Required fields are marked with asterisks (*)

Dog Tag Cancellation Request

Please fill out this form if you no longer have a dog within the Municipality. If you have questions, please contact the Treasury Department at 519-396-3468 x.7106.

Account Holder First Name:

Account Holder Last Name:

Email:

Phone Number:

Account Number:

Dog Name:

Dog Breed:

Tag Number:

Additional Notes:

I acknowledge that I no longer have this dog and will not be billed in the future for this dog. If I have a new dog, I will be responsible for contacting the Municipal Office to purchase a new dog licence.

I agree.

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