FRANKLIN COUNTY DOG LICENSE ORDER FORM

FRANKLIN COUNTY DOG LICENSE ORDER FORM

(For your convenience in obtaining dog license, complete and return this form WITH RABIES CERTIFICATE)

IMPORTANT: State Law requires that all dogs and cats FOUR (4) MONTHS OLD OR OLDER must have a certificate of rabies vaccination. The vaccine shall be licensed by the United States Department of Agriculture for use in that species and shall be administered by a currently licensed veterinarian. The certificate of vaccination must be signed by the veterinarian and include the veterinarian’s license number and expiration date of the vaccination.

Please complete and return this form to order the required DOG licenses.

FOR EACH LICENSETO BE PURCHASED A CURRENT CERTIFICATE OF RABIES VACCINATION MUST BE PRESENTED. (The certificate will be returned to you with the dog tag.) Dog tags must be fastened to a collar and worn by the dog. If a tag is lost or destroyed, apply for a duplicate tag immediately by presenting the original receipt to the Treasurer’s Office.

KENNELS: If you are purchasing a kennel tag you must present the certifications of vaccination for ALL dogs kept in the kennel.

For more information about animal licensing and other ordinances affecting animals, contact the Animal Control Officer at 483-7440.

Proof of sterilization must attached to the form

NAME____________________________                                                                 

                                                                                                                                      __________unsterilized @ $10.00 each $________

ADDRESS_________________________                                                                 __________sterilized @ $4.00 each $_________

                   _________________________                                                                 __________20 dog kennel @ $15.00 $________

                   _________________________

                                                                                                                                     Make checks payable to:

                                                                                                                                     Treasurer of Franklin Co.

.

PHONE___________________________                                              MAIL TO: Treasurer of Franklin Co.

Please enter your correct phone number                                                                  275 South Main St.  #232

In the event it is necessary to notify you                                                                    Rocky Mount Va. 24151                                                                   

concerning your pet.