Notification of Commissioner- Local License Fee
DL-3 (rev. 4/99)
NEW YORK STATE
DEPARTMENT OF AGRICULTURE AND'MARKETS
Dog Licensing Unit
1 Winners Circle, Albany, NY 12235
NOTIFICATION OF COMMISSIONER - LOCAL LICENSE FEE
INSTRUCTIONS:
1. NYCRR Part 78 - Section 78.3 provides as follows:
Section 78.3 Notification of commissioner -local license fee
(a) Any city, town or licensing village may, by local law or ordinance, set local license
fees as provided for by Article 7 of the Agriculture and Markets Law. Upon the filing of a written
request by a municipality, the Department shall print the amount of said local license fee on the
license renewal forms mailed to the dog owners in that municipality. The local license fee shall
be printed on the license renewal forms within sixty days of the receipt of said request, or on the
effective day of the local law or ordinance, whichever is longer. If the department does not
receive a written request from a municipality, the license renewal forms sent to dog owners in
that municipality will not bear a local license fee and it shall be the responsibility of the
municipality to notify dog owners of local fees.
2. Attach copy of law or ordinance initializing the local fee.
3. This form must also be completed and submitted to this Department anytime there
is a change in the status of the local fee in your municipality, along with a copy of the
local law or ordinance.
EFFECTIVE DATE OF LOCAL LAW OR ORDINANCE DDDDDD
MO. DAY YR.
County Name
Town,City or Village Name
County Code DD
T.C.v. Code DD
NOTE: Show ONLY Local fee below:
LOCAL INDIVIDUAL FEE - SPAYED OR NEUTERED DOG
LOCAL INDIVIDUAL FEE - UNSPA YED OR UNNEUTERED DOG
LOCAL PUREBRED FEE 0 -10 DOGS.
LOCAL PUREBRED FEE 11- 25 DOGS.
LOCAL PUREBRED FEE 26 DOGS AND OVER.
$
$
$
$
$
CLERK'S SIGNATURE
DATE
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FOR DEPARTMENT USE: Date Received - Dog 10 and Control: