SOUTHBURY-CT.ORG
ADA / AFFIRMATIVE ACTION / EQUAL OPPORTUNITY EMPLOYER
TOWN OF SOUTHBURY
OFFICE OF THE TOWN CLERK
501 Main Street South
Southbury, Connecticut 06488
(203) 262-0657
Dog License Application
OWNER’S NAME
ADDRESS
Southbury, CT 06488
PHONE NUMBER OTHER PHONE NUMBER (if applicable)
EMAIL ADDRESS
DOG’S NAME
PRIMARY BREED
SECONDARY BREED (if applicable)
MIX
☐ YES ☐ NO
COLOR AGE
MICROCHIP NUMBER (if applicable)
☐ MALE ☐ FEMALE ☐ SPAYED/NEUTERED
Dog Licenses expire June 30
th
of each year. New licenses are available June 1
st
and
must be procured before June 30
th
or penalty of $1 fee per month imposed pursuant to
Sec. 22-338 State of Connecticut General Statutes.
Applicant MUST bring or mail the following items with this application:
Copy of Rabies Vaccination Certificate
Copy of Spay / Neuter Certificate (if licensing a new or recently spayed/neutered dog)
Payment (see fee schedule below)
If licensing via mail-in registration, a Self-Addressed Stamped Envelope and Check/Money Order
payable to Southbury Town Clerk MUST ALSO be included, and mailed to address above.
FEE SCHEDULE
Spayed or Neutered $8.00
Unaltered $19.00
Kennel – 10 Dogs $51.00
Penalty $1.00 per month, starting July 1st
