Section 1 of 4 in this document

DOG LICENSE APPLICATION

Yonkers City Clerk’s Office

City Hall - Room 107

40 South Broadway

Yonkers, NY 10701

Tel: 914-377-6020

Email: cityclerk@yonkersny.gov

LICENSE TRANSACTION TYPE

ORIGINAL

RENEWAL (no changes)

RENEWAL (some information has changed)

TRANSFER OF OWNERSHIP

DOG LICENSE NUMBER

Section 2 of 4 in this document

PET OWNER INFORMATION

Phone Number

Are you 65 years old or older?

Please upload a copy of your driver's license, non-driver state ID or Passport

If someone finds your lost animal, the city will provide them with (check all that apply):

Phone

Address

Section 3 of 4 in this document

PET'S DESCRIPTION

Breed

Primary Color

Secondary Color

Tattoo #

Markings

Dog's Name

Gender

Dog's Approximate Year of Birth

Has your dog been legally classified as dangerous?

Yes

Rabies Information

Veterinarian Name

Rabies Vaccine Manufacturer

Rabies Vaccine Serum Lot Number

Rabies Tag Number

Date of Rabies Vaccination

Vaccination Length

Issuance/renewals of Dog Licenses are contingent upon the submission of a legible Rabies Certificate or statement by a licensed veterinarian on their letterhead. The document uploaded must include the rabies information entered.

Upload Rabies Certificate

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Transaction ID

You will be provided with a Transaction ID upon submission.

DOG LICENSE APPLICATION

LICENSE TRANSACTION TYPE

PET OWNER INFORMATION

Full Name

Full Address

Please upload a copy of your driver's license, non-driver state ID or Passport

If someone finds your lost animal, the city will provide them with (check all that apply):

PET'S DESCRIPTION

Has your dog been legally classified as dangerous?

Rabies Information

Date of Rabies Vaccination

Upload Rabies Certificate

Sign Here

Transaction ID