Russia, NY · Herkimer County
Dog License Application
Dog owners use this application to request an original license, renew a license, or apply for a new license after a change in ownership.
What this form is
This application lets a dog owner request an original license, renew a license, or apply for a new license after a transfer of ownership. The instructions say dogs four months or older must be licensed, and some younger dogs must be licensed if running at large. It asks for owner and dog identification, license type, rabies vaccination details, and signature, and lists fees and required supporting documents.
Who needs it
A person who harbors or keeps a dog in the town uses this application to obtain or renew a license, or apply after taking ownership.
How to submit it
Submit the application in person or by mail, with the fee and required supporting documents, to the issuing clerk where the dog is harbored. The form lists the Town Clerk at 8916 N. Main Street, P.O. Box 126, Poland, New York 13431.
About notarization
This document is signed and dated without a notary; the instructions request supporting documents, including rabies vaccination proof where required, but do not say those documents must be notarized.
How to submit this form
- 1
Download The Application
Download the Dog License Application PDF.
- 2
Complete The Form
Fill in the owner and dog details, select the license type, and sign and date the application.
- 3
Gather Required Documents
Include spaying or neutering certification or proof of exemption, and rabies vaccination proof where required.
- 4
Submit To The Clerk
Submit the application, fee, and supporting documents in person or by mail to the issuing clerk where the dog is harbored.
Frequently asked questions
- Do I need a notary for the Dog License Application?
- No. The application calls for the owner's signature and date, not notarization. It requests rabies vaccination proof where required and other supporting documents, but does not say those need notarization.
- How do I submit the Dog License Application?
- Submit it in person or by mail to the issuing clerk in the town, city, or village where the dog is harbored. Include the fee and required supporting documents.
- What information does the dog license application ask for?
- It asks for owner contact and mailing information, dog identification and breed details, license type, rabies vaccination information, and the owner's signature and date.
- What documents must accompany the application?
- The instructions list certification of spaying or neutering or proof of exemption, and proof of rabies vaccination where required, along with the application and fee.
Need something notarized?
This Dog License Application doesn’t need a notary — but if you have another Russia form that does, a commissioned online notary can help.