Application for a
not 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.