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PO Box 609
118 W. Maple St
Centralia, WA 98531
Phone: 360-330-7680
Fax: 360-807-6210
Contact: Carl Nielsen, Chief of Police
Email: 
Facebook CPD
Centralia Police
 

Dog License Application

Owner Information

 
* How many dogs are you applying for today?
 

Dog #1

* Dog Name
 
* Gender
Male  Female 
* Altered (spay/neuter)
Yes  No 
* Breed
 
* Veterinarian Clinic
 
* Rabies Vaccination Expiration Date (mm/dd/yyyy)
 

Dog #2

* Dog Name
 
* Gender
Male  Female 
* Altered (spay/neuter)
Yes  No 
* Breed
 
* Veterinarian Clinic
 
* Rabies Vaccination Expiration Date (mm/dd/yyyy)
 

Dog #3

* Dog Name
 
* Gender
Male  Female 
* Altered (spay/neuter)
Yes  No 
* Breed
 
* Veterinarian Clinic
 
* Rabies Vaccination Expiration Date (mm/dd/yyyy)
 

Dog #4

* Name
 
* Gender
Male  Female 
* Altered (spay/neuter)
Yes  No 
* Breed
 
* Veterinarian Clinic
 
* Rabies Vaccination Expiration Date (mm/dd/yyyy)
 

Proof of Rabies vaccination must be received within 5 days of payment. Failure to do so will result in your payment being forfeited and no license will be issued.

For your convenience, there are several submission options available:


 

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