Form Center

2. First Name
3. Last Name
5. Address1
7. Address2
9. City
10. State
11. ZIP
13. Have you enclosed a valid/current rabies certificate from your veterinarian for each animal?
    Have you enclosed the appropriate fee?
15. Please mail the information and payment to:

17. Office of the Treasurer
    Attn: Animal License
    P.O. Box 975
    Newport News, VA 23607-0975
Leave This Blank:


18. Print Only

* indicates a required field