Year of Birth
Exempt Dogs: War, Police, Detection,
Therapy, Working Search, Hearing and
Service Dogs (Proof is required)
2 YR Licenses can only be issued if the rabies vaccination expiration exceeds the license
Example: If you are licensing your dog in January 2018, in order to obtain a 2 YR
License, the rabies vaccine expiration must be on/after January 31, 2020. If it isn’t, then
you must apply for a 1 YR license.
2 YR licenses
I do not want this option
Photo is enclosed
Photo will be emailed
If you opt for a photo of your dog to be placed on the license, you can either enclose a photo or send us a digital
image at the following address: Please be sure that you include the name and email@example.com
address that is on the application and send it the day the application is mailed. Photos may be cropped to
maximize beneﬁt. Any photo enclosed by mail will be returned. If you choose to add a photo, please add a one-
time fee of $2.00 to your total.
Please sign before mailing
RABIES VACCINE INFORMATION
Please complete sections 1 & 2, and sign the application before mailing/bringing it in.
Your telephone number and email address will be used for the sole purpose in
communicating with you about your dog. The telephone number you provide should
be the contact number you prefer in the event your dog is found.
Each application must be accompanied by a current rabies certiﬁcate and proof of
Spay/Neuter, if applicable. If the Rabies Vaccination Certiﬁcate indicates that your
dog is altered, we will accept that in lieu of the Spay/Neuter Certiﬁcate.
Payment can be in the form of a personal check or money order by mail (made
payable to the “City of White Plains), and cash or credit card in person.
Please call our ofﬁce with any questions by dialing (914) 422-1227.
DOG LICENSE APPLICATION
City Clerk 255 Main Street, Rm. 100 White Plains, NY 10601
(914) 422-1227 email: firstname.lastname@example.org
Rabies Vaccination Certiﬁcate Payment
Spay/Neuter Certiﬁcate (if applicable)
Photo (if applicable)
WHITE PLAINS RESIDENTS