Form Center

5. Dog licenses are required in the City of Lafayette. Please complete this application form and submit the form, along with proof of rabies vaccination. Three-year licenses are only available if you submit the license application within 30 days of receiving the three-year rabies vaccination. One-year licenses are available for the one-year rabies vaccination. Upon receiving an application, we will contact you about payment options. 

6. License Type*

   1. One Year
   2. Three Year
7. 
9. Animal Owner/Guardian Name*
10. Lafayette Address*
11. State
13. Phone Number*
14. Alternate Phone Number
15. E-Mail Address*
17. Alternate Contact Name*

    if owner cannot be reached

18. Alternate Contact Phone Number*
20. Animal Name*
21. Animal Age*
22. Animal Gender*

    1. Male
    2. Female
23. Animal Weight*
25. Animal Breed*
26. Animal Secondary Breed*
28. Animal Color*
29. Animal Secondary Color
31. Is Animal Spayed or Neutered?*

    1. Spayed (Altered)
    2. Neutered (Altered)
    3. Neither (Unaltered)
32. Is Animal Microchipped?*

    1. Yes
    2. No
33. If Microchipped, What is the Chip Number?
34. If Microchipped, Please Provide Company
36. Rabies Tag Number*
37. Rabies Vaccination Expiration Date*
38. Upload Proof of Rabies Vaccination*
40. Vet/Hospital *
41. Phone Number*
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field