HOWLING HEROES K9 INSURANCE APPLICATION

RETIRED K9 ACCIDENT & ILLNESS COVERAGE

SUBMIT YOUR APPLICATION

Handler Name

Please enter a valid phone number.

example@example.com

Current Employer & Job Title

Address

K9 Name/Job Title

K9 Department or Military Branch

K9 Active Duty Start Date

K9 Retirement Date

K9 Age, Birth Year, & Breed

Dog Gender

Male

Female

Description of K9 Accolades & Achievements During Active Duty

Description of K9 Utility (ie: bomb, narcotics, patrol)

Please attach multiple photos of your K9 both on and off duty. A photo will be added to our class of 2023/2024 recipients and displayed on our webpage if selected.

Upload File

K9 must be retired from a law enforcement agency, fire department, or military.
K9 must be privately owned (not city/municipal property)
K9 should not currently be terminally ill
Pending legal issues or investigations involving the retired K9 or handler will be disqualified

Thanks for submitting!