Dangerous Dog Registration

Dangerous Dog Application

Franklin County, Ohio
The following must be attached to the registration application:
- Documentation of the dog's current rabies vaccination.
- Documentation of the fact the dog has been spayed or neutered.
- Documentation that the dog has an active microchip and the microchip number.
- Documentation of the fact that you have posted clearly visible "Dangerous Dog" warning signs. *(Please provide printed picture with posted signs)*The pictures provided must:
- 1. Show the sign is clearly visible.
- 2. Be taken in a way that our office can identify the domicile (home) from the street.
- Documentation of insurance - if ordered by the courts.
- Fee of $50.00 - Make checks payable to Franklin County Auditor

Dangerous Dog Application

Franklin County, Ohio
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Franklin County Auditor
License section - Dog License section
373 S. High St., 21st Fl.
Columbus, OH 43215.

Fee of $50 - Make checks payable to Franklin County Auditor
Select this option if you would like to print, complete and mail to

Franklin County Auditor
License section - Dog License section
373 S. High St., 21st Fl.
Columbus, OH 43215.

Fee of $50 - Make checks payable to Franklin County Auditor.

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Owner Information
Owner's Full Name*

First NameMiddle NameLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Apartment number
Phone 1*
Plese enter a valid phone number.
Email
example@example.com
Phone 2
Please enter a valid phone number.
Would you like to provide veterinarian's personal or business name?

Person nameBusiness name
Veterinarian Name

First NameMiddle NameLast NameSuffix
Veterinarian Name
Veterinarian Phone*
Please enter a valid phone number.
Microchip #*
WARNING

You must provide documentation showing the microchip has been registered with the dog.
Dog Information
Dog's Name*
Current Ohio Dog License*
Age*
Sex*
Breed*
Colors
Distinguishing marks*
Reason for being designated a dangerous dog*

0/50
Additional Information
You are required by Ohio Law to:
- Affix this tag to the dog's collar and ensure the dog wears the collar at all times.
- Notify the Dog Warden immediately if the dog is loose, bites someone, or attacks another animal (614) 525-3400.
- Notify the Auditor within 10 days of the sale, transfer of ownership, change of address, or death of this dog.
- Renew this dangerous dog registration each calendar year no later than January 31st.
- Notify in writing auditors in former and new county within 10 days that I have moved providing new address to both if have re-located to a new county.
I certify that, to the best of my knowledge and belief, the Information on this form, under penalty of perjury, is true, correct, complete, and made in good faith. I understand that this form or the information it contains may be made available to federal, state, and/or local law enforcement agencies for such action within their jurisdiction as they deem appropriate. , understand that knowingly making any false or fraudulent statement or representation to the government may violate federal, state or local criminal statutes and may result in afine, imprisonment or both.
Owner's Signature

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Printed Name
Date

MonthDayYear
Date

Dangerous Dog Application

Franklin County, Ohio

Please read and initial each statement.*

	Initials
I am stating that I am 18 years of age or older as required by law to register a dangerous dog.
The law prohibits a person who has been convicted of or pleads guilty to a felony violence" or felony offenses relating to domestic animals, weapons control, corrupt (attempt and complicity) and drug offenses committed on or after May 21, knowingly owning, possessing, having custody of, or residing in a residence with a been determined to be a dangerous dog for a specified 3 year period.
The law requires the County Auditor to collect specific information and documents of a dangerous dog before issuing the registration certificate and tag. The list of required is on the reverse side of the form.
The law requires the owner of a dangerous dog to present the registration request by any law enforcement officer, dog warden, or public health official enforcing R.C. 955.22.
There are special confinement and control requirements for dangerous dogs. the Franklin County Dog Warden for details.
It is illegal to debark or surgically silence a dog that the person knows or has is a dangerous dog.
The owner of a dangerous dog must continually post clearly visible signs at the both minors and adults of the presence of a dangerous dog on the property.
If you transfer the ownership of the dog, you must notify the Auditor within 10 a transfer of ownership certificate.
If you or the dog relocates to a different address, you must notify the Auditor If you relocate to a different county, you must notify BOTH Auditors within 10 days.

I have read and fully understand the above requirements.
Owner's Signature

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Date

MonthDayYear
Date
Please verify that you are human*
Should be Empty:

Dangerous Dog Application

Dangerous Dog Application

Owner Information

WARNING

Dog Information

Additional Information

Dangerous Dog Application