2. Welcome to the Online Dog License Application
   If your dog is not licensed by April 1, a $10.00 late fee per dog will be added to the total fees. In addition, a citation could be issued to you by the Police Department for failure to license your dog. PLEASE NOTIFY THE CLERK'S OFFICE IF YOU NO LONGER OWN A DOG.
4. Proof of rabies vaccine showing name of veterinarian and date of vaccine, as well as expiration date is required before the license will be issued, per state statutes. Upload a copy of your most recent rabies vaccination certification below. You can pay online with a credit card, through the mail with a check, or in person with cash, check or a credit card. Please make checks payable to CITY OF DELAFIELD.
6. Dog Owner First Name*
7. Dog Owner Last Name*
9. Dog Owner Address*
10. Dog Owner City State Zip*
12. Mailing Address if Different from Dog Owner Address
13. Mailing City State Zip if Different
15. Check One*

    1. Own
    2. Rent
    3. w/ Parent
16. Phone Number*
17. Email*
19. Name Dog 1*
20. Name Dog 2
21. Name Dog 3
23. Breed Dog 1*
24. Breed Dog 2
25. Breed Dog 3
27. Color Dog 1*
28. Color Dog 2
29. Color Dog 3
31. Dog 1 Date of Rabies Shot*
32. Dog 2 Date of Rabies Shot
33. Dog 3 Date of Rabies Shot
35. Dog 1 Rabies Expiration*
36. Dog 2 Rabies Expiration
37. Dog 3 Rabies Expiration
39. Dog 1 Rabies Tag #*
40. Dog 2 Rabies Tag #
41. Dog 3 Rabies Tag #
43. Dog 1 Info*

    1. Male ($17.00)
    2. Female ($17.00)
    3. Neutered Male ($14.00)
    4. Spayed Female ($14.00)
44. Dog 2 Info

    1. Male ($17.00)
    2. Female ($17.00)
    3. Neutered Male ($14.00)
    4. Spayed Female ($14.00)
45. Dog 3 Info

    1. Male ($17.00)
    2. Female ($17.00)
    3. Neutered Male ($14.00)
    4. Spayed Female ($14.00)
47. Vet or Clinic Name*
49. Upload your most current rabies vaccination paperwork*
51. Additional Upload If Needed
53. Additional Upload If Needed
55. Once you have submitted this form, you will be placed in a queue. Only upon payment of fees will the dog license be active. Once the fee is received, your dog tag will be mailed to you. YOUR LICENSE IS NOT VALID WITHOUT PAYMENT. You can use the submission confirmation page to direct you to pay with a credit card. Or you can mail your check to: City of Delafield, 500 Genesee St. Delafield, WI 53018 or use our drop box outside of the library.
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57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field