Annual Animal Permit Renewal Form

Annual Animal Permit Renewal Form

Renew your City of Leon, Kansas animal permit by the end of February and upload your current rabies documentation.
Applicant Information
Full Name

First NameMiddle NameLast Name
Physical Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Mailing Address Different from Physical Address
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Renewed Animals
Animal Entries
Pre-Existing Livestock and Chickens
Total Number of Chickens and/or Permitted Livestock
Acknowledgement
Attachments and Acknowledgements
Current rabies certificate or veterinary record

Cancelof
Acknowledgements
Certification
Applicant electronic signature
Date signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Agreement
City Use Only
Date Received

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Renewal Fee Status

Other
Permit / License Number
Approval Status
Staff Notes
City Signature
Should be Empty: