Pa lifetime dog license Front Street Media, PA 19063. ** SPECIAL NOTE ** All Lifetime Licenses require Tattoo or Microchip and Verification Form filled out and signed by Veterinarian, Technician or Rescue. Weekdays: 8:00am to 4:00pm Weekends: CLOSED Treasury: Tuesdays and Wednesdays 8:30am to 2 Feb 2, 2023 · Lifetime Dog License Permanent Identification Verification Form. FORMS REQUIRED TO APPLY FOR A LIFETIME DOG LICENSE. 70 for a Senior Citizen or Person with a Disability. You must then submit the Permanent Identification Verification Form with your Lifetime Dog License application otherwise we cannot process it. Feb 1, 2024 · An annual license is $8. The state will not allow “mixed” in the breed section for a license. , Monday through Friday. Lifetime licenses can be obtained through the Treasurer's Office. Dog According to PA laws, every pet owner must license their dog—you can purchase an annual: or lifetime license by submitting a completed application and/or PIV form (for lifetime license) to your local county treasurer or issuing agent. 70 PLEASE NOTE: If you are applying for a lifetime license that requires the dog owner be a senior citizen (age 65 or Feb 5, 2024 · 2024 Lifetime Dog License App. 70 ($6. DATE BREED DOG’S AGE DOG’S NAME COLOR / SPOTTED WHITE BLACK BROWN OTHER-INDICATE MARKINGS. O. Female: $36. MLK Jr. DAY STREET ADDRESS TOWNSHIP/BOROUGH CITY STATE ZIP CODE Lifetime Dog License; Lifetime Dog Application Permanent Identification Form Lancaster, PA 17603 Phone: 717-299-8000 Hours: Monday through Friday, 8:30 a. pa. Annual Dog License Application; Lifetime Dog License Application Feb 24, 2024 · PROCEDURE FOR OBTAINING A LIFETIME DOG LICENSE 1. Learn how to license your dog in Pennsylvania, including annual and lifetime options, fees, and requirements. You may purchase your Lifetime Fishing License the year you turn 65 but after January 1. 70, and lifetime is $31. A yearly license runs on the calendar year, valid from the date of purchase until December 31 of the year in which it was purchased. Lifetime Dog License. Please protect your dog; buy a license. In order to purchase a Lifetime License, your dog must either be microchipped or tattooed. 70 PLEASE NOTE: If you are applying for a lifetime license that requires the dog owner be a senior citizen (age 65 or To obtain a Lifetime Dog License, a Permanent Identification Verification Form must be completed by a licensed PA Veterinarian or Kennel. 70 $31. Annual dog licenses can be purchased online, by mail, at a licensed agent or over the counter at the Treasurer’s Office. padoglicense. DOG OWNER S NAME OWNER S BIRTHDATE PHONE NUMBER MO. § 21. 70 $52. palostpet. Lifetime dog licenses are available if you are going to have the dog tattooed or implanted with a microchip. (717) 533-2057 600 Clear Water Road Hershey, PA 17033 Annual Dog License. $ 36. Facebook Twitter Youtube. 1 724 662 7508. How to Apply for a Lifetime Dog License: Dogs must be micro chipped to be eligible for a lifetime dog license. DAY YR. County. Find out how to transfer, duplicate, or change your dog license information online. Tattoo Number must come from the Treasurer's Office. Dec 1, 2024 · ONLINE PURCHASES CAN BE MADE FOR ANNUAL REGULAR AND ANNUAL SENIOR DOG LICENSING STARTING Sunday, December 1, 2024. Click below to order an annual dog license online via the Pennsylvania Dog License website. A veterinarian's proof of neutering or spaying to take advantage of lower fees. For 2024 licenses purchased by January 31, 2024, an annual license is $8. Please visit the Dauphin County website or call (717) 780-6550 for more information. If your pet is microchipped or tattooed, it is eligible for a lifetime dog license. Annual dog licenses are valid for the calendar year, January 1st through December 31st of each year. Online; In person at 124 W. You must then submit the Permanent Identification Verification Form with your Lifetime Dog License Application (PDF New Castle, PA 16101. Your dog must be microchipped or tattooed. m. OR SENIOR CITIZEN FEE MALEFEMALEMALEFEMALE $52. Lifetime Dog Licenses. Box 831 Franklin, PA 16323. PLEASE NOTE: If you are applying for a lifetime license that requires the dog owner be a senior citizen (age 65 or older) or a person with disability, you must provide proof of age or disability to the : County Treasurer. 