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In Maricopa County all dogs over the age (Maricopa County Telecommunications)

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In Maricopa County all dogs over the age of three months are required by law to be licensed and vaccinated
against rabies. Application for license must be made within 15 days of vaccination. Residents new to Maricopa
County and new dog owners must purchase a license within 30 days. The term of license is based on the
month and day of the most current rabies vaccination on record and is valid for no more than one calendar
year.
To obtain your license by mail remit this completed application, a copy of rabies vaccination certificate and
your check made payable to Animal Care & Control to: Animal Care & Control, P.O. Box 2959, Phoenix, AZ
85062-2959.
Please print. Use black or blue ink only.
Your Information - Who owns this pet and where do you live?
Last
Name
First
Name
Primary
Phone
Secondary
Phone
Over
65?
1. Yes
2.No
Street Address
PO Box
Apt #
City
State
Zip Code
Email
Address
Your Pet
’s Information - What is the pet’s name, breed, age…….? (Your veterinarian can assist you with this portion)
Pet’s Name
Age of Pet
(Yrs/Mnths Old)
Yrs
Months
Micro Chip #
Sex:
1.Neutered
2.Spayed
3.Unaltered Male
4.Unaltered Female
Primary
Color
Secondary
Color
TriColor
Black/Brown/White
Your Payment Information – How much is this going to cost me?
Type of Charges
Indicate the Amount You’re Paying
License Fees:
Altered Dog (Spayed/Neutered): 22.00
Unaltered Dog (Male or Female): 55.00
65 Years Old or Older: $10.00 (Altered Dog Only)
$
________. _____
Penalty/Late:
$3.00 Per Month Altered Dog
$6.00 Per Month Unaltered Dog
Calculation Table:
3.00 X _______ (NO OF MONTHS) = ___________
6.00 X _______ (NO OF MONTHS) = ___________
$
________. _____
Voluntary donation of to save more pets lives:
$
________. _____
Your Total Cost (Enclosed Payment):
$
________. _____
I swear or affirm that the information contained above is true and that I am 18 years old or older and that I am owner of the dog referenced in this document:
Signature: Date:
PLEASE REMEMBER TO SUBMIT A CURRENT RABIES VACCINATION CERTIFICATE WITH THIS APPLICATION
AND PAYMENT. NOTE: IF THE APPLICATION IS NOT SIGNED, PROCESSING WILL BE DELAYED.
MARICOPA COUNTY DOG LICENSE APPLICATION
0.00
$ 0.00
$ 0.00
0.00
0.00
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In Maricopa County all dogs over the age (Maricopa County Telecommunications)

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Completed 18 July 2020

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