to be eligible for assistance you must live in dallas OR tarrant counties and BE 62 years of age.

THE FORM WILL HELP US WITH STARTING YOUR APPLICATION.

A FULL APPLICATION MUST BE FILLED OUT WHEN you are REQUESTED TO DO SO..

WHEN YOU  SUBMIT THIS FORM YOU AGGREE that you are 62 years of age and will furnish any additional information "HSKP" MAY NEED . TO COMPLETE THE APPLICATION PROCESS you must print and mail full application.

TEMPORARY Application for assistance

To print the necessary forms. Click the buttons above and print and fill them out then mail to.

Helping Seniors Keep Pet P. O. Box 1062​ Coppell, Texas 75019

ALL FIELDS MUST BE FILLED IN BEFORE SUBMITTING FORM.

You must list all income and support.