Skip to Main Content
Loading
Loading
How Do I...
Our Community
Services
Government
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Code Enforcement
Communications
Community Development
Finance
Fire Department
Freedom of Information Act (FOIA)
General
Geographic Information Services (GIS)
Glenbard Wastewater Authority
Hotel/Motel Grant Request
Human Resources
IT
Manager's Office / Board of Trustees
Police Department
Public Works
Risk Management
Village Surveys
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Dog Registration
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Dog Registration
Name
Email Address
*
Address
*
City
State
Zip Code
Phone Number
*
Dog Name
*
Breed
*
Sex
*
Age
*
Color
*
Rabies Tag Number
*
Date of Vaccination
*
Date of Vaccination
Vaccination Expiration Date
*
Vaccination Expiration Date
Photo of Dog
Misc. Info
Please include info such as collar description, special markings and features, illness, injuries, etc.
Veterinarian's Name
*
Veterinarian's Address
*
Veterinarian's Phone Numer
*
Submitted registration form will go to:
Lombard Police Department Attention: Dog Registration 235 E. Wilson Lombard, IL 60148
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
* indicates a required field
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow
