Online Licensing 1 Pet

Owner's Name (required)

Owner's Physical Address (required)

Is mailing address the same as physical address?
YesNo

Owner's Mailing Address (if different)

Home Phone (required)

Other Phone

Email Address (required)

PET INFORMATION
*********************************

Pet's Name (required)

CatDog

(Note: Cat registration is only required in the City of Ferndale.)

Select Sex (required)

Breed (required) *Indicate mix if not full breed*

Color (required)

Date of Birth or estimated age (required)

Is your pet spayed or neutered?

Sterilization was performed at:

Name of Hospital

Date of procedure

Is your pet micro-chipped?

Microchip Number

Microchip Company

Does this pet have current rabies vaccination?

Name of Clinic

Date of Vaccination

Expiration Date

Upload copy of rabies certificate(s). (if available)
Must be pdf, txt, gif, png, jpg or jpeg

LICENSING REGISTRATION
*********************************
Select Registration Type:

Late Registration?

New or Renewal License (required)
NewRenewal

New or Lost Tag Replacement needed? (required)
YesNo

*License Contracts will be mailed unless otherwise requested. Please allow 1 to 2 weeks for receipt of license contracts due to processing time.

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