No Yes

Renewed Not Renewed

Cash Check Credit Card Money Order Unselected

New Renewal

Short Medium Long

Small Medium Large

Male Female

No Yes

No Yes

No Yes Exempt

City

All applicants must submit a Rabies Certificate valid through November 1st of the licensing year and a Spayed/Neutered Certificate (if applicable). In case of a Vaccination Exempt situation, proof of exemption is necessary.

Please specify application type*

Address *

Hair Length *

Certification

Age

Cat Information

Name *

Phone # *

Last Name *

Size

Amount Due

State

Applicant Signature *

Rabies Expiration Date *

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

Previous License Number (if known)

Sex *

Address 2

Vaccination Information

Spayed/Neutered? *

If "Other", specify

Microchip #

I acknowledge that all statements made herein are accurate and that this application will not be accepted as submitted until all required documents are remitted, and all applicable fees are paid.   I acknowledge that if no payment is made within 72 hours of this application, it will be deemed null and void, and I will be required to resubmit a new application.

Applications paid via credit card are subject to a $3.00 Processing Fee.

ZIP

Fee Schedule

Type	Fee
Spayed/Neutered Cat	$   8.00
Unaltered Cat	$ 11.00
Late Fee starting February 1st of the licensing year	$ 10.00

Breed *

Required Documents *

Color and Markings *

Specify Address where BOTH Cat and Owner reside *

Valid Y/N

First Name *

Email *

Owner Information

Is Rabies Vaccination Exempt? *

Rabies Vaccination Date *