Arcadia Dog License Application
NOTE: Before submitting this form, please call us at 626-792-7151 x115 to verify your address, as some sections of Arcadia are unincorporated (not a part of the city of Arcadia) and are licensed through LA County Animal Control, 626-962-3577.
Submit a completed copy of this form and payment to:
Pasadena Humane Society, 361 S. Raymond Ave, Pasadena
91105
Attn. Licensing Dept
Dog's Name: ________________________________________
Breed: _________________________ 
Pure Breed
Mixed Breed
Color: _________________________
Markings: ________________________________
Microchip #: _____________________________
Age: ____ years ____ months (must be at least 4 months of age to
be licensed)
Size: Small
Medium
Large
| Please check one: |
Female (not spayed) Female Spayed
Male
(not neutered) Male Neutered |
-
You must submit a copy of a current rabies certificate with this application. Rabies vaccination certificate must be valid throughout the license period. (AMC 4124.1.3,)
-
If applying for senior discount on a new license, you must submit proof of age (60+ years) (AMC 4124.2.5)
-
If applying for spay/neuter discount on a new license, you must submit certificate of sterility. (AMC 4124.2.5)
-
License period is 12 months from date of issue.
-
Licenses are issued only to individual persons. (AMC 4124.2.2)
DOG OWNER INFORMATION
(Please use address where dog will be kept)
____________________________________________
First Name
Last Name
____________________________________________
Address
City: __ARCADIA_______ State _CA___ Zip _______
Telephone Number: ___________________
Renewal New
License
DOG LICENSE FEES
| Resident |
Spayed/Neutered $10 |
______________
|
| Senior Citizen (must show proof of 60 years+) |
Spayed/Neutered $5 |
______________
|
| Late Renewal Charge (if 30 or more days late) |
|
______________
|
| Engraving name & phone number on back of license (NEW licences only) |
|
______________
|
| Total $ ____________ |
Thank you!