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Pet Licensing Form
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This form has been modified since it was saved. Please review all fields before submitting.
Need Help?
If you need help with this form, please call Animal Care and Control at 817-276-4799.
Owner Information
First Name of Owner
*
Last Name of Owner
*
Email address of Owner
*
Street address where animal resides
*
City
*
State
*
Zip Code
*
Owner's primary phone number
*
Secondary phone number (if applicable)
Pet Information
Note: You must fill out and submit this form for each pet individually.
Name of Dog or Cat being Licensed
*
Dog or Cat?
*
Dog
Cat
Colors of dog or cat
*
Breed of dog or cat
*
Mansfield Pet License Number
If you have already licensed your pet, you can find this number on your city issued tag.
Age of animal
*
Gender of animal
*
Male
Female
Photo of the animal being licensed
*
Please upload a color photo of the dog or cat being licensed.
Date of Vaccination?
*
Date Vaccination Expires?
*
Rabies Tag #
*
Image of rabies certificate
*
Please upload a .jpg image or .pdf of the certificate.
Has your pet been spayed/neutered?
*
Yes
No
Image of Spay/Neuter documentation
Please upload a .jpg image or .pdf of documentation of spaying or neutering of this animal (if applicable)
Date the spay/neuter was completed?
Which animal clinic was the spay/neuter performed?
Has your pet been micro-chipped?
*
Yes
No
Image of micro-chipping documentation
Please upload a .jpg or .pdf of documentation of micro-chipping of this animal (if applicable)
Microchip Id#
Would you like to pick up your license or have it mailed to you?
*
Pick up the license at the Animal Care & Control
Mail the license to your address
Payment Instructions
Choose one of the options below. The licensing fee is $15, but there is a $5 discount for those dogs and cats that are spayed/neutered. There is an additional $5 discount if your dog or cat is micro-chipped. Choose "0" in Quantity for each option that doesn't apply to your pet.
Name
Pet License
Price
Quantity
*
0
1
Shipping Cost
Taxable
Name
Pet License - already microchipped
Price
Quantity
*
0
1
Shipping Cost
Taxable
Name
Pet License - already spayed/neutered
Price
Quantity
*
0
1
Shipping Cost
Taxable
Name
Pet License - already spayed/neutered and micro-chipped
Price
Quantity
*
0
1
Shipping Cost
Taxable
Leave This Blank:
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