Owner's Name ________________________________________________________________________
Street Address ________________________________________________________________________
Phone _______________________________ Email _________________________________
Are there any dog(s) you have licensed within the last year that are no longer in the household? Yes or No
If yes, please provide the dog(s) name(s) __________________________
DOG 1
DOG 2 DOG 3
Dog's Name
Color
Breed
Sex (select one)
Male $20.00
Neutered Male $10.00
Female $20.00
Spayed Female $10.00
Rabies Serial Number
Rabies Mfg Name
Rabies Date Given
Rabies Date Expires
Veterinary Clinic
Dog Tag Number
Owner's Signature _____________________________________________ Date ________________
Total Paid (Cash/Check): $_______
The license year is January 1 through December 31. A $5.00 penalty per dog will be assessed after April 1st
Chapter 174 Wisconsin Statues requires all dogs five months or older be licensed.
City of Hudson Municipal Code Chapter 99-5, No cat, dog, or domesticated animal shall be permitted to run at large within
the City of Hudson. The owners of an animal shall promptly remove and dispose in a sanitary manner any excreta
deposited by such animals upon any public or private property.
PROOF OF RABIES VACCINATION IS REQUIRED BEFORE LICENSE IS ISSUED
FOR OFFICE USE ONLY
Dog License Application
Please complete form, sign, and return
this form along with the appropriate fees and proof of rabies to:
City of Hudson
505 3rd St
Hudson, WI 54016
click to sign
signature
click to edit
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