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 For-Profit Surgery Provider Agreement
  For-profit Providers who wish to perform surgeries for the Spay & Neuter Program must submit a Spay & Neuter Program For-Profit Surgery Provider Agreement to the Spay & Neuter Program coordinator to become a participating surgery provider.

INVOICES

• For-Profit Provider Spay & Neuter Program Invoice for Income-Eligible Certificates of Surgery 
  Form to be used by for-profit Spay & Neuter Program Providers that have selected to provide services to income-eligible certificate holders

• For-Profit Provider Spay & Neuter Program Invoice for Non-Profit Certificates of Surgery 
   Form to be used by for-profit Spay & Neuter Program Providers that have selected to provide services to non-profit organization certificate holders.   

• 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.

INVOICES

• Non-Profit Provider Spay & Neuter Program Invoice for Income-Eligible Certificates of Surgery
  Form to be used by non-profit Spay & Neuter Program Providers that have selected to provide services to income-eligible certificate holders.  

• Non-Profit Provider Spay & Neuter Program Invoice for Non-Profit Certificates of Surgery
  Form to be used by non-profit Spay & Neuter Program Providers that have selected to provide services to non-profit organization certificate holders.     

• Spay & Neuter Program Complications Invoice

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