Application for a
fixed dog license
you
First Name
Last Name
Phone
Email
Address
City
State
ZIP
Different mailing address than street address.
Address
City
State
ZIP
your dog
Name
Breed
Color
Sex
M
F
Age
3-12 mos.
+12 mos.
Weight
0-20 lbs.
20-50 lbs.
+50 lbs.
My dog's rabies vaccination certificate will be submitted by the following means
File upload (next page)
Email attachment sent to
licensing@hsoyuma.com
Fax to (928) 783-1049
Certificate already on file with HSOY.
Please make a selection.