"Animal License Application Form" - City of Rancho Mirage, California

Animal License Application Form is a legal document that was released by the Code Compliance & Animal Services Department - City of Rancho Mirage, California - a government authority operating within California. The form may be used strictly within City of Rancho Mirage.

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THE BENEFITS OF LICENSING YOUR DOG:
CHECKS PAYABLE TO:
L
. I
ICENSING IS REQUIRED BY LAW FOR RABIES PREVENTION
T ALSO
COUNTY OF
.
PROVIDES MANY ADDITIONAL BENEFITS
RIVERSIDE
…………………………………………………………
ANIMAL LICENSE
BENEFITS TO OWNERS:
APPLICATION
1.
Owners are more likely to get their lost dog back if it is
wearing a current dog license tag.
IF APPLYING FOR THE SPAY/NEUTER
Mail or submit to:
2.
Licensed dogs are held much longer at animal shelters
LICENSE, PROOF OF SURGERY
than unlicensed dogs. Some shelters place animals for
CERTIFICATE MUST BE ATTACHED
CITY OF RANCHO MIRAGE
UNLESS PREVIOUSLY VERIFIED BY
adoption or destroy them after seventy-two (72) hours.
69-825 Highway 111
PAST SPAY/NEUTER LICENSE
Unfortunately, many owners of unlicensed dogs return
Rancho Mirage, CA 92270
PURCHASE.
from a vacation to find that their dogs ran away from a
(760) 324.4511
PROOF OF RABIES VACCINATION
----------------OR---------------
caretaker and were either adopted or destroyed at a
MUST BE ATTACHED TO THIS FORM.
COUNTY OF RIVERSIDE
local animal shelter. If a dog is wearing a license tag,
COACHELLA VALLEY
THE EXPIRATION DATE OF THE
Animal Shelter staff will make every effort to see that the
ANIMAL CAMPUS
LICENSE CANNOT EXCEED THE
animal is reunited with its owner.
EXPIRATION DATE OF THE RABIES
72-050 Pet Land Place
3.
Dog owners receive a helpful reminder to revaccinate
VACCINATION.
Thousand Palms, CA 92276
one month prior to the rabies vaccine expiration date.
(760) 343.3644
LICENSE RENEWALS DO NOT
4.
Although annual visits are recommended, dogs must see
RECEIVE A NEW TAG.
a veterinarian every three years for a rabies vaccination.
Please Print:
5.
Owners who license their dog on time will save Court
costs and late fees.
OWNER INFORMATION
6.
Licensing revenue pays for emergency medical care for
OWNER’S NAME:
injured stray animals until the owner can be found. This
revenue source assures owners that their animals will be
transported to a veterinarian if they are found injured.
MAILING ADDRESS:
7.
If a currently vaccinated dog is exposed to a rabies-
positive animal, it may be quarantined. Conversely, if an
ZIP:
animal’s vaccination has expired or is not valid, it is
generally destroyed. Animal Control agencies are forced
to destroy hundreds of animals each year because
PHYSICAL ADDRESS IF DIFFERENT FROM MAILING ADDRESS:
owners failed to vaccinate.
8.
Licensing is a bargain. Where else could an owner get
this many benefits for such a small fee?
TELEPHONE NUMBER:
…………………………………………………………
BENEFITS TO PUBLIC HEALTH:
ANIMAL INFORMATION
1.
Rabies is a current threat to human and animal health.
NAME:
Dog licensing lowers the overall cost and health risk by
making certain that dogs are vaccinated and by
BREED:
providing revenue for prevention programs.
A single rabies incident, resulting from a dog whose
SEX:
vaccination has expired, costs you, the taxpayer,
COLOR:
thousands of dollars. This money could have been saved
and used elsewhere if the dog’s vaccination had been
SPAYED/NEUTERED?  Y (Certificate required)  N
current.
2.
Non-dog owners end up paying for dog-related health
enforcement through general taxes. Dog owners should
BIRTH MONTH & YEAR OF DOG:
help to pay their fair share through licensing, thereby
lowering escalating costs to non-dog owners.
C
L
F
: F
. If you are a
ITY
ICENSE
EES
EES ARE SUBJECT TO CHANGE
3.
Fewer people will be required to take the POST-rabies
senior citizen age 60 or over and are applying for a senior
series after being exposed to rabies by an unvaccinated
discount, please submit proof of age (e.g., copy of driver’s
dog. The average cost for the POST-rabies series is
$900 to $1,000 per person.
license.)
The Riverside County Public Health Officer is the appointed authority on
Dog License Fees
1 Year
2 Year
3 Year
Late
rabies. The Health Officer is in charge of rabies prevention programs,
Fees
such as dog licensing and rabies data reporting.
Altered Dogs
$8.00
$15.00
$19.00
$20.00
Exposure to rabies most frequently occurs when people are bitten by an
animal and the skin is broken. If you think you may have been exposed
Altered Dogs, Owned by Senior
$6.00
$7.00
$8.00
$15.00
to rabies, contact Code Compliance immediately at (760) 770-3220.
Citizen 60+
Unaltered Dogs
$50.00
$100.00
$150.00
$20.00
The most common carriers of rabies in Riverside County are:
bats,
skunks, foxes and coyotes. It is estimated that 10% of bats are rabid. It
Transfer of Ownership
$6.00
is important that you do not feed your pets outside as it may attract
wildlife to your house where your pets may come in contact with them.
Dangerous Animal Registration
$50.00
Skunks have been known to enter homes through kitty and doggy doors.
