Newest VSNIP Application- Use only this form!

Click Here for the Newest VSNIP Application

Please note- If you check off a benefit on part A of the application, you DO NOT need to complete part B. Go to the signature page, sign your completed application and mail in with required proof.

Call us Toll Free @ 855-478-7647

VSNIP vouchers let income-eligible Vermonters get their pets spayed or neutered for $25 at participating vets.

If you receive any of the following forms of assistance, you may be eligible for a VSNIP voucher:

~ 3 Squares VT (Food Stamps)

~ Women, Infants and Children (WIC)

~ TANF: Reach Up, Reach First, Reach Ahead, PSE

~ Fuel Assistance

~ Medicaid

~ Essential Person

~ Supplemental Security Income (SSI)

~ Section 8 Rental Assistance

* Please Note: Dr. Dynasaur, CHAP, Social Security, VHAP and Medicare DO NOT automatically qualify you.

To receive an application or for assistance call or 855-47-VSNIP (855-478-7647) or use the link below to download an application.

VSNIP Application

VSNIP Application (Click to download)

Participating Veterinarians

For a list of participating veterinarians click on the link below

Download a List of Vets (PDF)

Post a VSNIP Flyer

Click here for VSNIP flyer to post in your area

Determining Poverty Level

Households below 185% of the FEDERAL poverty LIMIT are income eligible for the VSNIP program. Below are the monthly gross income amounts that you must not exceed for your household size. A household is defined as one or more related or non-related individuals who are living together as one economic unit.

Household of 1: $1,772
Household of 2: $2,392
Household of 3: $3,011
Household of 4: $3,631
Household of 5: $4,251
Household of 6: $4,871
Household of 7: $5,490
Household of 8: $6,110

To qualify based on income only please complete Part B of the application.