the Aiken SPCA to receive, prescribe for, treat, and operate upon my animal.
Applicant's Name
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email Address
Pet Information
Pet's Name*
Cat or Dog*
Breed*
Pet's Color*
Weight*
Sex*
Eye Color*
Please Initial the following:
I understand my pet may have a pre-existing health condition which may not be apparent at the time of surgery and could increase anesthetic and post-surgical recovery risk. I also understand that preoperative lab work such as CBC, BMP, EKG etc. will not be performed before surgery and am agreeable with this.*

I understand my pet may have a pre-existing health condition which may not be apparent at the time of surgery and could increase anesthetic and post-surgical recovery risk. I also understand that preoperative lab work such as CBC, BMP, EKG etc. will not be performed before surgery and am agreeable with this.
By signing this consent/application, I assume all risk and hold harmless Edgefield County and the SPCA Albrecht Center or other participating veterinarian and waive all claims I later may have which may relate to the services provided to my pet under this Program.*

By signing this consent/application, I assume all risk and hold harmless Edgefield County and the SPCA Albrecht Center or other participating veterinarian and waive all claims I later may have which may relate to the services provided to my pet under this Program.
Choose the facility you would like to perform the service:
The applicant has an annual household income equal to or less than as indicated below:*
- 1 Person - $31,850
- 2 People - $36,400
- 3 People - 40,950
- 4 People - 45,450
- 5 People - 49,100
- 6 People - 52,750
- 7 People - 56,400
- 8 People - 60,000
Affidavit:*

I do solemnly swear that I am the owner of the subject animal, and the information that I have provided on this application is true. I accept any penalties set forth by law for providing false information about my income qualifications for this program.
Applicant's Signature*

Online signature constitutes a written signature.
Date*
MM slash DD slash YYYY
Once an application has been submitted, Edgefield County staff will approve/deny the application within 5 business days. If approved, Edgefield County will send you and the facility of your choosing the application and the approval date. It is the pet owner's responsibility to call the appropriate facility and schedule an appointment. Please note: Applications expire 90 days after the approval date.
Edgefield Veterinary Clinic - 803-637-0356 SPCA Albrecht Center - 803-648-6863
Qualifications: Residents of Edgefield County whose incomes fall within the following HUD Income Guidelines qualify for the spay/neuter voucher.
Explanation of Program: An individual wishing to participate in the spay/neuter program would fill out an application with questions about ownership, address, description of the animal, etc. The applicant signs the form testifying that their income falls within the Income Qualifications, above. If qualified, the applicant and requested service provider will be notified to have the animal(s) sterilized at the SPCA Albrecht Center or participating Veterinarian office.
The pet owner will then schedule the procedure at the facility of their choosing out of the two on the form. Edgefield County will reimburse to the veterinary service provider as provided for in Section 2 of this ordinance.
What do you do with the application: The owner mails, fills out online, or delivers the application to County Administration at 124 Courthouse Square, Edgefield, SC 29824. After verification of residency in Edgefield County, the County will send email notification to the pet owner and the chosen service provider. A hard copy can be mailed if you don’t have email but you will need to let us know when you submit the application.
Where can citizens get an application: Applications can be obtained on the Edgefield County website, https://edgefieldcounty.sc.gov/spay-neuter-application/, or the application can be picked up from the County Administration Office at 124 Courthouse Square in Edgefield.
Where can citizens get an application: Applications can be obtained on the Edgefield County website, https://edgefieldcounty.sc.gov/spay-neuter-application/, or the application can be picked up from the County Administration Office at 124 Courthouse Square in Edgefield.

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Edgefield County, 124 Courthouse Square, Edgefield, SC 29824
Phone: (803) 637-4000, Fax: (803) 637-4056.

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