Yes No

Renewed Not Renewed

Yes No Exempt

New Renewal

Male Female

Short Medium Long

Yes No

Yes No

If applicable, provide details of another owner for this cat that resides at the same address.

City

New Registrations

• Rabies Certificate valid through February 1st of the licensing year
• Spayed/Neutered Certificate

Renewals

• Proof of new rabies vaccination (if rabies expires prior to February 1 of the licensing year)

Application Type

Address

Hair Length

Certification

Age

Cat Information

Cat's Name

City

(If "Yes", Proof of Exemption is required)

Microchip #

Phone #

Name

Phone #

Last Name

Email

Amount Due:

State

Applicant Signature

Rabies Expiration Date

State

Previous License # (if known)

Sex

Address 2

Vaccination Information

Is Spayed/Neutered?

Address

Note that payment must be received in full before a Cat License and Registration Tags can be issued.

Type	Fee
Spayed/Neutered Cat	$13.00
Non-Spayed Cat	$16.00
Late Fees (Applies to Renewals ONLY) per month after 4/30	$3.00

If "Other", specify

Phone #

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.

ZIP

Fee Schedule

Breed

Required Documents

Veterinarian Information

Color

Specify Address where BOTH Cat and Owner reside

First Name

ZIP

First Name

Email

Owner Information

Address 2

Is Rabies Vaccination Exempt?

Rabies Vaccination Date

Last Name