Duplicate Tag
$6.00
You may photo copy this form if you wish to purchase licenses for more than one
animal.
THE BENEFITS OF LICENSING YOUR DOG:
CHECKS PAYABLE TO:
L
. I
ICENSING IS REQUIRED BY LAW FOR RABIES PREVENTION
T ALSO
COUNTY OF
.
PROVIDES MANY ADDITIONAL BENEFITS
RIVERSIDE
…………………………………………………………
ANIMAL LICENSE
BENEFITS TO OWNERS:
APPLICATION
1.
Owners are more likely to get their lost dog back if it is
wearing a current dog license tag.
IF APPLYING FOR THE SPAY/NEUTER
Mail or submit to:
2.
Licensed dogs are held much longer at animal shelters
LICENSE, PROOF OF SURGERY
than unlicensed dogs. Some shelters place animals for
CERTIFICATE MUST BE ATTACHED
CITY OF RANCHO MIRAGE
UNLESS PREVIOUSLY VERIFIED BY
adoption or destroy them after seventy-two (72) hours.
69-825 Highway 111
PAST SPAY/NEUTER LICENSE
Unfortunately, many owners of unlicensed dogs return
Rancho Mirage, CA 92270
PURCHASE.
from a vacation to find that their dogs ran away from a
(760) 324.4511
PROOF OF RABIES VACCINATION
----------------OR---------------
caretaker and were either adopted or destroyed at a
MUST BE ATTACHED TO THIS FORM.
COUNTY OF RIVERSIDE
local animal shelter. If a dog is wearing a license tag,
COACHELLA VALLEY
THE EXPIRATION DATE OF THE
Animal Shelter staff will make every effort to see that the
ANIMAL CAMPUS
LICENSE CANNOT EXCEED THE
animal is reunited with its owner.
EXPIRATION DATE OF THE RABIES
72-050 Pet Land Place
3.
Dog owners receive a helpful reminder to revaccinate
VACCINATION.
Thousand Palms, CA 92276
one month prior to the rabies vaccine expiration date.
(760) 343.3644
LICENSE RENEWALS DO NOT
4.
Although annual visits are recommended, dogs must see
RECEIVE A NEW TAG.
a veterinarian every three years for a rabies vaccination.
Please Print:
5.
Owners who license their dog on time will save Court
costs and late fees.
OWNER INFORMATION
6.
Licensing revenue pays for emergency medical care for
OWNER’S NAME:
injured stray animals until the owner can be found. This
revenue source assures owners that their animals will be
transported to a veterinarian if they are found injured.
MAILING ADDRESS:
7.
If a currently vaccinated dog is exposed to a rabies-
positive animal, it may be quarantined. Conversely, if an
ZIP:
animal’s vaccination has expired or is not valid, it is
generally destroyed. Animal Control agencies are forced
to destroy hundreds of animals each year because
PHYSICAL ADDRESS IF DIFFERENT FROM MAILING ADDRESS:
owners failed to vaccinate.
8.
Licensing is a bargain. Where else could an owner get
this many benefits for such a small fee?
TELEPHONE NUMBER:
…………………………………………………………
BENEFITS TO PUBLIC HEALTH:
ANIMAL INFORMATION
1.
Rabies is a current threat to human and animal health.
NAME:
Dog licensing lowers the overall cost and health risk by
making certain that dogs are vaccinated and by
BREED:
providing revenue for prevention programs.
A single rabies incident, resulting from a dog whose
SEX:
vaccination has expired, costs you, the taxpayer,
COLOR:
thousands of dollars. This money could have been saved
and used elsewhere if the dog’s vaccination had been
SPAYED/NEUTERED?  Y (Certificate required)  N
current.
2.
Non-dog owners end up paying for dog-related health
enforcement through general taxes. Dog owners should
BIRTH MONTH & YEAR OF DOG:
help to pay their fair share through licensing, thereby
lowering escalating costs to non-dog owners.
C
L
F
: F
. If you are a
ITY
ICENSE
EES
EES ARE SUBJECT TO CHANGE
3.
Fewer people will be required to take the POST-rabies
senior citizen age 60 or over and are applying for a senior
series after being exposed to rabies by an unvaccinated
discount, please submit proof of age (e.g., copy of driver’s
dog. The average cost for the POST-rabies series is
$900 to $1,000 per person.
license.)
The Riverside County Public Health Officer is the appointed authority on
Dog License Fees
1 Year
2 Year
3 Year
Late
rabies. The Health Officer is in charge of rabies prevention programs,
Fees
such as dog licensing and rabies data reporting.
Altered Dogs
$8.00
$15.00
$19.00
$20.00
Exposure to rabies most frequently occurs when people are bitten by an
animal and the skin is broken. If you think you may have been exposed
Altered Dogs, Owned by Senior
$6.00
$7.00
$8.00
$15.00
to rabies, contact Code Compliance immediately at (760) 770-3220.
Citizen 60+
Unaltered Dogs
$50.00
$100.00
$150.00
$20.00
The most common carriers of rabies in Riverside County are:
bats,
skunks, foxes and coyotes. It is estimated that 10% of bats are rabid. It
Transfer of Ownership
$6.00
is important that you do not feed your pets outside as it may attract
wildlife to your house where your pets may come in contact with them.
Dangerous Animal Registration
$50.00
Skunks have been known to enter homes through kitty and doggy doors.
Duplicate Tag
$6.00
You may photo copy this form if you wish to purchase licenses for more than one
animal.