Required fields are marked with asterisks (*)

Dog Tag Purchase

First name

Last name

Phone number

Dog name

Dog breed

Dog colour

Dog chip number

Mailing address

City

Postal code

Personal Information is collected on this form for the purpose of licensing. Personal information is protected under the Freedom of Information Protection of Privacy Act. Question related to the collection of personal information should be referred to the Chief Building Official for the City of Belleville.

If you have any problems with this e-form and need to speak to an attendant please contact the City of Belleville at 613-968-6481.

Upon completion and successful payment you will be e-mailed a receipt. Please display this receipt at your sale to confirm your applicaition was processed.