Animal Care and Regulation
Home Find An Agency A to Z Guide
Complete the information below so that we can access your current record and update your information. In the space provided, type the old information listed on the rabies certificate. You must complete all these fields.
Email Address
First Name*
Last Name*
Street Address and Apartment No.*
City, State and Zip*   ex Davie FL 33325
Phone Number *
ex 9541234567

Place a check(s) by the category(ies) to update or correct and provide the new information in the space below.
New Address
Street Address and Apartment No.
City, State and Zip   ex Davie FL 33325
Phone Number
ex 9541234567
Alternative Phone Number
Email Address

Pet #1
Pet's Name
Breed
Color
License Tag Number
Sex Male             Female
      Neutered Male Spayed Female
Pet Deceased
Pet Given Away
New Owner's First Name
New Owner's Last Name
Comments:
     
Pet #2
Pet's Name
Breed
Color
License Tag Number
Sex Male             Female
      Neutered Male Spayed Female
Pet Deceased
Pet Given Away
New Owner's First Name
New Owner's Last Name
Comments:
Pet #3
Pet's Name
Breed
Color
License Tag Number
Sex Male             Female
      Neutered Male Spayed Female
Pet Deceased
Pet Given Away
New Owner's First Name
New Owner's Last Name
Comments:
     
Pet #4
Pet's Name
Breed
Color
License Tag Number
Sex Male             Female
      Neutered Male Spayed Female
Pet Deceased
Pet Given Away
New Owner's First Name
New Owner's Last Name
Comments:
Pet #5
Pet's Name
Breed
Color
License Tag Number
Sex Male             Female
      Neutered Male Spayed Female
Pet Deceased
Pet Given Away
New Owner's First Name
New Owner's Last Name
Comments:

     
Pet #6
Pet's Name
Breed
Color
License Tag Number
Sex Male             Female
      Neutered Male Spayed Female
Pet Deceased
Pet Given Away
New Owner's First Name
New Owner's Last Name
Comments:

 

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