Please remember Hero Fund grants are supported solely on donations. When funds are available we support all who qualify. However, from time to time the fund is depleted and until it is built back up, we may have to suspend funding. All applicatons will be considered for approval. Thank you for helping a dog in need.

Dog's Name	*
Date of Rescue
Place of Rescue, City	*
Place of Rescue, State		- - AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Was the Dog Chained or Penned?	*	Chained Penned Other, Describe in Narrative
Narrative: Tell Us About the Dog and Case	*
Name of Person or Group Rescuing Dog	*
Email Address of Contact Person	*
If Group, Give Website Address
Full Address of Rescuing Person or Group	*
Phone Number Where We Can Best Reach You	*
I Understand Dog Must Live Inside Home or Facility	*	Yes No
I understand I Retain Full Ownership and Responsibility for this Dog	*	Yes No
List of Services Requested	*
I understand DDB will pay vet directly	*	Yes No
I understand I am NOT Guaranteed a Grant	*	Yes No
I Give DDB Permission to Post Dog's Story	*	Yes No
Veterinarian Phone and Address	*
How did you hear about the Hero Fund		Click arrow and select from below Dogs Deserve Better Facebook page Other Facebook page Dogs Deserve Better Website Local Representative Dogs Deserve Better Employee Other
What is the name of the employee or Rep who referred you to the Hero Fund? (or type N/A)	*
Submit Photo of Dog Chained or Penned	*
Submit Photo of Dog After Rescue	*
By hitting the submit button, you agree to the following: I agree that all information submitted here is the truth. That the dog legally belongs to me or said organization, and that I have legally rescued this dog. I further agree that the dog will live inside the home or facility and will not be subjected to long periods without human or canine interaction. I agree that I/the organization noted is the sole legal guardian and owner of this dog, and that I hold Dogs Deserve Better harmless against any and all claims in relation to this dog. DDB is giving out up to a maximum of $300 grants for vet care for a formerly chained or penned dogs. This is my application for said grant, however I acknowledge that it is not guaranteed to me. DDB reserves the right to refuse the grant to anyone on any basis whatsoever, and is not required to provide a reason for declination. No grants will be provided without photo proof of the dog's previous living conditions, and a photo of the dog after rescue. DDB bears no legal claim or responsibility for said dog, express or otherwise. I hereby grant DDB permission to post my story and photo of rescued dog upon acceptance into the program.
Security Code	*