Docstoc

Solano County Dog License Application

Document Sample
Solano County Dog License Application Powered By Docstoc
					                                                       Solano County Dog License Application
                                       Please note: Your license term may not exceed the expiration of the rabies vaccination.
                Please Print Clearly and Fill in All Information                                                           License tags will be mailed within 30 days of receiving application.
Last Name                                      First Name                                    Species       Breed                                       Sex            c Spayed/Neutered
                                                                                                                                                                       c	Unaltered
Address                                                            Apt/Lot                   Pet Name                        Color(s)                  Weight         Age/Birthdate


City                                           State               Zip                       Microchip


Mailing Address                                                                              Rabies Tag # (enclose certificate)         Rabies Vacc. Date*          Vacc. Exp. Date


Home Phone                                     Work Phone                                    Office Use Only: Clinic Name               License Issue Date          License Exp. Date


Signature of Owner or Agent of Owner                                                         Amount Paid             Type of License                                Issued By    Location



Solano County Fees                       (effective 7/1/08)        City of Benicia Fees                   (effective 10/1/09)        City of Vacaville Fees                  (effective 7/1/09)
                         1-Yr          2-Yr         3-Yr                                    1-Yr         2-Yr         3-Yr                                    1-Yr         2-Yr         3-Yr
Unaltered Dog .......$ 40.00 ...... $76.00 ....$113.00             Unaltered Dog .......$ 60.00 .... $114.00 ....$169.00             Unaltered Dog .......$ 60.00 .... $114.00 ....$169.50
Altered Dog ...........$ 20.00 ...... $36.00 ....$ 53.00           Altered Dog ...........$ 22.00 .... $ 40.00 ....$ 59.00           Altered Dog ...........$ 22.00 .... $ 39.60 ....$ 58.30
Sr (65+)/Unaltered .$ 20.00 ...... $36.00 ....$ 53.00              Sr (65+)/Unaltered .$ 20.00 .... $ 36.00 ....$ 53.00              Sr (65+)/Unaltered .$ 20.00 .... $ 36.00 ....$ 53.00
Sr (65+)/Altered .....$ 10.00 ...... $16.00 ....$ 23.00            Sr (65+)/Altered .....$ 10.00 .... $ 16.00 ....$ 23.00            Sr (65+)/Altered .....$ 10.00 .... $ 16.00 ....$ 23.00
Service dogs are same fees                                         Service dogs are same fees                                        Service dogs are same fees
as senior rates                                                    as senior rates                                                   as senior rates
Late Fee (30 days late) .... $15                                   Late Fee (30 days late) .... $15                                  Late Fee (30 days late) .... $15
Late Fee (60 days late) .... $25                                   Late Fee (60 days late) .... $25                                  Late Fee (60 days late) .... $25
To License Your Pet by Mail: m            Complete this application                                                     m	Mail to: Solano County Dog Licensing
                             m            Enclose a copy of your pet's current rabies vaccination certificate                      4160 Suisun Valley Rd Ste E PMB 428
                             m            Make your check or money order payable to Solano County Dog Licensing                    Fairfield, CA 94534
                             m            Enclose proof of spay/neuter if it is not indicated on the rabies certificate         Questions? Call 1-877-242-8408
                             m            Enclose proof of owner's age (65+) if requesting the senior discount.                    or visit www.petdata.com

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:101
posted:3/27/2011
language:English
pages:1