Financial Assistance - Working Guide Dog

Apply for Reimbursement

Financial Support Request Form for working Guide Dogs

Guide Dogs are aware that, sometimes, circumstances beyond a Client’s control can lead to difficulty in financially supporting their Guide Dog e.g. managing veterinary costs or providing ongoing support for one of our senior dogs.

Please reach out to our Guide Dog Administration team (gdprogram@guidedogs.com.au) should you need assistance. Each case is assessed on an individual basis through our management team. You can download a copy of the Financial Assistance form here or read through the Financial Assistance Information Sheet.

Fields marked with * requiredare required.

First Name * required

Surname * required

Contact Address

Street *(Flat, Unit No. and Street Name)

Suburb *

State *

Postcode *

Email * required

Phone Number Format: AreaCode + No.

Dog details

Guide Dog Name * required

What is your dog’s medical condition that has prompted this application * required

What is the veterinary treatment required?* required

Please provide copies of relevant quotes or receipts.* required For non-emergency treatment, please attach a quotation from your vet. Note that Guide Dogs NSW/ACT can only pay the veterinary practice direct where a quotation is provided before the treatment. For emergency treatment, please provide both the invoice and receipt for payment from your vet. Note that Guide Dogs NSW/ACT can only consider reimbursement where tax invoices and receipts are attached.

I declare that the information entered above is true and correct.

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