Proof of your pet's spay or neuter

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OWNER'S PROOF OF SPAY/NEUTER
I hereby certify that my pet listed on this application form is spayed or neutered. 		Proof of your pet's spay or neuter can be done by:
  • Showing us a statement or receipt from your veterinarian or clinic that did the surgery, or who has examined your pet and can verify the surgery.
  • Previous license information showing spay/neuter.
  • A signed Owner's Statement (this form).

If you have any questions, please call (206) 296-2712.


  Dog Cat Male Female
Pet's Name		 Name of clinic or vet
who performed spay/neuter surgery		 Date surgery
was performed
Check one Check one
1              
2              
3              

Printed Name: ______________________________              Phone Number: (______) _____________

Signature: _________________________________________________ Date:___________________

MAILING INSTRUCTIONS:

After completing this form:

Mail to: King County Pet License
King County Administration Building
500 - 4th Avenue, Room 403
Seattle, WA 98104-3277

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