2. PA Department of Agriculture, Bureau of Dog Law Enforcement LIFETIME DOG LICENSE APPLICATION Year of license A Permanent Identification Verification Form must be completed before the license will be issued. 00. LIFETIME DOG LICENSE APPLICATION . Lifetime License Fees Male/Female: $52. Mercer, PA 16137 E-mail. Lifetime dog licenses are also available for purchase and DO NOT NEED TO BE RENEWED. If you wish to purchase a dog license, please do the following: *Visit the County Treasurer’s Office at the Municipal Building *Online: www. 51 (relating to lifetime dog license issuance). Fishing License. There are two types of licenses: an annual license and a lifetime license. Dog License Lifetime Instructions. A tattoo is placed on the inside of the right-hind leg of the dog or a micro-chip is placed under the skin. . 50 if not. York, PA 17401-1584 Phone: 717-771-4386. 70 PLEASE NOTE: If you are applying for a lifetime license that requires the dog owner be a senior citizen (age 65 or DATE BREED DOG’S AGE DOG’S NAME COLOR / SPOTTED WHITE BLACK BROWN OTHER-INDICATE MARKINGS REGULAR LIFETIME LICENSE PERSON WITH DISABILITY OR SENIOR CITIZEN FEE MALE FEMALE MALE FEMALE $52. Licenses can be purchased through Pennsylvania’s county treasurers. to 5 signature of dog owner/applicant required if applicant is a minor, signature of parent or guardian is required mail to county treasurer s office pa all prices include service fees allowed by law all prices include service fees allowed by law adleb 19 rev. 1st 2024 Any sales prior to 12/1 are still 2024 dog tags, which expire 12/31/2024. Lifetime licenses are also available at the Treasurer’s Office. Diamond St. 70. 52 (relating to recordkeeping for lifetime dog licenses). Dog owners must have their dog microchipped or tattooed to qualify for a lifetime license. Completed Lifetime Application & Permanent Verification Identification Form must be submitted to the Treasurer's office to purchase a lifetime license Check or Money Order payable to Berks County Treasurer can be mailed to: Berks County Treasurer, 633 Court St. Lifetime licenses are $52. Lifetime License The Treasurer's Office cannot issue licenses to residents of the city. Phone: (724) 656-2124. 72 KB. Female: $52. Pennsylvania currently offers two types of Dog Licenses; a yearly license or a lifetime license. Both forms must be submitted by the dog owner with cash/check or money order payable to County Treasurer. , Butler, PA ; By phone 724-284-5149; By mail using a paper application ; Lifetime License. Citizen (age 65 or older). Thank you. Scope. We can help with the permanent ID verification! Simply bring your dog in and we’ll scan and verify his or her microchip for you. Regular License Fee: Male: $8. ® your dog license online at: and your dog will be legal on the spot! Please note that our online pet license system ePetLicensing. 9/2010 PA Department of Agriculture, Bureau of Dog Law Enforcement LIFETIME DOG LICENSE APPLICATION Year of license A Permanent Identification Verification Form must be completed before the license will be issued. Disabled Person's Dog License Fees. $6. Regular (PDF) Lifetime (PDF) Permanent Identification Verification Form (PDF) Washington, PA 15301 724-228-6780 . A Lifetime Dog License requires a Lifetime Dog License Application and a completed Permanent Identification Verification Form that is obtained from a licensed PA Veterinarian or a licensed PA Kennel. PA Department of Agriculture, Bureau of Dog Law Enforcement . The issuing county treasurer or agent shall return the lifetime license fee to the dog owner and record and report the noncompliance to the Department as set forth in § 21. Jan 26, 2024 · LIFETIME DOG LICENSE APPLICATION DOG OWNER'S NAIt4E OWNEN'S BIBTHDATE PHONE NUMBER MO E. 12/2023 . Lifetime licenses are available for $52. Dog License Lifetime Application and Verification Form (English) or Dog License Lifetime Application and Verification Form (Spanish) Lost Please be aware that lifetime dog licenses are available only through the Treasurer’s Office. Print. PA 16214. PA 16823 Phone: 814-355-6700 Fax: 814-355-6980 ADLEB 19 rev. Licenses may also be purchased online at the PA Dog License website. Regular, Senior Citizens/Disability and Lifetime dog licenses are available at the Treasurer's Office or by mail. , Reading, PA 19601. 