Dog License Application for a New Dog

If you are licensing the dog for the first please bring the completed form with you or submit by mail with a check to Cheektowaga Town Clerk, Dog License, 3301 Broadway -Room 101, Cheektowaga, NY 14227

Name *

First

Last

Phone *

Mailing Address (this should be the same as where the dog will be housed) *

Address Line 1

Address Line 2

City

State

Zip Code

The form must be completed by a Parent or Guardian if the owner is less than 18 years old. The Parent/Guardian will be the owner of record.

Attached is the Ownership Papers, Rabies Certification and Spay/Neuter Certificate if Applicable *

Click or drag files to this area to upload. You can upload up to 4 files.

Signature - By signing and submitting this form you are declaring that the following information is true and accurate. *

Date *

Dog License Application for a New Dog

The form must be completed by a Parent or Guardian if the owner is less than 18 years old. The Parent/Guardian will be the owner of record.

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