Partner Grant Request | American Beagle Relief Network

Partner Grant Request Application

To request reimbursement for medical expenses incurred on behalf of Beagle(s), complete the following form. Your five highest Itemized bills must be uploaded, and provide two or more adoption stories to add to our "Stories" section. Also, please provide two high resolution, one dog per photo, eyes visible, natural light, for use in fundraising for next year's funds.

American Beagle Relief Network - a 501(c) (3) Foundation

2027 Request For Medical Expense Reimbursement

(for the past year)

Medical expenses related to Beagles

Contact Name

Contact Phone

Date of Request

Name of Partner Rescue Organization

Organization Mailing Address

Does your organization have any paid Board Members?

Yes

Organization's Website Address

Does your organization spay/neuter all Beagles prior to adoption?

Yes

What was your organization's total animal intake in 2026

What was your organization's total number of adoptions in 2026

Number of Spays?

Number of Neuters?

Number of Heartworm Testing?

Number treated for Heartworm?

Number of Dentals?

Number of surgeries other than spay/neuter?

Number trained in obedience & Behavioral?

Other comments

Upload up to five most expensive medical bills for 2026 related to Beagles (can be more than one)

Upload a document describing 2 or 3 heartwarming rescue stories for 2026, where these funds helped the Beagle go on to adoption.

Upload 2 or more high-resolution photo of a single Beagle, eyes visible, in natural light that will be suitable for fundraising and/or to accompany a story provided to us.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

I authorize American Beagle Relief Network permission to use the photos and stories provided here in their fundraising efforts.

AmBRNet

Text AMBRNET to 53-555 to donate!

Partner Grant Request Application

2027 Request For Medical Expense Reimbursement