Clark Township
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Specify Address where BOTH Cat and Owner reside
Please enter your Street Number and part of the Street Name and select your property from the dropdown list.
Application Type
Owner Information
First Name
Last Name
Address
City
State
ZIP
Address 2
Phone #
Email
Cat Information
Cat's Name
Breed
If "Other", specify
Hair Length
Sex
Color
Age
Rabies Tag #
Is Spayed/Neutered?
Previous License Number (if known)
Microchip #
Vaccination Information
Is Rabies Vaccination Exempt?
Rabies Vaccination Date
Rabies Expiration Date
(If "Yes", Proof of Exemption is Required)
Veterinarian Information
Facility Name
Phone #
Address
Required Documents

New Registrations

  • Rabies Certificate valid through October 31st of the licensing year
  • Spayed/Neutered Certificate
  • Proof of rabies exemption if applies

Renewals

  • Proof of new rabies vaccination (if rabies expires prior to October 31st of the licensing year)
Fee Schedule
Type Fee
Spayed/Neutered Cat $18.00
Non-Spayed/Neutered Cat $20.00


  • Please be advised there is a $3.00 processing fee for Credit Card payments.

  • Please note that you will be contacted upon review of application and documentation, and at that time payment will be requested. Payment can be made via cash, check or credit card.
Amount Due:
Certification
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 cat’s license.
Applicant Signature
Type Full Name :