10/2023 pa department of agriculture, bureau of dog law enforcement lifetime dog license ADLEB 19 rev. Please update any bookmarks with the new url. The Lycoming County Treasurer is an agent for the Pennsylvania Department of Agriculture Bureau of Dog Law Enforcement and oversees the issuing of all dog licenses in Lycoming County. Staci Fitzhugh Dog Warden 717-603-0486. REGULAR LIFETIME LICENSE PERSON WITH DISABILITY . Derry Twp. Permanent Identification Verification PA Department of Agriculture, Bureau of Dog Law Enforcement LIFETIME DOG LICENSE APPLICATION Year of license A Permanent Identification Verification Form must be completed before the license will be issued. There is a convenience fee of $2. Lifetime dog licenses may be purchased by mail or in person. Hours 8:00am - 5:00pm (Mon, Tues, Thurs, Fri) Note: For Lifetime Licenses, dog needs to be tattooed or microchipped. The Dec 15, 2022 · DOG LICENSES All dogs three months of age or older must be licensed. County of Venango 1174 Elk Street P. 00 per license convenience and processing fee to use the PA Dog License® On-line service. Over 305+ pets are still missing and are listed on our FREE web site "www. to 5 p. 2024 Lifetime Dog License App. 70 for a male or female; Lifetime Dog License. See Annual Dog License Application listed below. Regular & Senior annual dog licenses are valid from January 1st through December 31st of each year. Regular Lifetime License Fee: Male: $52. 70 Senior Male/Female: $36. com® charges a $2. S. gov). Lifetime dog licenses can only be obtained through the Treasurer’s Office. 18 . Welcome to the westmoreland county treasurers online dog license application we are currently issuing licenses for 2025 If you have any other questions regarding dog licenses, please call Dog License Specialist at 717-771-4386. 70 Senior Male/Femail: $6. Lifetime Licenses can be submitted by mail or obtained in person at the County Treasurer's Office. Automobile Insurance Discounts. LIVE | WORK | PLAY VOLUNTEER | INVEST. 70 PLEASE NOTE: If you are applying for a lifetime license that requires the dog owner be a senior citizen (age 65 or Note: Lifetime License requires the dog to be microchipped or tattooed. An annual license costs $8. 50 will be charged. Disabled Person Lifetime Dog License For Lifetime licenses, the State requires all dogs to be microchipped or tattooed. Created: 02-05-2024. Lifetime Dog License Application. Designed By Mercer County MIS 2025 Dog Licenses will go on sale Dec. Feb 5, 2024 · Penn Highlands Community College Board Planning Commission Police Advisory Committee Redevelopment Authority Retirement Board Lancaster County Government Center 150 N Queen Street (Enter on Chestnut St. Yearly Dog Licenses. Female: $8. Dog License Lifetime Application and Verification Form (English) or Dog License Lifetime Application and Verification Form (Spanish) Lost 2024 Dog Licenses available . 5 days ago · Dog Licenses (PA Department of Agriculture) Fishing Licenses, Boat Transfers & Launch Permits (PA Fish & Boat Commission) Hunting & Antlerless Deer Licenses (PA Game Commission) Sportsman's Firearm Permits (PA State Police) Small Games of Chance Licenses, Special Raffle Permits and Bingo Licenses (PA Department of Revenue). P: (814) 226-4000 F: (814) 226-8065. com Dec 17, 2024 · 15 Franklin County Employees Complete Leadership Development Course December 17, 2024. – The Franklin County Commissioners and county leadership are celebrating 15 employees who completed the county’s Leadership Development If you have any other questions regarding dog licenses, please call Dog License Specialist at 717-771-4386. Proof of age is required for Sr. Permanent Identification Verification Form (PIVF): The PIVF is to be completed and signed This section cited in 7 Pa. Return to this Home page and add additional licenses, as necessary. Dog licenses are available through your local county treasurer or other licensing agents. All fees include service fees allowed by law; if the license is issued by an agent other than the Treasurer, an additional $. If your pet is microchipped, it is eligible for a Lifetime dog license; Documents required: Lifetime Dog License Application AND Permanent Identification Verification (PIV) Form signed Gettysburg, PA 17325 . Lifetime Licenses can be purchased by mail or in person at the Treasurer's office. To register your dog (even if you were a pet owner last year), Click "Add to Cart" below to add a license to your cart. To qualify for disability reduced rate, proof of disability is required. ) Lancaster, PA 17603 Phone: 717-299-8000 Hours: Monday through Friday, 8:30 a. 70 for a Senior Citizen or Person with a Disability). 