Lapeer County Animal Control Dog License Form

Name: *

First NameLast Name

Address: *

Street Address

Street Address Line 2

City

Postal / Zip Code

Phone Number: *

Please enter a valid phone number.

Email: *

example@example.com

Is this a NEW License, RENEWAL License or Change in Status? *

NewRenewalChange in Status (Pet Deceased, Rehomed, etc)

Pet's Name: *

Breed: *

Specify reason for status change: *

MovedPet is deceasedPet has been rehomedOther

Is your Dog Spayed or Neutered

Spayed/NeuteredNOT Spayed/Neutered

Current License Number:

Is this a Late/Past Due License Renewal?*

Yes - Add $40 late feeNo

License Expiration Date

Date

Please upload a current signed Rabies Certificate:*

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Date of Rabies Vaccination: *

Date

Date Rabies Vaccination Expires: *

Date

1 Year Eligibility for Sterilized Dog:

1 Year Spayed/Neutered License Fee $15

1 or 3 Year Eligibility for Sterilized Dog:

1 Year Spayed/Neutered License Fee $153 Year Spayed/Neutered License Fee $40

1 Year Eligibility for Unaltered Dog:

1 Year Unaltered License Fee $25

1 or 3 Year Eligibility for Unaltered Dog:

1 Year Unaltered License Fee $253 Year Unaltered License Fee $60

License Fee *

Late Fee?

Processing Fee*

Total

Notes

Rabies Difference

Total*

Payment*

USDLicense Fee

Credit Card

Dog License Application Form

Credit Card