Safety Net Application Safety Net provides foster placement, veterinary help, counseling and other remedies that can help prevent a pet losing its home and family because of temporary crisis by helping a family weather the storm. Filling out the Safety Net form does not guarantee qualifying for assistance.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.I have read and understand above conditions *AgreeDisagreeName *FirstLastAddress *Email *Phone *Number of people in household *Household income per year *Number of pets *Please list please note if pet is cat or dog, list each name, age, and gender *What is your specific need for your pet(s) *Please upload paystubs, tax returns, or proof of SNAP (Supplemental Nutrition Assistance Program-formerly the Food Stamp Program) participation so YHS can qualify your pet *Submit