Notice of Vaccination Letter

If you have received a Notice of Vaccination Letter in the mail, you may purchase your dog’s license online by filling out the form below. A major credit card is required.

To complete this form accurately you will need:

  • An electronic image (.jpg or .pdf) of proof of spay/neuter if not already on file or if status has changed since date of last license payment.
  • A major credit card
  • This application requires a computer, not a mobile device

Please ensure that the duration of the license you request does not exceed the rabies expiration date shown on the vaccination certificate.

Proof of your dog’s spay/neuter is required for the license discount. If we cannot verify spay/neuter status, no license will be issued.

Errors in overpayment or incomplete submissions will result in a 10% processing fee assessed on any refund.

This form is ONLY for people who have received a Notice of Vaccination Letter.

* required information
 
Contact Information
Title:
First Name:*
Middle Initial:
Last Name:*
Email:*
Phone:*
Alternate Phone:
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Do not email
Fees: Please refer to the fees on the Notice of Vaccination letter. The license duration cannot exceed the rabies expiration.
Are you a senior (62 yrs or over) or disabled

Additional Information
Vaccination Reference Letter Number:*
Dog's Name:*
Dog's Age - Month:*
Dog's Age - Year:*
Dog Breed Type:*
Spayed/Neutered:* Yes
No
Dog's Sex:* Male
Female
Dog's Color:*
Microchip #:
License #:

 

Marin Humane Society

171 Bel Marin Keys Blvd, Novato, CA 94949
Phone 415.883.4621

Copyright 2011