Dog License Application

Please register your dog with the City of Kaukauna by filling out the form below.  You will be redirected to a second page for payment.  Once submitted and paid for, please allow 10 business days for your registration tag to be delivered via mail to the address indicated on the form below. If you have questions, please call the Clerk/Treasurer’s office at (920) 766-6300.

Dog License Application

First Name *

Last Name *

Email *

Phone *

Address *

Address

Address Line 1

Address Line 1

Address Line 2

Address Line 2

City

City

State AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

State

Zip

Zip

1st Time Registering Dog with City of Kaukauna? * No Yes

Is the Dog Spayed or Neutered? * No Yes

Does the Dog have a MicroChip? * No Yes

Dog Gender * FemaleMale

Color of Dog *

Breed *

Name of Dog *

Amount

Read only field (Dollar Amount is determined by filled fields above.)

Rabies Certificate Information

Date of Vaccination *

Vaccine Serial Number *

Found on Rabies Certificate

Name of Vet Clinic Administering Vaccine *

Manufacturer of Rabies Vaccine *

Found on Rabies Certificate

Date Vaccination Expires *

Payment Process Acknowledgement

Before Clicking the "Continue to Payment" button below, you must read and acknowledge you understand the payment process that is explained below.

Your information and payment amount will populate on the next screen after you click continue. *

I understand

The only information you will need to enter is your credit card information once the payment screen appears *

I understand

Only click the below “Continue To Payment” button ONCE! Depending on your internet connection, it may take a moment before moving to payment screen. *

I understand

If you are human, leave this field blank.

Δ

Reminder! Only click continue once!