Type Full Name :
Sign With Hand
Middle Name
Address
Parish
First expiration date and fee calculation, based on the previous expiration date.
Is your dog a mixed breed?
Secondary Breed (If Applicable)
Pay By Credit Card
Documents/Attachments
Additional Owner Information
Additional Calculations
Postal Code

At this time, we only accept online applications for renewal dog licences. In order to register your new dog, please visit our offices in-person at: Botanical Gardens, 169 South Road, Paget DV 04. For more information please visit our website here.

Please note that:

  • All fields outlined/coloured in beige are required fields and must be filled to submit the form.
  • Your personal information is not displayed for the protection of your privacy.
  • Each dog licence record is independent, and thus you must enter your personal details for each animal record.
Microchip 2 (if applicable)
Size
Owner Information
Sex
Date of Birth
Phone #
Coat Color
Days formula to check if new exp. date is within 92 days.
New exp. date and fee, if within 92 days.
Phone #
Attach Spay/Neuter certificate if applicable.
Address 2
{[PNAME]}
Address
House Name
Applicant Type
Coat Length
House Name
Spayed/Neutered dog - $25
Intact dog - $135

Note: If you have missed previous years' registration, outstanding fees must also be paid at this time in order to complete this registration.
Applicant Signature
Previous Owner Information
{[CNAME]}
Botanical Gardens
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
441-246-7588
www.gov.bm/animals
Address 2
Address
Postal Code
House Name
Middle Name
Expiration Date
First Name
Organization Name (If applicable)
Address 2
Postal Code
Full Name
First Name
Additional Description
In order to receive your licence, you must first pay the application fee.
If applicable, provide details of another owner for this dog that resides at the same mailing address as the owner.
Emergency Contact Information
Veterinarian Information
Copy of expiration date, to calculate date and fees on public form when renewing.
Full Name
Last Name
Based upon the expiration of the latest licence for this animal.
Last Name
Suffix
House 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 dog’s licence.
Licence #
Title
Is the mailing address the same as the owner's address?
Phone #
Parish
Phone #
Coat Type
Spayed/Neutered?
Where will this animal be kept?
Parish
Suffix
House Name
Application Type
Postal Code
Parish
Total Fee Owing
Postal Code
Were you LAST registered at a different address?
Mailing Address
Annual Licence Fee
Microchip
Email
Parish
Address
Provide details another person (i.e. family, friend) who could assist with this animal in case of an emergency:
Title
Dog Information
Name
Certification
First expiration date and fee, based on the previous expiration date.
Primary Breed
Address 2
Previous Address
Address 2
Note: Each owner must be at least age 18 years.
Email
Was this dog LAST registered under a different owner?
Work Phone #