Elected to Serve Jeffrey L. Barbour, Treasurer Telephone: (540) 667-1815 Rouss City Hall FAX: (540) 662-2672 P.O. Box 263 TDD: (540) 722-0782 Winchester, VA 22604 Website: www.winchesterva.gov Dog License Application Dog owners in the City of Winchester must obtain a license for each dog. Annual dog licenses go on sale April 1 of each year and are due by April 30 th . If the owner fails to acquire an annual dog license, the Treasurer will notify the animal control officer that the dog is unlicensed. Refer to City Code Chapter 5 Article II. Date: _______________________________ Owner’s Name: _________________________________________________________________ Street Address: _________________________________________________________________ Mailing Address (if different): _____________________________________________________ __________________________________________________________________ Phone Number: _________________________________________________________________ Dog’s Name: ___________________________________________________________________ License Fee – check only one box Male (Sexed) ..................................................$8.00 Female (Sexed) ..............................................$8.00 Male (Neutered) ............................................$4.00 Female (Spayed) ............................................$4.00 Late Fee - Add $2.00 if purchased after April 30 th unless any of the following apply: I did not own this dog in the Commonwealth of Virginia prior to May 1 st of this year I have applied for this license within 30 days of obtaining this dog This dog was younger than four (4) months old as of May 1 of this year Please remit the following: This completed application A copy of the rabies certificate Check or money order if paying by mail Make check payable to: Winchester City Treasurer P.O. Box 263 Winchester VA 22604