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Spay & Neuter Program-Forms


Below are the Spay & Neuter Program forms for use by for-profit surgery providers and veterinarians and non-profit animal clinics, shelters and rescue organizations.


FOR-PROFIT SURGERY PROVIDER AND VETERINARIAN FORMS

  • Spay & Neuter Program Monthly Rabies Verification and Surcharge Remittance Report
    The Spay & Neuter Program Monthly Rabies Verification and Surcharge Remittance Report must be submitted with rabies inoculation surcharges. Veterinarians who administer rabies inoculations in Delaware must collect a $3 surcharge for each vaccine and forward collected surcharges on a monthly basis, together with all applicable rabies inoculation verifications, to the Division of Public Health.
  • Spay & Neuter Program Surgery Provider Agreement
    Veterinarians who do not participate in the Spay & Neuter Program must submit the Spay & Neuter Program Surgery Provider Agreement to the Spay & Neuter Program coordinator to become a participating surgery provider.
  • Spay & Neuter Program For-Profit Provider Invoice
    Participating Spay & Neuter Program for-profit surgery providers should submit a Delaware Spay & Neuter Program For-Profit Provider Invoice for any program surgeries performed and a Complications Invoice, if applicable, on a monthly basis to the Spay & Neuter Program coordinator. These forms must be accompanied by the Income Eligible Application and Application Checklist and Surgery Information forms for each pet sterilized.
  • Spay & Neuter Program Complications Invoice


NON-PROFIT ANIMAL CLINIC, SHELTER AND RESCUE FORMS

  • Spay & Neuter Program Monthly Rabies Verification and Surcharge Remittance Report
    The Spay & Neuter Program Monthly Rabies Verification and Surcharge Remittance Report must be submitted with rabies inoculation surcharges. Veterinarians who administer rabies inoculations in Delaware must collect a $3 surcharge for each vaccine and forward collected surcharges on a monthly basis, together with all applicable rabies inoculation verifications, to the Division of Public Health.
  • Spay & Neuter Program Surgery Provider Agreement
    Non-profit shelters and clinics who wish to perform surgeries for the Spay & Neuter Program must submit a Spay & Neuter Program Surgery Provider Agreement to the Spay & Neuter Program coordinator to become a participating non-profit surgery provider.
  • Spay & Neuter Program Non-Profit Provider Invoice
    Participating Spay & Neuter Program non-profit surgery providers should submit a Delaware Spay & Neuter Program Non-Profit Provider Invoice for any program surgeries performed and a Complications Invoice, if applicable, on a monthly basis to the Spay & Neuter Program coordinator. These forms must be accompanied by the Spay & Neuter Program Non-Profit Application for Sterilization of a Stray Cat or Dog forms for each animal sterilized.
  • Spay & Neuter Program Complications Invoice
  • Spay & Neuter Program 501(c)(3) Participant Agreement
    Non-profit rescues or shelters who do not participate in the Spay & Neuter program must submit the Spay & Neuter Program 501(c)(3) Participant Agreement to the Spay & Neuter Program coordinator.
  • Spay & Neuter Program Non-Profit Application for Sterilization of a Stray Cat or Dog
    All non-profit organizations who wish to have pets in their care sterilized under the Spay & Neuter Program must submit the Delaware Spay & Neuter Program Application for Sterilization of a Stray Dog or Cat by Approved 501(c)(3).

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