June, 2009
City Clerk Department
1100 37
th
Street
Evans, CO 80620
(970) 475-1170
ANIMAL LICENSE APPLICATION
Licensing Requirements. The owner, keeper, harborer, or any other person who has assumed the responsibility for
any dog or cat within the City shall secure a license for such dog or cat from the City Clerk. No license shall be
required for any dog or cat under the age of six months. No license shall be required for seeing-eye dogs.
Rabies vaccination certificate required. In order to entitle any applicant to a license, such applicant shall produce
and display to the City Clerk a certificate issued by a licensed doctor of veterinary medicine certifying that the dog
or cat has been vaccinated for rabies, and that such vaccination is current. If you mail this form in, you need to
include a copy of your pet’s rabies vaccination. Proof must accompany this form of spay/neuter.
It is unlawful for any owner, keeper, harborer, or any other person to keep, maintain, harbor or possess in
any one household, a combined total of more than four pet animals within the City of Evans.
Owner's Name:
Address: Phone:
DOG(s) AND/OR CAT(s) INFORMATION:
NAME BREED AGE SEX COLOR/
MARKINGS
DATE RABIES
VACCINATION
EXPIRES
NOTE: Such license will be issued concurrent with the issuance of the certificate of rabies vaccination.
Example: If your pet was given a one year rabies vaccination, licenses will be issued for one year from the date
of the vaccination.
1 YEAR LICENSE:
$10.00 Spayed or Neutered X # Animals = $ (provide certificate of spay/neuter)
$15.00 Fertile X # Animals = $
2 YEAR LICENSE:
$15.00 Spayed or Neutered X # Animals = $ (provide certificate of spay/neuter)
$25.00 Fertile X # Animals = $
3 YEAR LICENSE
$20.00 Spayed or Neutered X # Animals = $ (provide certificate of spay/neuter)
$30.00 Fertile X # Animals = $
FOR OFFICE USE ONLY:
Rabies Tag Number: Year: Exp. Date:
City License Number: Exp. Date:
Receipt Number: Date:
