Fill in Your Pa Dog License Form Launch Pa Dog License Editor Now

Fill in Your Pa Dog License Form

The Pa Dog License form, formally designated as ADLEB 19 rev. 9/2010, is a crucial document issued by the PA Department of Agriculture, Bureau of Dog Law Enforcement. It's designed for dog owners seeking a lifetime license for their furry companions. A Permanent Identification Verification Form must be completed first; then, various details including the dog’s name, age, and the owner’s information along with proof of age or disability for specific discounts, are required to finalize the process.

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In the Commonwealth of Pennsylvania, ensuring that a dog has a proper license is both a requirement and a responsibility for dog owners. The Pennsylvania Department of Agriculture's Bureau of Dog Law Enforcement has streamlined this process through the issuance of the LIFETIME DOG LICENSE APPLICATION form, ADLEB 19 version, revised in September 2010. This crucial document serves a multifaceted purpose, beginning with the Year of license field, guiding applicants through the procedure for securing a license that not only acknowledges ownership but also encompasses critical identification and administrative details. The application mandates the completing of a Permanent Identification Verification Form as a prerequisite for the issuance of the license, underscoring the state's commitment to dog safety and regulation. Highlighting personal information such as the dog owner’s name, birthdate, and contact details, alongside the dog's name, age, breed, and physical description, this form meticulously captures essential data for official records. Additionally, it accommodates special statuses, offering reduced fees for neutered or spayed dogs and providing specific price adjustments for senior citizens and persons with disabilities. All fees include service charges as permitted by law, ensuring compliance and convenience for applicants. A declaration by the dog owner, subject to legal penalties for falsification, concludes the process, emphasizing accountability and veracity in the representation of ownership. Addressed to the County Treasurer's Office, this comprehensive document stands as a testament to Pennsylvania's organized approach to dog licensing, fundamentally aimed at safeguarding canine welfare and promoting responsible pet ownership across the state.

Document Example

ADLEB 19 rev. 9/2010

PA Department of Agriculture, Bureau of Dog Law Enforcement

LIFETIME DOG LICENSE APPLICATION

Year of license

A Permanent Identification Verification Form must be completed before the license will be issued.

DOG OWNER’S NAME

 

 

 

 

 

OWNER’S BIRTHDATE

 

PHONE NUMBER

 

 

 

 

 

 

 

 

 

MO.

 

DAY

 

YR.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STREET ADDRESS

 

 

 

 

 

 

 

 

 

TOWNSHIP/BOROUGH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

BREED

 

 

 

DOG’S AGE

 

DOG’S NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COLOR /

 

SPOTTED

WHITE

BLACK

 

 

BROWN

 

OTHER-INDICATE

MARKINGS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REGULAR LIFETIME LICENSE

 

 

 

 

 

PERSON WITH DISABILITY

 

 

 

 

 

 

 

 

 

 

 

 

 

OR SENIOR CITIZEN FEE

 

 

NEUTERED

 

 

SPAYED

 

 

 

 

 

NEUTERED

 

 

 

SPAYED

MALE

MALE

 

FEMALE

FEMALE

 

 

MALE

 

MALE

 

FEMALE

FEMALE

$51.45

$31.45

$51.45

$31.45

 

$31.45

$21.45

 

$31.45

$21.45

ALL PRICES INCLUDE SERVICE FEES

 

 

 

 

 

ALL PRICES INCLUDE SERVICE FEES

 

ALLOWED BY LAW

 

 

 

 

 

 

 

 

 

ALLOWED BY LAW

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE NOTE: If you are applying for a lifetime license that requires the dog owner be a senior citizen (age 65 or older) or a person with disability, you must provide proof of age or disability to the County Treasurer.

I HEREBY VERIFY THAT I AM THE OWNER OF THE DOG THAT IS THE SUBJECT OF THIS DOG LICENSE

APPLICATION. I MAKE THIS STATEMENT SUBJECT TO THE CRIMINAL PENALTIES OF 18 Pa § SECTION 4904

(RELATING TO UNSWORN FALSIFICATION TO AUTHORITIES).

