Online Pet License Application

* indicates a required field

2. Pet License Application

   Please use this form to apply for a Lincoln County Pet License. 

   Once your form has been submitted, a staff member will contact you to complete the application.

4. First Name
5. Last Name
7. Phone Number
8. Secondary Phone Number
10. Email Address
12. Physical Address
14. City
15. State
16. Zip Code
18. Mailing Address
20. City
21. State
22. Zip Code
26. Emergency Contact Name and Phone Number
30. I would like to license my
    -- Select One --DogCat
32. Pet's Name
33. Pet's Breed
35. Gender
    -- Select One --MaleFemale
36. Altered
    -- Select One --YesNo

    Is your pet spayed or neutered?

37. Pet's Date of Birth or Approximate Age
39. Pet's Color(s)
41. Name of Veterinary Clinc where your pet received their last rabies vaccination
42. Rabies Vaccination expiration date
44. Rabies Vaccination Certificate

    Please upload your pet's rabies vaccination certificate here.  If your pet is spayed or neutered, and the rabies certificate does not reflect that, please upload proof of spay and neuter separately.

45. Proof of Spay or Neuter

    Please upload proof of spay or neuter if your rabies vaccination certificate does not include this information.

47. Optional Photo of your Pet

    Please upload a picture of your pet to include in their license record.

49. How would you like to pay for your pet's license?
    -- Select One --I will mail a check to LCAS.I would like to pay onlineI would like to make an appointment to pay in person at LCAS.I would like to pay over the phone using a credit card.

    Choose an option for how you would like to pay for your pet's license.

Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit