REPORT A DECEASED OR RELOCATED DOG

* required fields
*First Name:
*Last Name:
*Phone Number:
Street Address:
City:
Zip Code:
 
Tag Number (if known):
*Dog Description (Age, Color, Breed):
 
Deceased     Relocated (Include New Address Above)
 
*If you are giving the dog to another person, do NOT use this form. Contact the Auditor's Office at (937) 225-4314 to have a transfer of ownership form mailed to you.