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TOWN OF ARLINGTON, MA Clerk's Office DOG LICENSE APPLICATION 781-316-3070

IMPORTANT INFORMATION HOW TO OBTAIN A LICENSE? The state of Massachusetts requires all dogs six months or Mail application, payment, a valid over to be licensed annually. Dogs residing in Arlington spaying/ certificate and must be licensed on or before the first day of January; any By Mail certificate, and a self-addressed stamped unlicensed dogs may be subject to a $50 fine from envelope, to receive dog tag. Arlington Control. Signs of Rabies: Unexplained aggression, impaired Visit the two dropboxes at Town Hall, located at locomotion, varying degrees of paralysis, extreme depression front of building and in parking lot along By Dropbox or viciousness. The signs of animal rabies vary. Some will Academy St. See Clerk's website for detailed display attack-like behavior while others appear sick or dazed. dropbox locations. Please submit a valid certificate of spaying or neutering and of $50 fee applied to all delinquent applications Late Fees anti-rabic vaccination to the Clerk's Office. after March 11, 2021.

Unaltered Spayed or LICENSE FEES Senior Citizen (70 +) Dogs $20 Neutered Dogs $15 No charge LICENSE PERIOD January 1, 2021 to December 31, 2021 Make checks payable to Town of Arlington APPLICATIONS Clerk's Office, 730 Massachusetts Ave, Arlington MA 02476 Hours: M-W 8am-4pm, Th 8am-7pm, F 8am-noon WEBSITE For more information about dog ownership, visit arlingtonma.gov/dogs

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APPLICATION FOR DOG LICENSE Please review and update information below as needed

TYPE OF APPLICATION New Renewal Duplicate Tag Moved/Deceased Senior Citizen

OWNER DETAILS

Owner Last Name First Name Address Email Phone Please print clearly DOG DETAILS Breed Name Primary Color Gender Female Male Secondary Color Year of Clinic/Hospital Phone

FOR USE OF TOWN'S CLERK'S OFFICE ONLY Certificate of Neutering and Spaying Rabies Cert. Valid Until Date Licensed Tag Number