Feed & Care Bank Application

Apply for assistance

Please complete this form in order to be considered for short-term equine feed and care assistance. You will be contacted to learn more about your needs. References, including veterinarian and farrier, will be checked. The MSSPA has the sole right to determine eligibility. No assistance is granted without a complete application submitted and pictures of the equine(s) in need.

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email
How many equines do you own?*
How long have you owned your equines?*
From where did you purchase or adopt your equines?*
Please provide the name, age, gender, breed, and a brief description of each of your equines.*
E.g. Jazz, 15, buckskin, Standardbred gelding with a blaze and socks
Are you engaged in breeding practices?*
If you are engaged in equine breeding, please explain.
Are you engaged in the regular sale of equines?*
If you are engaged in the regular sale of equines, please explain.

Please note the Feed and Care Bank funds are intended to provide temporary assistance to Maine horse owners who comply with the MSSPA’s policies of no commercial breeding, selling or leasing of horses.
Please describe what has led to the need for assistance, as well as the condition of the equines and the equine facilities on your property.*
Pictures of the equine are mandatory. They can be attached to this form or emailed to [email protected]. Pictures will also be required after support is provided.
What specific assistance are you requesting?*
(i.e. hay, veterinary care, farrier services)
Do you have a regular relationship with equine professionals, such as veterinarians and/or farriers?*
Please provide the name(s) and contact information of your current veterinarian and farrier.*

The MSSPA will perform reference checks prior to determining eligibility of assistance.
Photo
Max. file size: 75 MB.
Please provide photos of your equine(s). At least one photo is requested. If you are having any difficulty uploading photos, please email them to [email protected] or call 207-892-3040 for more upload options.
Additional Photo
Max. file size: 75 MB.
Additional Photo
Max. file size: 75 MB.
Additional Photo
Max. file size: 75 MB.
How did you hear about this program?
Release of Veterinary Records*
By submitting this application, you give MSSPA permission to contact the veterinarian(s) listed above for the purpose of obtaining the veterinary records of the equine(s) named in this application.
- I agree to the release of veterinary records
Terms and Conditions*
You must be a resident of the state of Maine to qualify for this funding and your horses must be located in Maine. You must have a workable plan developed to avoid future need and be willing to share that. You must be a private horse owner. The situation and need must be short-term. You must have owned your equine(s) for a minimum of six months. You must agree to no breeding. The MSSPA has the sole right to determine eligibility. No assistance is granted without a complete application, including pictures before aid and after. By submitting this application, you are agreeing to submit a photo of your horse(s) in need with this application and you are agreeing to provide a photo of the horse(s) receiving assistance at the time of follow-up.
- I agree to the terms and conditions

Feed & Care Bank Application

Feed & Care Bank Application

Apply for assistance

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