SIGNATURE OF DOG OWNER/APPLICANT REQUIRED

IF APPLICANT IS A MINOR, SIGNATURE OF PARENT OR GUARDIAN IS REQUIRED

MAIL TO COUNTY TREASURER’S OFFICE

File Data

Fact Detail
Form Title Lifetime Dog License Application
Form Number ADLEB 19 rev. 9/2010
Governing Body PA Department of Agriculture, Bureau of Dog Law Enforcement
Requirement Before Issuing License A Permanent Identification Verification Form must be completed.
Legal Requirement for Pet Owners applying for a Special Rate Senior citizens (age 65 or older) or persons with a disability must provide proof of age or disability to the County Treasurer.
Penalty Clause Application must be made truthfully under the penalty of 18 Pa § Section 4904 (relating to unsworn falsification to authorities).

Guide to Filling Out Pa Dog License

Securing a lifetime dog license in the state of Pennsylvania is a crucial step for pet owners, designed to ensure your furry friend is always accounted for. This might seem a bit daunting at first, but by breaking down the process into simple, manageable steps, filling out the application can be straightforward. Remember, a Permanent Identification Verification Form must be completed and submitted along with this license application. Now, let's walk through the necessary steps to successfully complete the PA Lifetime Dog License Application.

  1. Begin by locating the section marked Year of license. Fill in the current year to ensure your application is processed for the correct period.
  2. In the field labeled DOG OWNER’S NAME, print your full name as the legal owner of the dog.
  3. Fill in your OWNER’S BIRTHDATE, including month, day, and year, to confirm your eligibility and personal details.
  4. Provide your PHONE NUMBER where you can be easily reached should there be any questions about your application or your dog.
  5. For STREET ADDRESS, list your complete mailing address, including TOWNSHIP/BOROUGH, CITY, STATE, and ZIP CODE, ensuring all parts are filled out accurately to avoid processing delays.
  6. Under the dog's information, specify the DATE when filling out the form, followed by your dog’s BREED, DOG’S AGE, and DOG’S NAME. It's crucial to provide accurate details to aid in identification and tracking.
  7. Select your dog's COLOR from the options provided. If your dog's coat doesn’t match the listed colors, choose "OTHER-INDICATE" and specify the appropriate color or combinations.
  8. Specify any MARKINGS your dog has. This could be spots, patches, or unique color distributions that can help in identifying your pet.
  9. Choose the type of license you are applying for - REGULAR LIFETIME LICENSE or one for a PERSON WITH DISABILITY OR SENIOR CITIZEN. Ensure to check the corresponding fee based on your dog’s neuter/spay status and the owner's eligibility.
  10. Check the appropriate box to indicate if your dog is NEUTERED or SPAYED, choosing the correct option based on your dog's sex and altering status.
  11. Write in the correct fee for your application, referring to the structure outlined on the form. Note that all listed fees include mandatory service charges as allowed by law.
  12. If you are applying for a license that offers a discounted fee for senior citizens (65 or older) or persons with a disability, remember to include proof of age or disability as required. This will likely be reviewed by the County Treasurer.
  13. Sign and date the application in the provided spaces. If you are a minor, ensure your application is co-signed by a parent or guardian as stipulated.
  14. Double-check your application for completeness and accuracy, then mail it along with the required fee and any additional documentation to the COUNTY TREASURER’S OFFICE as indicated on the form or accompanying instructions.

Completing the PA Dog License form is a vital step for pet owners in Pennsylvania, offering peace of mind and ensuring your dog's safety. Take your time to fill out the form accurately, and remember to include all necessary documentation to streamline the process. With your application submitted, you're ensuring your beloved pet is legally protected and accounted for, maintaining compliance with local laws and regulations.

Your Questions, Answered

What is required to apply for a Lifetime Dog License in Pennsylvania?

To apply for a Lifetime Dog License in Pennsylvania, you must complete the Lifetime Dog License Application, which includes providing the dog owner's name, birthdate, phone number, and full address. Additionally, details about the dog such as its name, breed, age, color, and identification are required. A Permanent Identification Verification Form must be filled out before the license is issued. If applying for a license that offers a reduced fee for seniors (age 65 or older) or persons with disabilities, proof of age or disability must be provided to the County Treasurer.