2. Lifetime License Fee. Originally it was inhabited by the Iroquiois Indians and other tribes and nations. E-MAIL ADDRESS STREET ADDRESS TOWNSHIP/BOROUGH CITY STATE ZIP CODE Jan 30, 2024 · PROCEDURE FOR OBTAINING A LIFETIME DOG LICENSE 1. 717-935-2751 *For Lifetime Dog Licenses, the dog must be Mar 6, 2024 · Annual Dog License Form | Click here to open Upset Sale List (Updated 9-18-2024) | Click here to open Disabled Person's Dog License Fees. Main St, Belleville. If you are interested in obtaining a Lifetime Dog License, please contact the County Treasurer's Office for further details at 717-240-6380. Please fill out the form below and return to our office with your check or money order. 1) Complete and print the Lifetime Dog License Application Feb 1, 2024 · Animal Instincts Pet Salon (717) 944-9759 Harrisburg, PA 17112 Middletown, PA 17057. 3) Please make checks payable to Adams County Treasurer . DATE BREED DOG’S AGE DOG’S NAME COLOR / SPOTTED WHITE BLACK BROWN OTHER-INDICATE MARKINGS REGULAR LIFETIME LICENSE PERSON WITH DISABILITY OR SENIOR CITIZEN FEE MALEFEMALEMALEFEMALE $52. Open Enrollment Real Estate Attn: License Dept 201 W. CHAMBERSBURG, Pa. Owners of unlicensed dogs are subject to fines not to exceed $500. Residents must be 65 to purchase a Senior Citizen License or a Senior Citizen Lifetime License. A lifetime permanent license tag is also issued. We have reunited more than "8,997 LOST PETS". LIVE | WORK | PLAY Dog License Application Locations. 70 Annual dog licenses can be purchased online, by mail, or over the counter at the Treasurer’s Office. Please note there is no longer a discount for Spayed or Neutered dogs. Year of license . There are two options available to obtain the Lifetime Dog License. i make this statement subject to the criminal penalties of . Phone: 814-432-9500 Dog License. ADLEB 19 rev. You must buy a lifetime license in addition to having your dog microchipped. ePetLicensing. Also, Microchips are encouraged for annual dog license holders to ensure lost dogs are found. For Lifetime Licenses, applications must be completed and returned to the Berks County or Lancaster County Treasurer’s Offices. Code § 21. Ebensburg, PA 15931 (814) 472-5440. 70 for a male or female dog i hereby verify that i am the owner of the dog that is the subject of this dog license application. Discounts are available to older adults and people with disabilities. It's the law, and it is your dog's ticket home. Please send dog license applications to: Kimberly McCullough, Treasurer’s Office 825 Philadelphia Street Indiana, Pa 15701. C. 70 $36. If you lose your dog tag, we can mail you a duplicate tag. 70 $51. A lifetime license is a Purchase dog licenses online through our system, starting December 1 for each new year. 570-893-4004. The lifetime dog license application must be filled out in full by the dog owner. 70 for dogs with permanent identification like a microchip or tattoo. Feb 1, 2024 · DATE BREED DOG’S AGE DOG’S NAME COLOR / SPOTTED WHITE BLACK BROWN OTHER-INDICATE MARKINGS REGULAR LIFETIME LICENSE PERSON WITH DISABILITY OR SENIOR CITIZEN FEE MALEFEMALEMALEFEMALE $52. Yearly License - $6. If you are 65 years of age or older or disabled, you can obtain licenses for your dog(s LIFETIME DOG LICENSES In order to purchase a Lifetime License, your dog must either be microchipped or tattooed. If the animal is spayed or neutered, the annual fee is $6. You can also obtain a dog license at one of the following satellite offices: 4477 E. CLICK ON THE IMAGE BELOW TO LAUNCH THE ONLINE DOG LICENSE WEBSITE Fillable Forms for Dog License Click the blue text to download the PDF Versions Lifetime Dog License Application Annual Dog License Application INSTRUCTIONS: In addition, the lifetime license number and tag shall be void. File size: 45. ); Official webpage for dog license information and registration in Schuylkill County, Pennsylvania. LIFETIME DOG LICENSE – INFORMATION Dogs three months of age or older may be permanently licensed by the County Treasurer’s Office in your county of residence. City Government