Dog License Application
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1
2ANIMAL CARE AND CONTROL
1200 – 15
Street, San Francisco CA 94103
th
AND
OFFICE OF THE TREASURER & TAX COLLECTOR
PROPERTY TAX / LICENSE SECTION
CITY AND COUNTY OF SAN FRANCISCO
1 Dr. Carlton B. Goodlett Place, City Hall, Room 140, San Francisco, CA 94102
Mailing Address: SF Tax Collector, PO Box 7427, San Francisco, CA 94120-7427
Email:
DOG LICENSE APPLICATION
JOSÉ CISNEROS
Virginia Donohue
Treasurer
Director
Office of the Treasurer & Tax Collector
Animal Care and Control
Licenses may be purchased for a period up to 36 months. Please complete the form below and return it, along with
your check made payable to the SF Tax Collector and mail to: SF Tax Collector, P.O. Box 7427, SF, CA 94120-7427 or
online at .
DOG OWNER / GUARDIAN INFORMATION [Please Print]
First Name: _____________________________________ Last Name: ____________________________________________________
Street Address: ______________________________________________________________________ San Francisco, CA 941_____
Home Phone: _______________ Day Phone: __________________ Email Address: ______________________________________
Check if Senior Citizen over 65 (proof required)
DOG LICENSE TAG NUMBER:
DOG LICENSE INFORMATION (Please Print)
All applications require a copy of the rabies vaccination certificate showing it to be valid through the license period
and be attached to the application when filed.
Dog’s Name: ________________________________ Breed: ____________________________________________________________
Description / Color: _________________________________________________________________ Dog’s Age: _________________
Please check appropriate boxes:
SEX:
Male
Female
Spayed/Neutered:
No
Yes (certificate required)
TYPE OF LICENSE - All fees are effective 08/01/2016 and are non-refundable.
1 YEAR
2 YEARS
3 YEARS
Unaltered dog
$58.00
$110.00
$163.00
Altered dog
$23.00
$35.00
$46.00
Senior Citizen – Unaltered dog
$32.00
$62.00
$92.00
Senior Citizen – Altered dog
$13.00
$20.00
$25.00
Dog Tag Replacement Fee $7.00
A late fee of $29 will be applied if dog is older than 4 months or has been unlicensed for more than 30 days.
Any dog license fees paid more than once or paid in excess of the amount due will be refunded by the tax collector
within 30 days after the date of payment. No dog licenses will be issued and no refunds will be made without proper
or complete supporting documents.
Make check payable to SF TAX COLLECTOR for total amount enclosed: $_____________
Make your dog a HERO! It is more than just a quick trip back home for a lost dog.
A dog license makes a difference for San Francisco’s less fortunate animals.
ACCDogLicApp2016.docx
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