Fillable Salt Lake County Animal Services Pet License Application

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Salt Lake County Animal Services Pet License Application

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Salt Lake County Animal Services
Pet License Application
Owner Information
Owner’s Name:
__________________________________________________________________________
Phone #1:
______________________________
Phone #2:
_____________________________
Mailing Address:
__________________________________________________________________________
City and State:
___________________________________________
ZIP:
_______________________
Home Address:
__________________________________________________________________________
City and State:
___________________________________________
ZIP:
_______________________
Email Address:
__________________________________________________________________________
Date of Birth:
__________________________________________________________________________
Description of Pet
Dog
Cat
Ferret
__________________________________
Pet’s Age/Birth Date:
_______________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Male
Neutered
Female
Spayed
New Pet
Renewal, previous license ID: __________________
In addition to paying for my pet’s license, I would like to make a voluntary donation in the amount of
$_____._____ to save pets’ lives. I would like my donation to be used for:
Injured animal care Shelter improvements Community education
Please mail this form, your pet’s Rabies certificate, sterilization certificate (if spayed/neutered), and fee to:
Salt Lake County Animal Services
ATTN: Licensing
511 West 3900 South
Salt Lake City, UT 84123
Make checks payable to: Salt Lake County
Licenses are issued for a one-year period from the date of license processing. License fees are:
$40.00 – Unsterilized pet license
$15.00 – Sterilized pet license
$5.00 – Senior citizen license (only offered for sterilized pets to residents 60 years and older)
$50.00 – Late licensing fee (licenses must be acquired within 30 days of obtaining a pet and/or when
pet reaches 5 months of age to avoid a late fee. Late fee also applies to an existing license that lapses).
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Salt Lake County Animal Services Pet License Application

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Completed 30 October 2020

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