[City of Neenah] Pet License

Service Dog Application

To register your Service Dog with the City of Neenah, please complete the form below. Once the form is submitted, please allow 5-10 business days for your registration tag to be delivered via mail to the address indicated on the form. If you have questions, please call the Treasurer's office at 920-886-6144.

License is good through December 31st of the licensing year.

Address

Phone Number

Service Dog Information

Is the dog a Service Animal required because of a disability?

Yes

What work or task has the Service Dog been trained to perform?

Dog's Gender

Male

Female

Is the Dog Spayed or Neutered?

Yes

Dog's Name

Breed

Color of Dog

Rabies Certificate Information

Vet

Vet - Other

Manufacturer of Rabies Vaccine

Manufacturer of Rabies Vaccine - Other

Date Rabies Vaccination Expires

Acknowledgement

I certify that all the information and answers to questions herein are complete, true and correct to the best of my knowledge. I understand that any misrepresentation, falsification, or omission of any facts in the application may render this application void and will be cause for any subsequent permit to be revoked, whenever discovered.