Pet License Online Application - Town of Niverville

Pet Owner Information
Name*
Email*
Address*
Street Address Address Line 2 City Province Postal Code
Phone*
Alternate Phone
Pet Information
Animal (Choose one)*
Name of Pet*
Breed*
Colour*
Age*
Gender*
- Male
- Female
Microchip/Tattoo*
- Yes
- No
Date of Last Rabies Vaccination*
MM slash DD slash YYYY
Rabies Vaccination Renewal Date*
MM slash DD slash YYYY
Date of Last Distemper Vaccination*
MM slash DD slash YYYY
Distemper Vaccination Renewal Date*
MM slash DD slash YYYY
Proof of Vaccination*
Drop files here or

Max. file size: 64 MB.
Please upload digital copies of vaccination records from your vet.
Cost
- New license ($20)
- Early renewal ($15)
- Renewal after date ($20)
Please note: Pet licenses are valid for one year from the date of payment. Reminders will be emailed to the address on record one month before the renewal date. Once the application is received, staff will contact you to arrange payment and delivery/pickup of pet tag license, if required.

Pet Owner Information