pima animal care center owner update form€¦ · owner update form fields in red are required for...

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PIMA ANIMAL CARE CENTER OWNER UPDATE FORM FIELDS IN RED ARE REQUIRED FOR PROCESSING If you have problems trying to license online or have questions regarding the process, please contact us at (520) 724-5969 seven days a week 8am to 5pm or by email at [email protected]. Please provide this information from your renewal notice: PACC Person I.D. # (for example: P123456): PACC License # (for example: L20-123456 or U20-123456): ________________________________________________________________________________________________________ Use this form to notify us of CHANGES to existing conditions: Owner Name: Owner Phone Number: Owner Address: City: State: Zip Code: Owner email address: You may qualify for a discounted license. See our Fees page for eligibility requirements. Be sure to include your proof with this form. Select the one that is the best option for you: ______ Senior discount (age 65 or older) attach copy of id ______ Disabled discount ______ Low income discount This pet: (Check the boxes for pet information that has changed) ______ has been vaccinated (attach proof of current vaccination) ______ has been spayed or neutered (attach proof of alteration) ______ is now a service dog (attach proof of eligibility) ([email protected]) --OR-- Fax to (520) 791-6627 --OR-- US Mail to Pima Animal Care Center, 4000 N Silverbell Rd, Tucson AZ 85745 When this form and the necessary attachments have been processed, PACC Licensing will email you a confirmation. You will then be able to renew your dog’s license online.

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Page 1: PIMA ANIMAL CARE CENTER OWNER UPDATE FORM€¦ · OWNER UPDATE FORM FIELDS IN RED ARE REQUIRED FOR PROCESSING If you have problems trying to license online or have questions regarding

PIMA ANIMAL CARE CENTER OWNER UPDATE FORM FIELDS IN RED ARE REQUIRED FOR PROCESSING

If you have problems trying to license online or have questions regarding the process, please contact us

at (520) 724-5969 seven days a week 8am to 5pm or by email at [email protected].

Please provide this information from your renewal notice: PACC Person I.D. # (for example: P123456):

PACC License # (for example: L20-123456 or U20-123456):

________________________________________________________________________________________________________ Use this form to notify us of CHANGES to existing conditions:

Owner Name:

Owner Phone Number:

Owner Address:

City: State: Zip Code:

Owner email address:

You may qualify for a discounted license. See our Fees page for eligibility requirements. Be sure to include your proof with this form. Select the one that is the best option for you:

______ Senior discount (age 65 or older)

attach copy of id

______ Disabled discount ______ Low income discount

This pet: (Check the boxes for pet information that has changed)

______ has been vaccinated (attach proof of current vaccination)

______ has been spayed or neutered (attach proof of alteration)

______ is now a service dog (attach proof of eligibility)

([email protected]) --OR-- Fax to (520) 791-6627 --OR-- US Mail to Pima Animal Care Center, 4000 N Silverbell Rd, Tucson AZ 85745

When this form and the necessary attachments have been processed, PACC Licensing will email you a confirmation. You will then be able to renew your dog’s license online.