Roxbury, NY · Delaware County
Dog License Application
Roxbury dog owners use this application to apply for a license or report changes to an existing dog license.
What this form is
This application collects the owner's contact information and the dog's name, sex, birth year, breed, color, and rabies vaccination details. Owners can use the attached change section to report a new mailing address, a dog's death, a change in ownership, or moving out of Roxbury. The form requires proof of rabies vaccination and, when applicable, proof of spaying or neutering.
Who needs it
Dog owners applying for a Roxbury license or reporting a change to an existing license should complete and return the form.
How to submit it
Sign and date the form, then return it to Roxbury Town Clerk, PO Box 189, Roxbury, NY 12474. Include the appropriate fee and required supporting documents; checks should be payable to Roxbury Town Clerk.
About notarization
This document is signed and dated without a notary; include rabies vaccination proof and, when applicable, spay/neuter proof or a veterinarian's exemption letter.
How to submit this form
- 1
Download The Application
Download the Roxbury Dog License Application PDF.
- 2
Complete The Form
Enter the owner's and dog's information, then sign and date the application.
- 3
Gather Required Documents
Include rabies vaccination proof and, when applicable, spay/neuter proof or a veterinarian's exemption letter.
- 4
Submit To The Town Clerk
Mail the signed form, supporting documents, and appropriate fee to Roxbury Town Clerk, PO Box 189, Roxbury, NY 12474.
Frequently asked questions
- Do I need a notary for a dog license application?
- No. This document is signed and dated without a notary. Include rabies vaccination proof and, when applicable, spay/neuter proof or a veterinarian's exemption letter.
- How do I submit the Roxbury dog license application?
- Sign and date the form and mail it to Roxbury Town Clerk, PO Box 189, Roxbury, NY 12474. Include the appropriate fee and required documents.
- What documents must I include with the application?
- Proof of rabies vaccination is required. Include proof of spaying or neutering when applicable; if a veterinarian determines vaccination is not possible for health reasons, submit the veterinarian's letter.
- Can I use this form to report a change?
- Yes. The change section lets an owner report a mailing address change, a dog's death, no longer having the dog, a transfer of ownership, or moving out of Roxbury.
Need something notarized?
This Dog License Application doesn’t need a notary — but if you have another Roxbury form that does, a commissioned online notary can help.