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Online Services
Animal Shelter
View Lost and Found Pets
View Pets for Adoption
Assessor
Assessment Roll
Building
Make a Reservation
Rental License Renewal
Building Permit Renewal
Economic Development
Business Expo Payment
Job Fair Payment
Fire Prevention
Commercial Property Registration
Online Payments
Highway
Family Pet Walk
Tree Inspection Request
Report Traffic Safety Problem
Holiday Light Spectacular
Housing
Apply for Home Repairs
ReGeneration Summer Camp
MLK Luncheon
Law
Report a Housing Related Issue
Report a Vacant Home
Online Records Request
Parking Violations
View / Pay Parking Ticket Online
Parks
Summer Fun Registration
Register Your Baseball Team
Parking Sticker
Non-Resident Parking Stickers
Personnel
Apply for a Seasonal Job
Planning Department
View Historic Districts / Landmarks Information
View Zoning Information
Public Information
Get Channel 18 Cable Schedule
View GIS Maps
Watch Channel 18 On Demand
Purchasing
Bids and RFPs
Receiver of Taxes
Tax Portal
Recycling and Garbage
Find Glass Recycling Locations
View Garbage Pickup Days
View Garbage Pickup Days on a Map
Great Brookhaven Clean Up Signup
Request a Paper Recycling Bin
Senior Citizens
Apply for Transportation Services
Town Clerk
Dog Licenses
Marina Wait List Application
Marriage License Application
Obtain Marriage, Birth, and Death Certificates Online
View Marina Wait List
Vehicle Control
Report an Abandoned Vehicle on a Town Road
Women's Services
Sign Up for Our Women's Conference and Expo
Submit a Nomination for Our Women's Recognition Awards
View Women's Referral Agencies
Youth Bureau
Request to Join Our Youth Board
Submit a Nomination for Our Youth Volunteer Awards
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Dog Licenses
DOG LICENSE APPLICATION
New York State law requires all dogs 4 months or older to be licensed annually. Dog owners are required to have a dog license tag attached to the dog's collar. Dog owners with multiple dogs must license them individually. A Dog license is valid for one year. If applicant is younger than 18 years of age, a parent or legal guardian shall be named the owner of record and the information must be completed by the parent or legal guardian.
RABIES: Rabies Vaccination certificate must be submitted along with this application according to NYS law. Certificate must be valid for at least 30 days after obtaining a new, renewal or transfer license. (A rabies tag is not sufficient proof.) A dog license will not be issued without a rabies vaccination certificate. If applicable, upload certification below.
SPAY/NEUTER: Applicants who apply for a new or transferred spayed/neutered license must submit proof of spay/neuter from their veterinarian. If applicable, upload certification below.
Brookhaven dog licensing fee schedule calculations are based on the following:
Spayed / Neutered (New, Renewal, Transfer) $7.00 Each
Not Spayed / Not Neutered - Intact (New, Renewal, Transfer) $15.50 Each
Replacement Dog Tag (A new license number will be issued) $5.00 Each
Please contact our
Town Clerk's Office
for more information at 631-451-9101.
LICENSE TYPE
License Type
*
--- Select a License Type ---
New
Renewal
Owner Transfer
Replacement Tag
License Number
Transfer Statement (if license transfer selected)
DOG INFORMATION
Name of Dog
*
Spayed / Neutered
*
--- Yes or No ---
Yes
No
Proof of Spayed/Neutered (if applicable)
Microchip Number
Microchip Make
Birth
*
Breed
*
Sex
*
--- Select a Sex ---
M
F
Special Markings
Dominant Color
*
Secondary Color
Total Dogs in House
*
--- Select a number ---
1
2
3
4
5
6
7
8
9
Was the Dog Ever Declared Dangerous or Vicious?
*
--- Yes or No ---
Yes
No
Expiration Date (month and year) of Rabies Vaccination (if vaccinated)
Veterinarian Used for Rabies Vaccination (if applicable)
Rabies Vaccination Certificate (if applicable)
*
OWNER INFORMATION
New York State Agriculture and Markets law allows only one individual to be the owner. Applications listing more than one owner will not be accepted.
First Name
*
Last Name
*
Address
*
City
*
State
*
Zip
*
Check this Box If You Have a Different Mailing Address
Mailing Address
Mailing Address City
Mailing Address State
Mailing Address Zip Code
Check This Box If Your Dog is Harbored at a Different Address?
Address Where Dog is Harbored
City Where Dog is Harbored
State Where Dog is Harbored
Zip Code Where Dog is Harbored
Primary Phone Number
*
###-###-####
Secondary Phone Number
###-###-####
Email Address
*
A receipt for this transaction and Town correspondence will be sent to this email address
I hereby acknowledge that I must notify the Town Clerkâs office in writing of changes to my contact information, including my phone number, address, email
*
By entering my full name in the box below, I attest, under penalty of perjury, that the information provided on the within Application for a Dog License is true. I further acknowledge that my electronic signature is the legally binding equivalent to my handwritten signature.
*
please enter your full name
PAYMENT INFORMATION
I attest that I have read and approve the Town of
Online Payment Terms and Conditions
*
Yes
Subtotal:
Credit Card Convenience Fee:
Total Cost:
Prove You Are a Human
*
Subtotal
Credit Card Convenience Fee
Total Cost
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