1 Start 2 Payment Information 3 Complete City law requires that all dog owners license their dogs, and the City Health Code requires that dog owners attach the license tag to their dog's collars while in public. Dog owners may be fined for violation of these laws. I am filling this out to: Obtain a New License Renew an Existing License Request a Replacement Tag Obtain a New License, Renewal or Request a Replacement tag Existing License Tag # or Chip ID Dog Owner/Pet Parent Your Name Your Full Mailing Address Street Number, Street Name, City, State, Zip Code Your Phone Number (xxx) xxx-xxxx Your E-Mail Individual Dog/Companion AnimalNOTE: For licensing multiple animals, please fill out a new form for each. The Dog's Name Breed or Mix Coat Color(s) and/or Pattern for Identification Gender Female Male Veterinary Information Rabies Vaccine Tag Number Rabies Vaccine Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202320242025 Spayed/Neutered * Yes No Your cost will be $8.50 at check out Your cost will be $34.00 at check out Veterinarian's Name Clinic's Mailing Address Street Number, Street Name, City, State, Zip Code Clinic's Phone Number (xxx) xxx-xxxx E-Signature of Acknowledgement * In submitting this application, I state that the information I have provided is accurate. I recognize that making false statements in this application violates Health Code section 3.19 and other applicable law and may subject me to civil and criminal fines and penalties, and invalidation of any license issued.
