Owner Information

Owner Information (one person only)

Apply for your animal licence here. (Applicants must be 18 +)

Last Name*

First Name*

Address*

Town*

Province*

Postal Code*

Primary Phone(10 digits numeric value only)*

Secondary Phone(10 digits numeric value only)

Tag search authorization.

If your pet goes missing, we understand you want to bring them home as quickly as possible.

Emergency Contacts

Emergency Contact Information

Last Name*

First Name*

Middle Initial

Primary Phone*

Secondary Phone

Other Phone

Regular Pet Licence Application

Pet's Name*

Pet's Type*

Dog

Pet's Date of Birth*

If the exact date is not known, please use the first day of the month.

Sex*

Female

Male

Primary Colour(s) (please list in order of dominance)*

Pet Is*

Spayed/Neutered

Intact

Secondary Colour(s) (please list in order of dominance)

Tattoo Number

Animal Licence Type*

Microchip Number

Primary Breed*

Secondary Breed

Comments/Other Information:

Animal Attachment:

Help us keep your furry friend safe! Please include a photograph of your pet with your application. This will assist municipal staff in quickly identifying and reuniting you with your pet if they ever go missing.

File Attachment

Add another pet?*

Yes

Regular Pet Licence Application

Pet's Name*

Pet's Type*

Dog

Pet's Date of Birth*

If the exact date is not known, please use the first day of the month.

Sex*

Female

Male

Colour(s) (please list in order of dominance)*

Pet Is*

Spayed/Neutered

Intact

Secondary Colour(s) (please list in order of dominance)

Tattoo Number

Animal Licence Type*

Microchip Number

Primary Breed*

Secondary Breed

Comments/Other Information:

Animal Attachment:

File Attachment

Add another pet?*

Yes

Regular Pet Licence Application

Pet's Name*

Pet's Type*

Dog

Pet's Date of Birth*

If the exact date is not known, please use the first day of the month.

Sex*

Female

Male

Colour(s) (please list in order of dominance)*

Pet Is*

Spayed/Neutered

Intact

Secondary Colour(s) (please list in order of dominance)

Tattoo Number

Animal Licence Type*

Microchip Number

Primary Breed*

Secondary Breed

Comments/Other Information:

Animal Attachment:

File Attachment

Thank you!

Thank you for submitting your animal licence application. Once the application has been processed, A tag and receipt will be mailed to you. Please note that the tag is a permanent, lifetime tag. Your pet is officially licensed once payment has been received and processed.

Accuracy Declaration

Summary

I, being the owner of the pet(s) listed here, certify that all the information on this application is true.

I agree

Comments/Other Information:

Personal Information Statement

The personal information collected through this form will be used to process your application. The information relates directly to and is necessary for the operation of the program or activity applied for and will be input into an automated system to generate content or make decisions, recommendations, or predictions. This information is collected and used under the authority of Section 4(c) of the Protection of Privacy Act and managed in accordance with the Act. For questions about the collection of personal information, please contact ATI@cochrane.ca.

Owner Information

Owner Information (one person only)

Emergency Contacts

Emergency Contact Information

Co-owner Information

Emergency Contacts

OWNER INFORMATION

ANIMAL INFORMATION