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4. Dog License Status Change

   The Code of the Town of Southampton requires that owners of dogs licensed within the Town of Southampton provide notification to the Town about certain changes in the dog’s status so that accurate records may be kept with regard to that licensed dog.

   § 150-11 License requirements. 

   J. Change of ownership; lost or stolen dog; death.

   (1) Change in owner or address. In the event of a change in ownership of any dog which has been licensed pursuant to this chapter or change of address of the owner of record of any dog, the owner of record shall, within 10 days of the change, file with the Town Clerk a written notification of such change. Such owner of record shall be liable for any violation of this chapter until such filing is made or until the dog is licensed in the name of the new owner.

   (2) Lost or stolen dog. If any dog which has been licensed is lost or stolen, the owner of record shall, within 10 days of discovery of such loss or theft, file with the Town Clerk a written notification of such event. In the case of loss or theft, the owner of record shall not be liable for any violation of this chapter committed after such notification has been made.

   (3) Death of dog. In case of the death of a licensed dog, the owner of record shall notify the Town Clerk of the dog's death either before or upon receipt of a renewal notice from the Town Clerk.

6. I would like to notify the Town of Southampton of the following change in status for my dog bearing the license number specified below.

8. Owner First and Last Name*
9. Dog License Number*
11. Please check the appropriate Box

    1. My dog has unfortunately passed away.
    2. My dog will not be in the Town for more than 30-days in any calendar year.
    3. The dog is no longer under my ownership. (List new owner below)
    4. My dog was lost or stolen. (If a police report was filed, please provide the assigned CC# below)
13. Name of New Owner
14. Police report assigned CC#
18. Date:*
19. Phone Number
21. First and Last Name*
23. Disclaimer*

    1. I Agree

    I declare by checking this box, to the best of my knowledge and belief, the information provided herein is true, accurate and complete, and that I understand that false statements made therein are punishable as a Class A Misdemeanor punishable pursuant to section 201.45 of the NYS Penal Law.

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