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Millie's Fund Application Form

Please note that an admin fee of €10 per household is payable to help cover the costs of processing the application. Up to two dogs can be applied for using this form. You will need the following to complete the application:

  • Your dog’s licence number or the date of application (if within the last two weeks)
  • Your dog’s microchip number (if already microchipped)
  • Photo ID (your driver’s licence, passport or public services card)
  • Proof of address (a recent utility bill, TV Licence or bank statement)

The full list of participating veterinary practices is available here.

Please email any application queries to: or phone 091 509510

This online form works best in a Google Chrome browser.


By completing your application below, you are bound by the terms and conditions for the scheme as set out here*