Type Full Name :
Sign With Hand
Last Name
City
New or Renewal?
If Other Breed, specify
{[CNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Required Documents
Vaccination Information
Size
Owner Information
Sex
Age
Phone #
Rabies Vaccination Exempt?
Color
{[PNAME]}
  • You must provide a valid rabies vaccination record. Rabies tag is not acceptable
  • You must provide proof if dog is spayed or neutered
    1. For 1-Year Licenses - Rabies vaccinations which have expired prior to November 1, 2023 cannot be licensed without an updated rabies vaccine record
    2. For 3 Year Licenses - Rabies vaccinations which have expired prior to November 1, 2026 cannot be licensed without an updated rabies vaccine record

 

Address
1 Year or 3 Year License?
  • SPAYED/NEUTERED
    • $8.20 – 1 YEAR LICENSE
    • $24.60 – 3 YEAR LICENSE
  • NOT SPAYED/NEUTERED
    • $11.20 – 1 YEAR LICENSE
    • $33.60 – 3 YEARS LICENSE

 

Hair Length
Applicant Signature
First Name
Expiration Date
ZIP
First Name
Fee Due
Is Valid?
If applicable, provide details of another owner for this dog that resides at the same address.
Last Name
Dog Name
By submitting this form, I am confirming that all of the information I have entered is accurate, according to the best of my knowledge. I understand that failure to provide correct information will result in revocation of my pet’s license.
Phone #
Spayed/Neutered?
Note that payment must be received in full before a Dog License and Registration Tags can be issued.

License Fee
Vaccination Date
State
Email
Dog Information
Certification
Breed
Address 2
Tag #
Email
Prev. Lic. # (If applicable)
Specify Address where BOTH Dog and Owner reside - type the street number and street name (Ex: 123 main) and press ENTER to search *