1

Owner Information

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Owner Information

First	Dog License # (starts with ACL or ALIC)
Middle Initial	Phone Number (needed to keep our records up to date)
Last Name	Address where dog is to be licensed (needed to keep our records up to date)
Mailing Address (if different from above)	Email (needed to keep our records up to date)

2

Number of years requested

Number of years requested(Select an Answer) 1 year license 2 year license 3

3

Dog's Information

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Dog's Information (Select an Answer) Male Female Neutered Male Spayed Female

Updated Rabies Certificate (required) Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Certificate of sterility if spayed or neutered (only required if status has changed) Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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