PA Department of Agriculture, Bureau of Dog Law Enforcement September 23, 2014 2:21 PM DOG LICENSE APPLICATION
BIRTH DATE REQUIRED IF PURCHASING A SENIOR LICENSE (age 65). APPLICANTS FOR SENIOR OR
DISABILITY LICENSE MUST HAVE PROOF OF AGE OR DISABILITY ON FILE WITH THE COUNTY TREASURER.
I hereby verify that I am the owner of the described dog and all information provided on this
application is true and correct. I make this statement subject to the Criminal Penalties of
18 Pa. C.S. section 4904 (Relating to unsworn falsification to authorities.)
All fields are required. Licenses issued today expire on
Comments or Questions?
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