What are the fees associated with obtaining a Lifetime Dog License?

The fees for a Lifetime Dog License vary based on the neutered or spayed status of the dog and if the owner qualifies for a discounted rate as a person with a disability or a senior citizen. For a regular lifetime license, the fee is $51.45 for a neutered male or spayed female and $31.45 for a non-altered dog. If the owner is a person with a disability or a senior citizen, the fees are decreased to $31.45 for a neutered male or spayed female and $21.45 for a non-altered dog. All prices include service fees allowed by law.

How do I submit my Lifetime Dog License Application?

The completed Lifetime Dog License Application along with any required documentation, such as proof of age or disability for discounted rates, should be mailed to your county's Treasurer’s Office. Ensure that all sections of the application are filled out correctly and that the Permanent Identification Verification Form is included where necessary.

Who needs to sign the Dog License Application?

The dog owner must sign the Dog License Application to verify ownership and the information provided. If the applicant is a minor, a parent or guardian must sign the application. This requirement helps to ensure that all statements made on the application are accurate and legally binding under the penalties of 18 Pa § Section 4904 (relating to unsworn falsification to authorities).

Is there a discounted fee for seniors or persons with disabilities?

Yes, Pennsylvania offers a discounted fee for Lifetime Dog Licenses for seniors (age 65 or older) and persons with disabilities. To qualify for these reduced fees, applicants must provide proof of age or disability status to the County Treasurer. With the necessary proof, the license fee is reduced to $31.45 for a neutered male or spayed female and $21.45 for a non-altered dog.

What happens if I don't provide the Permanent Identification Verification Form?

The Permanent Identification Verification Form is a crucial part of the Lifetime Dog License Application. Without it, the license will not be issued. This form ensures that the dog has a permanent form of identification, which is mandatory for a lifetime license. Applicants should complete and submit this form along with their application to avoid any delays in processing.

Common mistakes

When filling out the PA Dog License form, there are several common mistakes that can lead to delays or even prevent the licensing of your dog. Paying close attention to detail and verifying your information can help streamline the process.

  1. Not completing the Permanent Identification Verification Form is a crucial step that gets overlooked. Without this form, the license cannot be issued.

  2. Entering incorrect information for the dog owner’s birthdate. It's important to use the correct format and ensure accuracy to avoid processing delays.

  3. Failing to provide a complete phone number. A valid contact number is necessary for any follow-up or clarification.

  4. Leaving the address fields incomplete, including street address, township/borough, city, state, and zip code. The full address helps ensure the license is issued to the correct jurisdiction.

  5. Not specifying the dog's age, breed, or name can lead to incomplete documentation, hindering the identification of your pet.

  6. Selecting the incorrect fee category for your dog. This might include failing to indicate the correct status for neutered/spayed animals or the eligibility for reduced fees for persons with disabilities or senior citizens.

  7. Omitting the required signatures at the bottom of the application. If the applicant is a minor, a parent or guardian's signature is also needed to process the application.

To ensure a smooth process for the lifetime license application for your dog, be diligent in reviewing and providing accurate information across all sections of the form. Double-checking details before submission can save time and help avoid these common mistakes.

Documents used along the form

Applying for a PA Dog License, specifically a lifetime license as outlined in the ADLEB 19 form, is a process that helps ensure pets are legally and safely identified within Pennsylvania. This form requires not only the owner's and dog's basic information but also proof of a permanent identification for the animal, such as a microchip or tattoo. However, to complete this application successfully, or during the life of the pet, owners might find themselves needing additional forms and documents. Below are descriptions of documents often used in tandem with the PA Dog License form.

