Veteran Application

Contact Information

Emergency Contact Information

Medical Information

Home Information


Who else lives in your home?

Resident 1


Resident 2


Resident 3


Resident 4

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Resident 5


Resident 6


Resident 7





What other animals live in your home?

Pet 1


Pet 2


Pet 3



Note: We are required to contact your veterinarian for medical history to meet the standards for our certification with Assistance Dogs International (ADI).

Employment Information


School Information


Canine Information

If you already have a dog you would like to train in our program, please complete the following section, regardless of whether or not AVBF has assessed it yet.






*A service dog handler must be able to communicate with the dog either verbally or using a signed language.




Please provide two character references from non-relatives:

Reference 1:*


Reference 2:*


Disclaimer

I hereby acknowledge and I understand that A Veteran's Best Friend reserves the right to deny service to an applicant for any reason including, but not limited to, failure to meet the established criteria for receiving a service dog or that requires services that are not able to train.

A Veteran's Best Friend provides specialized PTSD training and education relating to training a PTSD service dog. We do not provide any mental health counseling. We highly recommend all Veterans with PTSD to utilize Veterans Health administration or a Vet Center.

I understand that if I can't complete the service dog program for whatever reason, the service dog is returned to A Veteran's Best Friend. A Veteran's Best Friend also reserves the right to remove a program service dog from a home at any time for mistreatment/neglect or an inappropriate match.

I do hereby agree to hold free from any and all liability the A Veteran's Best Friend and its members and officers. I declare myself to be physically sound to participate with the A Veteran's Best Friend organization. My family, members of my household, and myself waive the rights and claims for damages and injuries, which may come from a connection and participation with A Veteran's Best Friend.

Additional Requirements

In addition to submitting this application, please mail the following to:

A Veteran's Best Friend
P.O. Box 329 / 116 N. First Street, Suite C
Cabot, AR 72023

  • Documentation verifying your diagnosis of Post-Traumatic Stress Disorder (PTSD) from the Department of Veterans Affairs (VA), Veteran Center, or your mental health provider. A VA compensation letter will suffice.
  • A letter (or note) from a mental health care professional recommending a Service Dog to aid in your treatment or the mitigation of your disability
  • Two character reference letters from non-relatives
  • A letter of reference from your veterinarian stating your ability to care properly for a Service Dog (if applicable)
  • A copy of your DD214

Once your application has been reviewed and approved, we will contact you by phone or email to arrange an in-home safety inspection and dog assessment, if applicable.