Animal License Application

Before You Start
About You

This part of the form is for the submitter of this application, and that you the submitter certify that all of the information you provide on the associate license application is true to the best of your knowledge.

Please note, the receipt of this submittal will be emailed to the email you provide below.

Owner Details

This part of the form is for the information on the owner or owners of the animal.

Physical Location Details

Type in and select the address from the results returned of the primary residence of this animal. After doing so, please make any adjustments as required.

Mailing Details

Other Contact Details

Animal Details

This portion of the form is only for the primary details regarding the name, location, and contact information of the business.

Primary Details

Max size is 2MB (Limited to .pdf) - Current file size is:

Staff Contact
Matt Prythero
Phone #
(970) 834-2844
201 1st Street,
P.O. Box 1098
Ault, Colorado 80610
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