Pet Food Pantry Application

STARelief and Pet Assistance (STARelief) Pet Food Pantry 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. STARelief does not donate to anyone breeding, selling or flipping animals and it reserves the right to refuse anyone under any circumstance, such as someone who is a breeder. Below are the general guidelines. However, every request will be reviewed on a case-by-case basis. STARelief will provide food for up to five pets per household.

PLEASE NOTE. WE DO NOT OFFER PET FOOD STAMPS. IT’S A GOOGLE SPAM. AND OUR PET FOOD PANTRY IS LOCATED IN STAMFORD, CT.

Requirements and Eligibility To Receive Pet Food Donations

Proof of unemployment, income status, or disability with a valid driver license or some form of ID
Recipients must be 18 years of age or older. ID may be required
Pets are for companionship and not for breeding or illegal activities
All pets must be spayed/neutered. STARelief can help with assistance for spaying or neutering
Pets must be a part of the family with inside shelter and must be maintained in a healthy environment and living conditions
Pet food recipients cannot take on any additional animals while receiving assistance
Understand that all pet food and supplies are donated and may not be the current brand you use to feed your pet, which may upset your pet’s stomach
Agree not to hold STARelief ‘s Pet Food Pantry, its volunteers, and benefactors legally liable in the unfortunate event your pet(s) become ill or the food upsets a pets(s) stomach
Recipients agree not to resell, redistribute or attempt to return to a store, any food or care items received from STARelief’ s Pet Food Pantry
STARelief will make every effort to consider special requests for certain formulas or flavors of dog and cat food (i.e., Senior, indoor, etc.), but are only able to give what is available at the time
Provide us with a photo of your pet (you may include yourself in the photo). Accepted file formats include: gif, jpg, pdf or png. Email to care@starelief.org.

Should you violate any of the above requirements, STARelief’s Pet Food Pantry will terminate assistance immediately without notice.

PLEASE NOTE AND TYPE YES IF YOU UNDERSTAND WE DO NOT OFFER OR SEND PET FOOD STAMPS! - Our Pet Food Pantry is located in Stamford, CT, And we do not offer pet food stamps. It's a Google Spam*
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
How did you hear about STARelief*
List all the pets in household.*
Pets Name Cat/Dog/Other Breed Weight Age Spayed/Neutered Special Needs

Click "+" to add more pets.
Name of Current or Past Veterinarian or Clinic*

Please provide the name of the veterinarian or clinic where your pet(s) have been seen.
Veterinarian or Clinic Phone Number*
Please state why you are requesting pet food and indicate your job status*
Upload proof of financial difficulty (i.e. unemployment, disability, SS, etc)*
Accepted file types: jpg, Max. file size: 16 MB.
Please upload a picture of your pet in "jpg" format.
Picture Upload*
Accepted file types: jpg, Max. file size: 16 MB.
Please upload a picture of your pet in "jpg" format.
By signing below, you agree to the provisions about and attest the information provided is truthful. The undersigned hereby release STARelief Pet Food Pantry and all representatives associated therein, from any and all liability related to the pet food and/or care items provided.
Date*
MM slash DD slash YYYY
WE DO NOT OFFER PET FOOD STAMPS! OUR PET FOOD PANTRY IS LOCATED IN STAMFORD, CONNECTICUT. Please check yes if you have filled in all the required fields. ONLY completed applications will go through!*
- Yes
Signature of Applicant - WE DO NOT OFFER PET FOOD STAMPS! OUR PET FOOD PANTRY IS LOCATED IN STAMFORD, CONNECTICUT. Please check yes if you have filled in all the required fields. ONLY completed applications will go through!*
STARelief and Pet Assistance does not retain any sensitive or confidential information. STARelief and Pet Assistance assures confidentially of all records received.
Email
This field is for validation purposes and should be left unchanged.