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2. Elm Grove Dog License Application
   § 95-1Licenses.

   A. License required. A license shall be necessary for any dog over five months of age.

   
   

   B. License fee. The license fee shall be at least the minimum required by § 174.05(2), Wis. Stats., and shall by resolution be established by the Village Board.

   
   

   C. Per § 174.065(1) of the Wisconsin Statutes, the Collecting Official for the issuance of dog licenses are the Village of Elm Grove and the Elm Brook Humane Society. The fees collected will be turned over to the Village of Elm Grove.

   
   

   D. Term. Upon the payment of the required license fee, the Village or the Elm Brook Humane Society shall issue a license to the owner or keeper of such dog for the current license year which expires on the 31st day of December; provided, however, that the applicant for a license shall first display to the designated Village agent a current certificate of rabies vaccination as required by § 95.21, Wis. Stats., enacted as Chapter 289, Laws of 1979.

   
   

   E. Attachment to collar. The licensee, upon procuring the license, shall securely attach the tag to a collar. This collar, with tag, shall at all times be kept on the dog for which the license is issued.
6. Fees per Dog

   Dog License - Neutered/spayed

   $15.00 --- after March 31 - $20.00

   Dog License - Not neutered/spayed

   $16.00 --- after March 31 - $21.00

7. Timeline

   Dog tag applications are processed every _____. Payment must be received for the tag to be issued. 

9. Dog Owner First Name*
10. Dog Owner Last Name*
12. Dog Owner Elm Grove Address*
13. Mailing address if different from owner
15. Delivery Option*

    1. Pick up in person
    2. By mail after payment
16. Check one*

    1. Own
    2. Rent
    3. with Parent
17. Phone Number*
19. Email Address*
20. Vet or Clinic Name*
22. Dog 1 Name*
23. Dog 2 Name
24. Dog 3 Name
25. Dog 4 Name
27. Dog 1 Info*
    -- Select One --Male - NeuteredFemale - SpayedMale - Not neuteredFemale - Not spayed
28. Dog 2 Info
    -- Select One --Male - NeuteredFemale - SpayedMale - Not neuteredFemale - Not spayed
29. Dog 3 Info
    -- Select One --Male - NeuteredFemale - SpayedMale - Not neuteredFemale - Not spayed
30. Dog 4 Info
    -- Select One --Male - NeuteredFemale - SpayedMale - Not neuteredFemale - Not spayed
32. Dog 1 Breed*
33. Dog 2 Breed
34. Dog 3 Breed
35. Dog 4 Breed
37. Dog 1 Color*
38. Dog 2 Color
39. Dog 3 Color
40. Dog 4 Color
42. Dog 1 Rabies Cert*
43. Dog 2 Rabies Cert
44. Dog 3 Rabies Cert
45. Dog 4 Rabies Cert
47. Acknowledgement
    1. Once you have submitted this form, you will be placed in a queue. YOUR LICENSE IS NOT VALID WITHOUT PAYMENT. You can use the submission confirmation page to direct you to pay with a credit card. You can mail your check to: Village of Elm Grove, Dog License, 13600 Juneau Blvd, Elm Grove, WI 53122. Cash in person only. 
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49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

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