  • Permanent Identification Verification Form: This document is crucial for issuing a lifetime license as it provides proof that the dog has a permanent form of identification, such as a microchip or tattoo, which is a prerequisite for the application.
  • Proof of Age or Disability: For individuals applying for a discounted license rate either as senior citizens (65 years and older) or as a person with a disability, documentation confirming age or disability status is required. This could be a government-issued ID for seniors or documentation from a healthcare provider for persons with disabilities.
  • Rabies Vaccination Certificate: Since Pennsylvania law requires all dogs over 3 months of age to be vaccinated against rabies, proof of this vaccination may be required, especially when licensing for the first time or renewing a license.
  • Spay or Neuter Certificate: If applying for a reduced license fee available for neutered or spayed dogs, documentation from a veterinarian confirming the procedure is necessary.
  • Veterinary Records: These records aren't specifically required for the license application but are often requested for identification purposes or to prove the dog's health status, age, breed, or any special conditions.
  • Change of Owner or Address Form: If the dog's ownership or the owner's address changes, this form must be filed to update the license records, ensuring all information is current should the dog be lost or in case of emergency.

Together, the PA Dog License form and these associated documents facilitate a comprehensive approach to dog management and welfare in the state. Responsible pet ownership involves keeping these documents up-to-date, ensuring the well-being of the dog, compliance with local laws, and peace of mind for the owner. Remember, while the process might seem involved, it serves to protect pets, their owners, and the community at large.

Similar forms

The Pa Dog License form is similar to a few other documents in terms of structure and the information it requires. One notable similarity is with vehicle registration forms.

Vehicle Registration Forms: Like the Pa Dog License form, vehicle registration documents often require the owner's detailed information, the identification of the item being registered (in this case, a vehicle instead of a dog), and payment information, including various fees. Both forms are designed to legally record the ownership and specifics of the registrant's property to a governmental database for regulation, taxation, or law enforcement purposes. Details such as owner's name, address, and identification verification are standard in both forms to ensure accountability and ownership verification.

Pet Microchip Registration Forms: Another document similar to the Pa Dog License form is the pet microchip registration form. Both forms necessitate owner information, pet identification (through a chip number in one and licensing details in the other), and specifics about the pet, such as breed, color, and age. The primary goal of both forms is to ensure a way to reunite lost pets with their owners, although they do so through different means: one through a physical license and the other through electronic identification embedded in the pet.

Personal Property Tax Forms: Similarly, personal property tax forms also resemble the Pa Dog License form in the way they require owner information and details about the property being taxed. While property in this context might refer to real estate or tangible goods rather than animals, the underlying principle of declaring ownership and providing specifics about the property is a common thread. Both forms play a role in legal documentation and the potential assessment of fees or taxes based on the provided information.

Dos and Don'ts

When filling out the PA Dog License form, it's important to pay close attention to the details to ensure the process goes smoothly. Here are 10 key dos and don'ts to keep in mind:

Do:
  • Double-check the year of the license at the top of the form to make sure it's current.
  • Complete the Permanent Identification Verification Form, as it’s a prerequisite for issuing the license.
  • Write the dog owner's name exactly as it appears on official documents.
  • Include the exact date of birth for the owner in the format requested (MO. DAY YR.).
  • Carefully fill out your full street address, including township/borough, city, state, and ZIP code.
  • Clearly indicate the dog's breed, color, and any distinctive markings.
  • Select the correct fee based on the dog’s spaying/neutering status and the owner's eligibility for discounts.
  • If applying for a discounted rate due to age or disability, remember to provide proof alongside the application.
  • Sign the form personally. If the applicant is a minor, a parent or guardian’s signature is also required.
  • Mail the completed form to the County Treasurer's Office as directed.
Don't:
  • Forget to complete the Permanent Identification Verification Form; without it, the process cannot proceed.
  • Misstate the dog owner's birth date, as it may lead to application rejection.
  • Leave any sections of the form blank. Incomplete forms will not be processed.
  • Guess on the fees – ensure you're paying the correct amount by checking the latest rates which include service fees as indicated.
  • Use nicknames or incomplete addresses; the information should match official ID and utility bills.
  • Overlook the need for proof when applying for a rate based on disability or senior citizen status.
  • Ignore the specific requirements for spayed/neutered dogs versus intact animals.
  • Disregard the importance of indicating color/markings accurately, as this helps in identification.
  • Sign in a rush without reading the statement regarding criminal penalties for falsification.
  • Delay in sending the form to the correct county office, as this may affect the issuance timeline.

