Form Center

Received a Notice in Error

2. 

3. Return
   Go back to ACC Home

5. Pet Owner Information

7. First Name*

8. Last Name*

10. Address*

11. Apt #

13. City*

14. State

15. Zip*

17. Email*

18. Phone*

20. Description of Animal

22. Name of Dog*

24. Breed

25. License Number*

    The six-digit number engraved on your dog's tag and also found on the receipt provided to you when you licensed your dog.

27. Reason for Error

29. Reference Number*

    Please enter the Reference Number on your coupon

31. What is the error?*

    1. Dog is currently licensed (number above)
    2. No longer own dog
    3. Dog is deceased
    4. No longer resident of Maricopa County
    5. Other

33. Please Explain

Leave This Blank:


35. Submit

* indicates a required field