Fillable Dog License Form Rev Fillable1 (City of Meriden (CT))

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Dog License Form Rev Fillable1 (City of Meriden (CT))

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City of Meriden
City Clerk, Room 124
142 East Main St.
Meriden, CT 06450-5605
APPLICATION FOR DOG LICENSE
DOG LICENSES EXPIRE JUNE 30
TH
DOGS MUST BE RE-LICENSED EVERY JUNE (ON OR BEFORE JUNE 30)
A license is a lost dog’s ticket home. Licensing provides vaccination and
sterilization benefits for pets.
All dogs over 6 months old must be licensed
All dogs must be licensed by June 30
th
of each year. A one dollar fee will be charged for
each month late.
All dogs must have current rabies vaccination.
Dog’s Name ____________________________________ Age: _____________________
Dog’s Breed ____________________________________ Color: ____________________
Male _____ Male Neutered _____ Female_____ Female Spayed_____
OWNER INFORMATION
Owner’s Name ______________________________________________________________
Owner’s Address ____________________________________________________________
Owner’s Telephone Number ___________________________________________________
Email Address ______________________________________________________________
Fee Schedule (please check one):
Payment must be in the form of personal check or money order made out to: Meriden City Clerk
_____ Male/Female $19.00
_____ Male/Neutered $ 8.00
_____ Female/Spayed $ 8.00
Amount Enclosed: _________
Please mail a COPY of the following with the application:
_____ Rabies Vaccination Certificate Spay/Neuter Certificate (if applicable) _________
Applicants must include a self-addressed, stamped envelope along with payment, application
and copies of certificates. Information can be mailed to the address at the top of the page.
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Dog License Form Rev Fillable1 (City of Meriden (CT))

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Completed 13 July 2020

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