Center 10 N. The PIVF is to be completed and signed by the dog owner and the person scanning or implanting the dog’s microchip. A new tag will be Annual Dog License Fees. Lifetime licenses must be purchased through the Treasurer’s Office and requires the dog to be tattooed or micro-chipped. The forms must be returned within 30 days. signature of dog owner/applicantrequired : if applicant is a minor, signature of parent or guardian is required Dog's name, age, breed, sex, and color. (The following instructions apply to microchipped dogs). Rapone. Dec 1, 2024 · Lifetime licenses may only be purchased at the Beaver County Treasurer's Office, in person or by mail. Lifetime Licenses cannot be purchased online or Oct 27, 2023 · Beginning March 1, 2024, Pennsylvanians will pay $7 for an annual license or $49 for a lifetime license for male and female dogs while those 65 years of age or older and persons with disabilities The county treasurer or agent issuing the new lifetime license in the county to which the dog is moved shall, upon payment of a $1 fee by the dog owner, issue a new lifetime license number and tag for that county and record the lifetime license number and cross-reference it to the existing tattoo or microchip number in accordance with this REGULAR LIFETIME LICENSE PERSON WITH DISABILITY OR SENIOR CITIZEN FEE NEU TERED SPAYED NEUTERED SPAYED MALE MALE FEMALE FEMALE MALE MALE FEMALE FEMALE $51. 200 South Juliana Street Bedford PA Department of Agriculture, Bureau of Dog Law Enforcement LIFETIME DOG LICENSE APPLICATION Year of license A Permanent Identification Verification Form must be completed before the license will be issued. 50 if spayed or neutered, $8. Violators will be cited up to $500 per violation, plus court costs. I\,1AIL ADDBESS STFEET ADDAESS TOWNSHIP/BOROUGH CITY STATE PA ZIP CODE year oI licens6 A Permanent ldenlification Verification Form must be compieled betore th€ license wi be issu6d I HEBEAY VEFIFY THAT I AIV THE OWNEB OFTHE DOG THAT IS THE SUBJECT OF THIS The County of Crawford lies in northwestern Pennsylvania. LIFETIME DOG LICENSE APPLICATION (Completed and signed by the owner) PERMANENT IDENTIFICATION VERIFICATION FORM (Completed and signed by the vet and signed by the owner) NEW MICROCHIP. Lifetime Dog Licenses Lifetime dog licenses require the use of a tattoo or microchip. PLEASE NOTE: If you are applying for a lifetime license that requires the dog owner be a senior citizen (age 65 or older) or a person with disability, you must provide proof of age or disability to the 3 days ago · The youngest age at which a dog can be purchased or adopted in Pennsylvania is eight weeks. 70, or $36. Dog License Lifetime Application and Verification Form (English) or Dog License Lifetime Application and Verification Form (Spanish) Lost Feb 10, 2022 · Visit Us. com". In the Commonwealth of Pa dogs 3 months or older must be licensed. until 4:00 p. 1) Lifetime dog license application. Fees & Application. 4904 (relating to unsworn falsification to authorities). For Lifetime Dog Licenses, dogs must be either tattooed or micro-chipped. Please follow the procedures outlined below: Harrisburg, PA 17101 Dog License (LIFETIME Form - print out, fill in, mail in) Download Form. Pennsylvania currently offers two types of dog licenses; a yearly license or a lifetime license. Dog License Lifetime Application and Verification Form (English) or Dog License Lifetime Application and Verification Form (Spanish) Lost Tags. In later years, the land was acquired by a group of Dutch investors under title of the Holland Land Company and resold to settlers. These standards are in addition to requirements for ken-nels detailed in the act. The forms required for a Lifetime License are: a. 2nd St, Harrisburg, PA 17101. A Permanent Identification Verification Form must be completed before the license will be issued. Annual License Fees Male/Female: $8. m. You can always mail the following Department of Agriculture's Dog License Application forms to your local treasurer, but many local county treasurers also have online applications available. Pennsylvania fishing licenses go on sale for the next license year on December 1 of this year. Dog License Annual Application (English) or Dog License Annual Application (Spanish) Dog License Agent Locations. Dog License Agents in York County View a listing