Misconceptions

When it comes to registering pets, specifically dogs, in the state of Pennsylvania, there are some common misconceptions about the process and requirements based on the Pennsylvania (PA) Dog License form. Understanding these can help dog owners ensure they comply with state regulations and avoid potential legal issues. Here are seven common misconceptions:

  • All dogs are eligible for a lifetime license. In reality, only dogs that have been permanently identified through a microchip or tattoo qualify for a lifetime license. A Permanent Identification Verification Form must be completed and verified before a lifetime license is issued.
  • The prices listed on the form are up for negotiation. Actually, the fees listed on the PA Dog License application include service fees allowed by law and are non-negotiable. These rates are set to cover the administrative costs associated with the licensing process.
  • You can apply for a license at any time of the year. While partially true, it's important to note the "Year of license" section on the form. This implies that the license needs to be renewed periodically based on the calendar year or the lifetime option selected during the application.
  • Owners do not need to prove their eligibility for discounted fees. This is incorrect; if applying for a lifetime license with a discount for being a senior citizen (65 years or older) or a person with disabilities, proof of age or disability must be submitted to the County Treasurer as verification.
  • Any dog owner can fill out the application. The signature section requires the dog owner to sign, verifying ownership of the dog. If the applicant is a minor, a parent or guardian's signature is also required, ensuring legal accountability for the information provided.
  • The form doesn't need to be mailed to a specific location. The form explicitly instructs applicants to mail it to the County Treasurer’s Office. This designation ensures that the application is processed by the correct local authority, which varies by county within Pennsylvania.
  • Color and markings of the dog are optional details. The form includes sections for indicating the dog's color and markings, which are critical for identification purposes, especially for a lifetime license. This information helps in the event that the dog goes missing or there's a dispute about ownership.

Understanding these misconceptions and clarifying them can help dog owners navigate the licensing process more smoothly, ensuring that their pets are legally registered according to Pennsylvania’s requirements. It's important for owners to read the form carefully and comply with the specific stipulations to avoid penalties or fines for non-compliance.

Key takeaways

Filling out the PA Dog License form is a crucial step for dog owners in Pennsylvania to ensure their pets are legally registered. Here are some key takeaways to guide you through the process and explain the importance of this form:

  • Legal Requirement: It's mandatory under Pennsylvania law for dog owners to obtain a dog license. This form is part of the compliance process to ensure all dogs are accounted for and can be returned to their owners if lost.
  • Lifetime License Option: The form offers owners the option to apply for a lifetime license, which is a convenient choice for ensuring long-term compliance without the need for yearly renewals.
  • Permanent Identification Verification: Before a lifetime license is issued, a Permanent Identification Verification Form must be completed. This step is crucial for the lifetime license to ensure the dog can always be identified and matched to the owner.
  • Variety of Fees: The form outlines different fees for spayed/neutered dogs versus intact dogs, with spayed or neutered dogs benefiting from lower fees. Additionally, persons with disabilities or senior citizens are eligible for reduced rates.
  • Proof of Age or Disability: If applying for the reduced fee for senior citizens (65 or older) or persons with disabilities, proof must be provided to the County Treasurer. This ensures that the discount is granted to eligible applicants.
  • Owner Verification: By signing the form, the dog owner verifies ownership of the dog and compliance with the application's declarations under Pennsylvania law, specifically referencing the penalties for false statements.
  • Parent or Guardian Signature: If the applicant is a minor, a parent or guardian must sign the form, ensuring that minors have adult consent and supervision in the dog licensing process.
  • Service Fees Included: All prices listed on the form include service fees as allowed by law, ensuring transparency in the cost of obtaining a dog license.
  • Mail to County Treasurer’s Office: Completed forms must be mailed to the County Treasurer’s office, highlighting the local aspect of dog licensing and the importance of supporting local government procedures.
  • Comprehensive Dog Information: The form requires detailed information about the dog, including age, breed, color, and markings. This ensures a comprehensive database for the Bureau of Dog Law Enforcement, facilitating easier identification and return of lost dogs.

By understanding these key points about the PA Dog License form, dog owners in Pennsylvania can ensure they remain compliant with state laws, contribute to their community's safety, and secure peace of mind regarding their pet's legal status.

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