Type Full Name :
Sign With Hand
Last Name
City
If Other Breed, specify
Required Documents
Vaccination Information
Date of Birth
Size
Owner Information
Sex
Age
Phone #
Rabies Vaccination Exempt?
Color
{[PNAME]}
State
Phone #
  1. Current rabies certificate
  2. Spayed/Neutered certificate
  3. Service Dog certificate (If Applicable)
Address 2
Address
Hair Length
Applicant Signature
Rabies Tag #
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[PPHONE]}
{[AWEBSITE]}
First Name
Expiration Date
ZIP
First Name
City
Is Valid?
If applicable, provide details of another owner for this dog that resides at the same address.
Veterinarian Information
ZIP
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?
Application Type
Note that payment must be received in full before a Dog License and Registration Tags can be issued.

License Fee
Vaccination Date
State
Email
Address
Dog Information
Name
Certification
Breed
Address 2
Service Dog?
Email
Fees are subject to review and may be subject to change following the review process.
Previous License # (If known)
Specify Address where BOTH Dog and Owner reside