Dog License Application - Pittsburgh

1 CITY OF Pittsburgh Dog License Application Thank you for your interest in a City of Pittsburgh Dog License and protecting your dog! Your dog s registration tag assists in finding your lost pet. The person who finds your dog simply calls our office at with your registration number (on your dog s tag). We then help reunite you with your lost pet. Your dog must be registered with the city when taking it to an animal care facility that boards or provides dog daycare services. Fees Unspayed/unneutered: 1 year: $ 3 year: $ 12 year: $ Spayed/neutered (please send proof): 1 year: $ 3 year: $ 12 year: $ Lost tag? Please contact the Pet License Department at 412-255-2575. If you wish to purchase a current year dog License , please follow these simple steps: 1. Complete and sign this Application and mail along with check or money order.

2 2. If you are applying for a spayed or neutered dog, you must submit written verification from licensed doctor of veterinary medicine or a written affidavit. 3. Make your check or money order payable to: Treasurer, City of Pittsburgh Pet License Department 414 Grant Street Pittsburgh , PA 15219-2476 Annual dog licenses are valid from January 1st through December 31st of each year For Additional Information: *Non-City Residents should call Allegheny County at for information. A $ Fee will be assessed for checks returned from bank for any reason. License Year Office Use Only Tag Number Owner's Name: Address: City: State: Zip Code: Phone: Check all that Apply: Male: Female: Spayed: Neutered: Breed: Color: Age: Pet's Name: Pet Owner's Telephone No.: Please return this form with your payment Do Not Send Cash Applicant's Signature: Date.