HomeMy WebLinkAboutApplication for Dog License FillableCOUNTY OF HAWAI'I
DEPARTMENT OF FINANCE
VEHICLE REGISTRATION LICENSING DIVISION
APPLICATION FOR DOG LICENSE
PLEASE PRINT CLEARLY OR TYPEWRITE:
DATE:
OWNER'S NAME:
MAILING ADDRESS:
PHYSICAL ADDRESS:
PHONE:
BREED:
APPROXIMATE AGE:
SEX:FEMALE MALE
COLOR:
STERILIZED:YES NO
NAME OF DOG:
COMMENTS:$
MICROCHIP NO:TAX:$
PREVIOUS LIC NO:TAG:0.10
CURRENT LIC NO:AMOUNT DUE:$
Owner's Signature
Please return completed application to:
Vehicle Registration & Licensing Division
Administration
101 Pauahi Street, Suite 5
Hilo, HI 96720