ANNUAL CAT & DOG LICENSE APPLICATION
License Year: July 1 through June 30
BALTIMORE COUNTY, MD
DEPARTMENT OF PERMITS, APPROVALS AND INSPECTIONS
MISCELLANEOUS PERMITS AND LICENSES
111 W. CHESAPEAKE AVENUE, ROOM 101
TOWSON, MARYLAND 21204
410-887-3630
New and Renewal Licenses are available in person through Baltimore County Office of Miscellaneous Permits and Licenses, by mail or online at
New
Renewal
Replacement
GENERAL INFORMATION
(Must provide previous Tag No.)
COMPLETE A SEPARATE APPLICATION FOR EACH ANIMAL IF
APPLYING BY MAIL OR IN PERSON. You can also apply online at
FEE SCHEDULE:
REGULAR FEE
PENALTY FEE
.
(Check applicable fee
)
(May 1 to July 31)
(For Renewals after July 31)
An application for a Baltimore County animal license must be
Animal Altered:
$ 7.00
$12.25
made within 30 days after moving to the county; within 30
days after obtaining a dog or cat; or by the time the cat or
Animal Unaltered:
$15.00
$26.25
dog is 4 months old.
Owner 60 & over/animal unaltered:
$ 9.00
$15.75
If you have more than 3 dogs, you are required to obtain a
Replacement Fee for Lost Tag:
$ 5.00
____________________
kennel license. Contact this office for details at
410-887-3630
(Must provide previous Tag No.)
New Pet Owners Only - Library Convenience Fee $2.00
(Checks made payable to “Baltimore County, MD”)
OWNER INFORMATION
OWNER’S NAME ____________________________________________________________________________________
First Name
Middle Name
Last Name
ADDRESS _________________________________________________________________________________________
Street Address
City
Zip Code
PRIMARY PHONE NO.
- _______ - ________ TDD/TTY
YES
NO
(______)
EMAIL ________________________________________________ SENIOR CITIZEN
YES
NO
(60 years of age and older)
Print Legibly
ANIMAL INFORMATION
ANIMAL TYPE:
Cat
Dog ANIMAL’S NAME
SEX
F
M
____________________________________________
(check one)
YEAR BORN
BREED
COLOR
__________
___________________________________________
_______________________________
VACCINATION ISSUED BY _
PHONE NO.
____________________________________________
(______) - ________ - ________
NAME OF VETERINARIAN OR ANTI-RABIES CLINIC RECOGNIZED BY HEALTH OFFICER
ALTERED
Yes
No RABIES TAG NO
RABIES EXPIRATION DATE
. ________
______ /______ /______
(SPAYED OR NEUTERED)
(MUST PROVIDE A CURRENT VALID RABIES CERTIFICATE)
A copy of a valid certificate of rabies inoculation issued by a veterinarian or anti-rabies clinic must be submitted with this application.
GUIDE DOG:
Seeing Eye
Hearing Ear
Mobility Impaired
Guide Dog Tag No. __ __ __ __
(attach required affidavits)
PROTECTION-TRAINED DOG
CANINE GUARD
(See Baltimore County Code Title 2, §12-2-304)
(See Baltimore County Code Title 2, §12-2-301 - §12-2-303)
CERTIFICATION
I solemnly affirm under the penalties of perjury and upon personal knowledge that the contents of this application are true, including the
information regarding rabies vaccinations, and that I am competent to attest to these matters. I understand that should any contents of the
application not be true, the application and the ensuing license and permit may be deemed invalid.
OWNER’S SIGNATURE
__________________________________________________________ DATE ______________
FOR OFFICE USE ONLY
Permanent License Tag No.________________________ Date Rec’d ________________ Amount Paid _______________
Date Paid _____________ Receipt No. _______________ Processor's Initials ___________ Location Sold: ____________
Data Entered
_________________ By___________ Record ID ___________________________________________
(PAI)
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