CITY/COUNTY ANIMAL LICENSE
ALL DOGS IN HENDERSON COUNTY MUST BE LICENSED BY STATE LAW. ONLY ANIMALS THAT ARE UP TO DATE ON RABIES VACCINATIONS CAN BE LICENSED. PLEASE SUBMIT INFORMATION BELOW. ONCE RABIES IS VERIFIED WITH VET WE WILL MAIL LICENSE TO ADDRESS LISTED BELOW. BY FILLING OUT THIS FORM YOU ARE CONFIRMING THAT YOUR ANIMAL IS UP TO DATE ON RABIES VACCINATION. IF YOU SUBMIT THIS REQUEST AND PAY AND DO NOT HAVE TO UP TO DATE RABIES YOUR PAYMENT WILL BE LOST AND NO REFUNDS WILL BE GIVEN. 1-YEAR CITY COUNTY LICENSE-$3.18 (2.00 LISCENSE--$.50 PROCESSING FEE-$.50 POSTAGE-$.18 TAX)
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Pet Name,Breed,Age
Pet 2 Name, Breed,Age
Pet 3 Name, Breed,Age
VET INFORMATION
Vet Clinic Name
Address
Address of Vet
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Phone Number of Vet.
PLEASE UPLOAD IMAGE OF RABIES INFORMATION FROM VET HERE. IF YOU DO NOT HAVE PLEASE LEAVE BLANK.
FOR CURRENTLY LISCENSED DOGS PLEASE SUBMIT CITY/COUNTY LICENSE NUMBER BELOW FOR RENEWAL
PLEASE ENTER QUANITY OF PETS OWNED
*
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City/ County Dog License
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3.00
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