Supply Request for Dog License Form
DL-23 (Rev4/07)
NYS DEPARTMENT OF AGRICULTURE & MARKETS
DIVISION OF ANIMAL INDUSTRY - DOG LICENSING UNIT
10B AIRLINE DRIVE, ALBANY, NY 12235 (518-457-2728) (FAX- 518-485-7773)
SUPPLY REQUEST FOR DOG LICENSE AND DOG CONTROL FORMS
County of
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/Code
Date
Ordered by: Name
Title
Send to:
Phone Number:
Address: NY
(NOTE: Give full address, with RD and/or street address. Post Office Box numbers cannot be used for shipping.)
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Dog License (combines DL 1, 1A and 2A) Clerk/Shelter
Notification of Local License Fee Clerk
Doo License Monthly Report Clerk
Doo License Monthlv Report Nassau County Clerk
Dog License Tags Clerk
T/CN Code List Clerk
Assessor's Rpt. of Appraisal in Do~ Dam. Claim Assessor
Assiqnment of Coverino Claim to County Assessor
Assessor's Report of Damaqe Due to Rabies Assessor
Purebred Licenses (numbered) Clerk
Purebred Licenses Renewal Clerk
Application for Purebred License Clerk
fJoo Seizure & Disposition Report . DCO-Clk-Shelter
upplv Reo. for DL & Doq Control Forms Clerk
Order for Replacement Tags Clerk
Envelope for Replacement Tags Clerk
Affidavit for Spaved or Neutered Doq Clerk
Order to Seize a Doq Justice
Dangerous Dog Complaint DCa & Justice
Notice of Hearing Justice
Order that a Doq be Killed or Confined Justice
Municipal Shelter/DCO Control Record DCO & Shelter
Municipal Officers List Clerks
Exempt Do~ Trainin~/Certification Affidavit Clerk
Official Guide, Hearinq & Service Dog Taq order Clerk
Status Chanqe Report Clerk
Return Envelopes (pre-addressed) Clerks
, Monthly Report Envelopes (pre-addressed) Clerks
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Instructions for Doq License Renewal (DL-2)
Instructions for Completin~ DL-4
Sample Local Do~ Ordinance
Instructions for Replacement & PB Ta~s Clerk
Instructions for Issuinq PB Licenses & Renewals Clerk
Instructions for Issuinq Dog Licenses (DL-1) Clerk
Love Me License Me Brochure Clerk-DCO-Shelter
Love Me License Me Posters Clerk-DCO-Shelter
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rcular 950 - Article 7 (State Dog Law)
Circular 916 - Article 26 (Cruelty to Animals)
DCa and Shelter Manual
Clerk's Manual
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25/pad
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DL-3
DL-4
DL-4A
Tags
DL-12
D L -12A
DL 12-R
DL-15
DL-15A
DL-37
DL-18
DL-23
DL-32
DL-33
DL-39
DL41,42,43
50/pad DL-87
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