ANIMAL CONTROL UNIT
DOG LICENSE
APPLICATION
DOG OWNER’S NAME
STREET ADDRESS
CITY STATE ZIP
MAILING ADDRESS
CITY STATE ZIP
PHONE #1
PHONE #2
DOG’S NAME
DOG’S BREED
DOG’S GENDER
DOG’S COLOR(S)
THIS DOG IS SPAYED OR NEUTERED INCLUDE A CHECK FOR $5 LICENSE FEE
THIS DOG IS NOT SPAYED OR NEUTERED INCLUDE A CHECK FOR $25 LICENSE FEE
IMPORTANT: INCLUDE A COPY OF THIS DOG’S CURRENT VACCINATION RECORD
- PROOF OF RABIES VACCINATION IS REQUIRED
Please send this application, a check for the appropriate licensing fee, and a copy of the
dog’s current vaccination record to:
Grant County Sheriff’s Office
Dog Licensing
P.O. Box 37
Ephrata, WA 98823
Questions? Please call 509-754-2011 ext. 2001
June 2017
TYPE IN YOUR INFORMATION BELOW THEN PRINT