of dog license agents . Hunting License. Feb 1, 2024 · Discounted dog licenses are available to people with a disability as defined by Section 102 of the Pennsylvania Dog Law: "Person with a disability" A person who receives: Disability insurance or supplemental security income for the aged, blind or disabled under the Social Security Act (49 Stat. 2) Permanent Identification Verification Form (PIVF). Please bring your current hunting license with CID # and PA Driver’s License. Pennsylvania Law states all dogs 3 months of age or older must be licensed by Jan 1st of each year or could face a maximum fine of $500. Contact information and websites are provided below for convenience. Microchips are mandatory for the purchase of Lifetime Licenses. us to westmorelandcountypa. 70 PLEASE NOTE: If you are applying for a lifetime license that requires the dog owner be a senior citizen (age 65 or Lifetime License Fee. You don’t have to be physically 65 when you purchase the license. The forms required to obtain a lifetime license are: a. ***Please note that the domain has changed for this website (from co. County Treasurer. westmoreland. This can be done with either a Yearly or Lifetime Dog License. b. Apply. Dogs must be licensed by January 1, 2025. Phone Numbers. 70, and a lifetime license is $51. DOG OWNER’S NAME OWNER’S BIRTHDATE PHONE NUMBER MO. The dog owner fills out the top portion of the PIVF, and PLEASE NOTE: To receive a lifetime dog license, the dog must have a tattoo or microchip permanently identifying it. Dec 3, 2024 · State law requires all dogs 3 months of age or older to be licensed. The application must be filled out in full by the dog owner. Microchip implanted by Veterinarian Feb 1, 2024 · applications yearly - dog license application **** will expire december 31, 2024**** new fees will take effect on february 1, 2024 due to dog law changes lifetime dog application & piv form Instead of purchasing the yearly license, a dog owner can apply for a Lifetime Dog License. Senior Citizen / Person with Forest County Treasurer’s Office 526 Elm Street, #11 Tionesta, PA 16353 (814) 755-3536 Office hours are 8:00 a. IN-PERSON PURCHASES CAN BE MADE FOR ANNUAL REGULAR, ANNUAL SENIOR, LIFETIME REGULAR, AND LIFETIME SENIOR DOG LICENSING STARTING Monday, December 2, 2024. The dog owner chooses either a tattoo number to be placed on the inner part of the dog's right hind leg or the implantation of a microchip as the means of permanent identification. 00 that is charged by the credit card processor. Pay. 70 $21. According to PA laws, every pet owner must license their dog—you can purchase an annual: or lifetime license by submitting a completed application and/or PIV form (for lifetime license) to your local county treasurer or issuing agent. pa § section . The standards for operation of all classes of kennels in this Commonwealth are detailed in this chapter. Lifetime Dog License Application: The Lifetime Dog License Application must be filled out by the dog owner. Richard L. Each type of kennel and the restrictive licensing fee are The Dog Law Modernization Bill signed into law in October 2023 will revise license and kennel fees, and add protections for Pennsylvania dogs, consumers, and communities beginning January 21, 2024. PLEASE NOTE: If you are applying for a lifetime license that requires the dog owner be a senior citizen (age 65 or older) or a person with disability, you must provide proof of age or disability to the All dogs three months of age and older living in Pennsylvania must be licensed by January 1 of each year. To obtain an annual license, you can: Dog Law Enforcement and oversees the issuing of all dog licenses in Lycoming County. YR. If you have a mixed breed dog, please list what the dog looks like most. Senior Citizen / Person with Disability Lifetime License Fee: Male: $36. Download and print both required forms below: Lifetime Dog License Application (PDF) Permanent Identification Verification Form (PDF) To purchase a lifetime dog license, you are required to have the Permanent Identification Verification Form filled out. Section 301 et seq. DAY PHONE NUMBER DOG'S AGE BLACK TOWNSHIP/BOROUGH STATE PA DOG'S Lock Haven, PA 17745. 620, 42 U. DOG OWNER'S NAME E-MAIL ADDRESS STREET ADDRESS WHITE OWNER'S BIRTHDATE MO. gxn uebuom ekypf ffnkjb wlcrbu ityzp somgf edcauua ntdgxn rsht