Joint Task Force K9s requirements for K9 Therapy and Service Dog programs.

Please note that JTFK9s do not provide seeing eye dogs or hearing dogs.

● A Completed application form.

● Letter of recommendation from your healthcare provider.

● Copy of your DD-214 or Law Enforcement equivalent

● Must be available for telephone and in-person interviews and home visit if to be awarded a Service dog.

● Must have Military or Law Enforcement honorable discharge or currently on active-duty status without any major disciplinary actions.

● Diagnose with PTS/PTSD, TBI, and/or Mobility issues determined to be service connected.

● Must have stable living conditions and the financial ability to provide care for a Service dog.

● No alcohol or substance abuse of any kind (self-medicating)

● No felony convictions, pending criminal charges, animal abuse convictions or current parole/probation.

● Must take part in all training events which consist of two weeks of total training to include a spouse or caregiver portion of training.

Note: This information is only seen by those processing travel expenses and validation purposes and will not be given to any 3rd parties. Your privacy is a top priority.

Contact Information – Please use same name and date of birth as on ID when flying and provide a mailing address for communication purposes.

Applicant Information

Date of birth *

Applicant Name (First, Middle, Last, and Suffix)

Address

Street Address

City

State

Country

Postal code

Home Phone *

Cell Phone *

Email *

Emergency Contact Information

Name of Emergency Contact *

Relationship *

Emergency Cell Phone *

Preferred Airport

Name of Airport *

Current Military or Law Enforcement

Status *

Military or Law Enforcement Career

Brief Description of Military or Law Enforcement Career *

Current Rank *

Dates of Service (From) *

Dates of Service (To) *

Type of Discharge *

PTS, TBI, and/or Mobility Issues

Brief Description of Issues *

Prosthetic Devices

Do you have any prosthetic devices? *

Yes

Type of prosthetic(s) used: *

Service-Connected PTS/PTSD and TBI

Have you been diagnosed with service-connected PTS/PTSD? *

Yes

Have you been diagnosed with service-connected TBI? *

Yes

Physical Limitations

Brief Description of Physical Limitations *

Food Allergies

Do you have any food allergies? *

Yes

Type of allergies *

Provider Recommendations

Has any medical provider ever recommended to you K9 Therapy or Service Dog Programs? *

Yes

What type of program(s)? *

Therapy Program

Briefly Describe What Outcomes You Want from Our K9 Therapy Program *

Service Dogs

Briefly Describe How a Service Dog Would Benefit You *