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 970-350-9722 $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 owners 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 350-9722 or 350-9723.