Please complete the information below and bring or mail to the Town Hall with the items listed.  You can also leave in the Town Hall front door drop slot (check or money order only please).

 

1-Current rabies vaccination certificate-this will be returned to you

(tag is not adequate proof of vaccination)

 

2-Spay/neuter certificate, if appliable-this will also be returned to you

 

3-Check or money order payable to the Otselic Town Clerk for

$10.00 if dog is spayed or neutered

$16.00 if dog is not spayed or neutered

 

 

Owner information

 

Name:_________________________________Phone Number:_______________

 

Mailing address:_____________________________________________________

 

Physical address (if different)___________________________________________

 

 

Dog Information

 

Name:__________________________________Birth Year:__________________

 

Breed:______________________________Sex:_____female_____male

 

Primary color:____________________Secondary color:_____________________

 

 

 

Office hours at the Town Hall:

Monday and Friday 9 a.m. – 1 p.m.

Thursday 2:00 p.m. – 5:00 p.m.

Phone #315-653-7201