DOG AND CAT LICENSE APPLICATION CITY OF GREELEY  $10.00 – 1YR STERILIZED 1000 TENTH STREET  $15.00 – 2YR STERILIZED GREELEY COLORADO 80631  $20.00 – 3YR STERILIZED TELEPHONE 970-350-9723  $15.00 – 1YR NOT STERILIZED FAX 970-350-9736  $25.00 – 2YR NOT STERILIZED  $30.00 – 3YR NOT STERILIZED 1 Year License______ License Number_________________ Renewal ____ New_____ 2 Year License______ Expiration Date__________________ License Year________ 3 Year License_______ OWNER: First Name___________________________________ Last Name__________________________________ Address_______________________________ GREELEY, COLORADO Zip_______________ Home Phone (__________)_________-_____________ Other Phone (__________)_________-__________ PET: Type_________ (D=Dog, C=Cat) Name _____________________________________ Breed______________________________________/______________________________________________ (List abbreviation for up to two (2) breeds visible in animal, most prominent first.) Color 1_____________________ Color 2 ____________________ Color 3 _______________________ (List color for up to three (3) colors visible in animal, most prominent first) Sex ________ (M=Male, F=Female) Neutered ________ (Y=Yes, N=No) VACCINATED PETS: Rabies Tag Number___________________ Year_________ Expiration Date _____/_____/_____ Veterinarian: ______________________________________________________________________________ I understand that under Ordinance No. 12, Title 7, of the Greeley City Code, I must keep my pet vaccinated against rabies and submit proof of vaccination to the Department of finance at the time of submitting application for the license in accordance with City of Greeley ordinances. No City license shall be issued if the rabies vaccination period expires more than three (3) months prior to the end of the City License period. _______________________________________________ _____/_____/_____ (Owners Signature) (Date) _____/_____/____ (Date) ________ (Amount) _____________(Cash Receipt #) _________(Clerk) If applicable Name of agency issuing license ______________________________________________________ Helpful Information on Dog and Cat Licensing Requirements Any person residing in the City of Greeley owning, keeping, harboring or having custody of a dog or cat needs to obtain a license for such animal. Applications for dog or cat licenses are taken at the City of Greeley Finance Department, 1000 10th Street, Greeley, CO 80631 between the hours of 8:00 am and 5:00 pm. Application for a license is due immediately after having become the owner of or after having begun to keep, harbor or have custody of any such dog or cat. Dogs specially trained to aid or assist handicapped or disabled persons and governmental police dogs are excepted from the licensing requirements of this Chapter and from payment of such fees as are set out in this Chapter. Any owner claiming any of these exceptions has the burden of proving to the satisfaction of the licensing authority that the dog in question is entitled to such exception. Proof of current rabies vaccination is required before your pet can be licensed. A rabies vaccination certification from a licensed veterinarian, which includes the rabies tag number, the date of the vaccination, the expiration of the vaccination, and the name of the veterinarian who administered the vaccination must be provided to complete the licensing process. Please provide a copy of current rabies vaccination when mailing or applying in person. We cannot accept the application if it is just written on the form. Application fees for a three-year license are $20.00 for each altered animal or $30.00 for each unaltered animal provided the rabies vaccination is good for three years. Application fees for a two-year license are $15.00 for each altered animal or $25.00 for each unaltered animal provided the rabies vaccination is good for two years. Application fees for a one-year license are $10.00 for each altered animal or $15.00 for each unaltered animal provided the rabies vaccination is good for one year. Upon acceptance of the completed license application and after payment of the license fee, you will be issued a durable tag stamped with an identifying number and year of issuance. Your pet should wear the tag at all times while outside of the owner’s premises. Failure to license your pet could result in a summons to Municipal Court. If you have questions, please contact our Customer Service Reps at 970-350-9723. .