Chesterfield, NY · Essex County
Dog License Application
Dog owners use this application to provide owner and dog details and apply for a dog license from the Town of Chesterfield.
What this form is
The application collects the owner’s name, address where the dog resides, and phone number, along with the dog’s name, sex, spay or neuter status, birth year, breed, and color. It states that applicants must provide a veterinarian’s rabies vaccination certificate and documentation proving spay or neuter status. The listed fees are $10 for spayed or neutered dogs and $20 for intact dogs.
Who needs it
A dog owner applying for a license from the Town of Chesterfield needs this application and the required rabies vaccination certificate.
How to submit it
The form lists the Town Clerk and gives the address 1 Vine Street, PO Box 456, Keeseville, NY 12944. It says checks should be payable to Town of Chesterfield.
About notarization
This application has no notary block; provide spay or neuter documentation and a veterinarian’s rabies certificate, and no signature or date instruction appears.
How to submit this form
- 1
Download The Application
Download the Dog License Application PDF.
- 2
Complete The Application
Provide the owner’s name, residence address, phone number, and the requested details about the dog.
- 3
Gather Required Documents
Include a veterinarian’s rabies vaccination certificate and, if the dog is spayed or neutered, proof of that status.
- 4
Submit To The Town Clerk
The form lists the Town Clerk at 1 Vine Street, PO Box 456, Keeseville, NY 12944. Make checks payable to Town of Chesterfield.
Frequently asked questions
- Do I need a notary for the Dog License Application?
- No. This application has no notary block. Provide spay or neuter documentation and a veterinarian’s rabies certificate; no signature or date instruction appears.
- How do I submit the Dog License Application?
- The form lists the Town Clerk at 1 Vine Street, PO Box 456, Keeseville, NY 12944. It says checks should be payable to Town of Chesterfield.
- What documents must I provide with the application?
- The form requires a rabies vaccination certificate from the veterinarian. It also requires documentation proving the dog is spayed or neutered.
- What fee does the application list?
- The form lists a $10 fee for spayed or neutered dogs and a $20 fee for intact dogs.