Funding Application Process - Zeus & PJ Charitable Foundation

Do you currently receive any of the following from the UK Government:

Universal Credit
Pension Credit
Housing Benefit
Job Seekers Allowance
Employment and Support Allowance
Personal Independence Payment (PIP)
Disability Living Allowance (DLA)

Please choose either "Yes" or "No."(Required)

Yes

No

Personal details

If you prefer to complete the form offline or cannot submit it online, please download the PDF version.

Once completed, please return the form and relevant supporting documents to: [email protected]

Note: Leave non-compulsory boxes blank if information unavailable

Download PDF Form

Personal details

You may still be eligible

However the decision will be based upon your financial circumstances

Note:

If you prefer to complete the form offline or cannot submit it online, please download the PDF version.

Once completed, please return the form and relevant supporting documents to: [email protected]

Note: Leave non-compulsory boxes blank if information unavailable

Download PDF Form

First name(Required)

Last name(Required)

Address(Required)

Street Address Flat number City Postcode Country

Telephone (Mobile)(Required)

Personal Email(Required)

Enter Email Confirm Email

Overview

Who pays the household expenses?(Required)

Are you currently working?(Required)

Yes

No

Your occupation at your current or most recent job:(Required)

Include job title and company

Is your spouse or live-in partner employed?(Required)

Yes

No

Their occupation at their current or most recent job:(Required)

Include job title and company

Do you have any dependents in your household? (Required)

Yes

No

How many and their ages:(Required)

Do you have other pets in your home?(Required)

Yes

No

Please provide their names, and ages:(Required)

Total household income last year:(Required)

Please enter total in (£)

Total expenses last year:(Required)

Dog Information

Name of Dog:(Required)

Age of Dog:(Required)

Enter Age (Years/Months)

Breed of Dog:(Required)

Weight of Dog:(Required)

Enter weight (Kg)

Sex of Dog:(Required)

The dog:

Spayed

Neutered

Name of your Veterinary Clinic:(Required)

You must give this clinic permission to speak to the Zeus & PJ Charitable Foundation about your pet. If we call and they have not received your permission, your application will be withdrawn.

Phone number of your Veterinary Clinic:(Required)

Name of Vet who last saw your dog and recommend a visit to a Cancer Treatment Centre:(Required)

Fund a first consultation | Fund for the cancer treatment plan

What type of funding help are you applying for?(Required)

Funding for the initial consultation for your dog at a specialist cancer treatment centre.

Funding for your dog’s cancer treatment at a specialist cancer treatment centrer.

Describe the reason you are applying for the funding for the initial consultation to a Cancer Treatment Centre:(Required)

Name of cancer treatment centre:(Required)

Phone number of cancer treatment centre(Required)

Type of Cancer:(Required)

Date of diagnosis(Required)

Enter date (dd/mm/yyyy)

Do you have pet insurance?(Required)

Yes

No

If accepted, will you help with fundraising efforts?

Yes

No

The Zeus & PJ Charitable Foundation will raise most of the funds, but we need your support. Would you be willing to help us by asking for donations via email (we will provide a sample email) to friends and colleagues, and by sharing posts on Facebook or other online platforms?

Required Documents

Note: Please upload the following documents: Recent letter from UK Govt confirming receipt of the benefit

Upload document(Required)

Drop files here or

Max. file size: 100 MB.

Recent letter from UK Govt confirming receipt of the benefit. (Maximum File Size 64MB)

Required Documents

Note: Please upload the following documents:

- The most recent 3 months of bank statements
- Most recent P60
- Most recent council tax statement
- Most recent UK tax return

Upload documents(Required)

Drop files here or

Max. file size: 100 MB.

The most recent 3 months of bank statements | Most recent P60 | Most recent council tax statement | Most recent UK tax return (Maximum File Size 64MB)

Consent, data protection and marketing data

How did you hear about us?(Required)

Can you specify where you heard about us?

One last step! Prove you’re a human—because only humans can help dogs fight cancer!