Cooper’s Legacy Foundation is very sorry to hear that your pet is ill! This preliminary application is designed to help determine whether or not your family fulfills the initial criteria established to assist with the treatment of your pet. Please answer as thoroughly as possible. We may have follow-up questions based on your answers and will contact you if we need more information. Treatment is never guaranteed. We reserve the right to refuse, alter, limit, or rescind offer to cover expenses if circumstances change or new information is uncovered. Unfortunately we do not have the technological capability to allow a partially completed electronic preliminary application to be saved and returned to at a later time/date. The uploadable preliminary application must be completed entirely and submitted before leaving this page or the information will be lost. Therefore we suggest you review all the questions and assemble any documentation you may need prior to starting the application process so that the information is readily available to you as you complete the application.