License No. ______________________________
Date Issued: _____________________________
Dog Breed: ______________________________
Primary Color: ___________________________
Microchip
Tattoo
Other
Dog’s Name: ____________________________
Birth Year: ______________________________
NYS Department of Agriculture & Markets
Mail completed license to: Town Clerk
Town of New Hartford
48 Genesee Street, New Hartford, NY 13413
DOG LICENSE
County/TCV Code:
3015 – Town of New Hartford
Original
Renewal
Transfer of Ownership
Rabies Vaccination Date: __________________
One Year
Three Year
Exempt
Vet: ___________________________________
Serial No. ______________________________
Tag No. ________________________________
Manufacturer:___________________________
Owner Identification (Person who harbors or keeps dog)
Type of License and Fees
Last Name:
License
First Name:
Middle Initial:
Mailing Address:
City:
Fee
Male dog, unneutered
$23.00
Male dog, neutered*
$11.00
Female dog, unspayed
$23.00
Female dog, spayed*
$11.00
Exempt dog (police, therapy,
No Fee
service, war, detection, etc)*
Zip Code:
Replacement License Dog Tag
Phone Number:
*must provide proof
_______________________________________________________________
Owner’s Signature
Date
$5.00
fees include NYS surcharge
____________________________________________________
Clerk’s Signature
If owner is less than 18 years of age, parent or guardian must complete form and shall be deemed owner of record.
Date
DL-1 Rev.2014
Dog Owner’s Instructions
Dog Breed Code Chart
1. All dogs four (4) months of age or older are required to be licensed. Also, any dog
under four (4) months of age, if running at large, must be licensed.
2. Print all information in the appropriate boxes and sign the form.
3. Markings – please indicate if one or both ears have been cut off wholly or in part.
4. Choose from the list below one (1) Breed and one (1) or two (2) colors that best
describes your dog and enter the name and corresponding codes on the license
application.
5. Check the type of license for which you are applying, with the associated fee (which
includes the State surcharge). Submit this amount to the New Hartford Town Clerk’s
office at 48 Genesee Street, New Hartford, NY 13413. Make checks payable to Town of
New Hartford. (Phone: 315-733-7500).
6. For validation of this license, submit application, payment, and required proof of rabies
vaccination and/or exemptions if applicable in person or by mail to the New Hartford
Town Clerk’s office.
7. For next year’s renewal period, you should receive next year’s license renewal form by
mail from the New Hartford Town Clerk’s office thirty (30 days) prior to the expiration of
this license. If you do not receive a renewal form, you must contact the Town Clerk’s
office.
Dog Color Code Chart
Code
A
B
C
D
E
F
G
H
I
Colors
Black
Brindle
Brown (Liver)
Gold
Gray (Bluemerle)
Red
Spotted (Patched)
Tan (Beige)
White
Code
J
K
L
M
N
O
P
Q
R
S
Colors
Apricot
Blonde
Salt & Pepper
Silver
Ticked
Yellow
Rust
Sable
Orange
Tri-Color
01
03
06
09
MIXES
Collie Mix
Long Hair Mix
Smooth Hair Mix
Toy Mix
02
04
07
10
Hound Mix
Setter Mix
Spaniel Mix
Labrador Mix
05
08
00
Shepherd Mix
Terrier Mix
Other Mixed Breed
11
12
15
18
21
24
27
30
33
36
39
42
BREEDS
Afghan Hound
Airedale Terrier
A. Staffordshire Terrier
Basset Hound
Bloodhound
Bouviers Des Flanders
Bulldog
Cairn Terrier
Chow Chow
Dachshund
English Cocker Spaniel
Fox Terrier
13
16
19
22
25
28
31
34
37
40
43
Akita
Australian Terrier
Beagle
Borzois
Boxer
Bullmastiff
Chesapeake Bay Retriever
Cocker Spaniel
Dalmatian
English Setter
German Shepherd
14
17
20
23
26
29
32
35
38
41
44
45
48
51
54
57
60
63
66
69
72
75
78
81
84
87
90
94
97
German Wirehaired Pointer
Great Dane
Irish Wolfhound
Keeshond
Lhasa Apso
Mastiff
Newfoundland
Papillon
Poodle
Rottweiler
Samoyed
Shetland Sheepdog
Silky Terrier
Vizsla
Welsh Terrier
Yorkshire Terrier
Terrier
Hound
46
49
52
55
58
61
64
67
70
73
76
79
82
85
88
92
95
98
Golden Retriever
Great Pyrenees
Italian Greyhound
Kerry Blue Terrier
Maltese
Miniature Pinscher
Norwegian Elkhound
Pekingese
Pug
St. Bernard
Schipperke
Shih Tzu
Softcoated Wheaten Terrier
Weimaraner
West Highland White Terrier
Foxhound
Spaniel
Sheepdog
47
50
53
56
59
62
65
68
71
74
77
80
83
86
89
93
96
99
Alaskan Malamute
Basanji
Bichon Frise
Boston Terrier
Brittany Spaniel
Bull Terrier
Chihuahua
Collie
Doberman Pinscher
English Springer Spaniel
German Shorthaired
Pointer
Gordon Setter
Irish Setter
Japanese Chin
Labrador Retriever
Manchester Terrier
Miniature Schnauzer
Old English Sheepdog
Pomeranian
Rhodesian Ridgeback
Saluki
Scottish Terrier
Siberian Husky
Standard Schnauzer
Welsh Corgi (Pembroke)
Whippet
Coonhound
Husky
Other Purebred