Veterinarian Care Assistance Form
LAPS covers non-routine veterinarian costs for your companion animal, with a lifetime maximum of $1000 per animal.
LAPS does not cover routine medical visits defined as but not limited to: wellness exams, vaccinations, food, laser, routine blood tests, microchipping, massage, dental cleaning, medicines or elective procedures.
APPLICANTS MUST LIVE OR WORK IN SUMMIT COUNTY COLORADO
QUALIFICATION IS BASED ON 100% OF THE SUMMIT COUNTY AMI. SEE APPLICATION FOR AMOUNTS.
(Gross Income includes all sources of income: business, unemployment, disability, etc. before taxes or expenses.)
Completed LAPS Financial Assistance Application.
Written estimate or all invoices from your veterinarian with itemized details of treatment
Proof of Income – provide one for all wage earners (BLACK OUT your Social Security number)
1040 Federal Individual Income tax return (1st two pages only)
Unemployment – provide recent check
Disability – provide proof of status
Medicaid – provide proof of status
WE CAN NOT ACCEPT PAY STUBS!!
Proof of residency or employment in Summit County. (Acceptable proof includes: residence lease, utility/phone bill or a recent paycheck stub that lists your name & current physical address)
LAPS will accept clear and complete pictures of the documents. To fill out and sign the Application PDF online you can use a tool such as Adobe Reader or Docfly.com
For fastest processing, email completed application and supporting documentation to MedicalApps@summitlaps.org Applications and supporting documents can also be dropped off at the Summit County Animal Shelter in Frisco.
To assist in our ability to review your application and provide a timely response, please read the instructions and include ALL requested information with your application. Incomplete applications will delay the review process.
WE CAN NOT ACCEPT PAY STUBS FOR INCOME VERIFICATION. WE WILL NOT PROCESS YOUR REQUEST WITH ONLY A PAYSTUB.
Email questions to MedicalApps@summitlaps.org
Please DO NOT contact the Animal Shelter with questions about filling out LAPS applications or the current status of an application. They do not have this information. Use the email address above.