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ADLEB VOM/TF DOG LAW ENFORCEMENT OFFICE PENNSYLVANIA DEPARTMENT OF AGRICULTURE PERMANENT IDENTIFICATION VERIFICATION FORM MICROCHIP # or MUST BE COMPLETED BY PERSON IMPLANTING OR SCANNING MICROCHIP.

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How to fill out the Permanent Identification Verification Form online

The Permanent Identification Verification Form is essential for ensuring that your dog is properly identified through microchipping or tattooing. This guide will provide step-by-step instructions on filling out the form online, making the process accessible and straightforward for all users.

Follow the steps to complete the form online

  1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
  2. Locate the 'Microchip #' field. Enter the microchip number associated with your dog, if applicable. If you do not have a microchip number, leave this section blank.
  3. Proceed to the 'Tattoo #' field. This must be completed by the county treasurer prior to tattooing. If a tattoo is not applicable, you can skip this section.
  4. In the 'Dog’s Name' field, input your dog's name as recorded in any official documents.
  5. Select the appropriate options for the 'Dog's Sex' by marking either 'Male' or 'Female.' Additionally, indicate if your dog has been 'Neutered' or 'Spayed' by checking the respective boxes.
  6. Fill in your dog's breed in the 'Dog’s Breed' section and the date of birth in the 'DOB' field.
  7. Choose your dog's color and markings by marking the corresponding boxes. Specify any additional colors in the 'Other—Indicate' section.
  8. Input your name as the owner in the 'Owner’s Name' field along with your complete address, including street, city, state, township, and county.
  9. Provide the name of the individual performing the microchip implantation or scanning, or tattooing, and check the appropriate label.
  10. Fill in the 'Telephone No.' and 'Veterinarian Practice #' if applicable, as well as the 'PA Kennel License #' for microchipping.
  11. Read and understand the statement regarding criminal penalties and ensure you sign in the 'Signature of Person Implanting/Scanning Microchip/Tattooing' section, along with the date.
  12. Finally, the owner must sign and date the 'Signature of Dog Owner' section.
  13. Once all sections are completed, save any changes made to the document. You may choose to download, print, or share the completed form accordingly.

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You can pick up a transfer form at animal shelters, or from many veterinarians. You may also be able to download a copy of the form online. The form requires information about you and the new owner, as well as basic information about the pet.

For a lifetime license the dog must be either microchipped or tattooed. If the animal is spayed or neutered, the annual fee is $6.50 and lifetime fee is $31.50. Discounts are available to older adults and people with disabilities.

All dogs three months of age and older living in Pennsylvania must be licensed by January 1 of each year. Violators will be cited up to $300 per violation, plus court costs. There are two types of licenses: an annual license and a lifetime license.

The small license fee helps the millions of dogs in the state by funding the Pennsylvania Department of Agriculture Bureau of Dog Law Enforcement. Dog licenses are available from your local county treasurer and other licensing agents.

Things to know about licensing your dog: All dogs three months or older must be licensed by Jan. 1 of each year. Owners of non-licensed dogs can be cited with a maximum fine of $300 per dog plus court costs. Dog wardens randomly canvass neighborhoods to ensure all dogs are licensed, violators may be fined.

Dog License Transfers Please make check payable to the new County Treasurer to complete the transfer request. An application to transfer shall be submitted with a bill of sale or an affidavit from the previous owner that ownership of the dog is to be transferred to the new owner.

New owners can change the registered ownership of their puppy online (form 6). You can also fill out your form 6, which will be given to you by your breeder, then return it to The Kennel Club via the post.

License Your Dog in PA An annual license is $8.50 and a lifetime license is $51.50. If the animal is spayed or neutered, the annual fee is $6.50 and lifetime is $31.50. Discounts are available to older adults and people with disabilities.

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