CITY OF LOS ANGELES
DEPARTMENT OF ANIMAL SERVICES
www.laanimalservices.com
SPAY & NEUTER VOUCHER APPLICATION
DISCOUNT SPAY & NEUTER COUPON PROGRAM
Residents are limited to a total of three (3) Spay & Neuter Certificates or Coupons per species (dog, cat, or rabbit).
Applicant Information
First Name is required
First Name
*
Last Name
*
Last Name is required
Residency
*
I reside in the city of Los Angeles
I am homeless and reside on (cross streets):
Cross Streets
*
Address
*
Unit Number
*
City
*
Zip Code
*
Phone Number
*
Please enter phone number in the format: (123) 456-7890
Email Address
*
A valid email address is required
Confirm Email
*
Email addresses do not match
Identification Type
*
Identification Type is required
Select One
CA Driver's License
Other Driver's License
CA Identification Card
U.S. Passport
Identification No.
*
Identification Number is required
ID Expiration Date
*
(MM/DD/YYYY)
ID Expiration Date must be a valid date (MM/DD/YYYY) and ID cannot be expired
Annual Income
*
Income Source
*
(if any)
Family Members
*
(including yourself)
Animal Information
Animal Type
*
Animal Type is required
Animal Breed
*
Animal Breed is required
Animal Color
*
Animal Color is required
Animal Age
*
Animal Age is required
Select One
Less Than 1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Animal Sex
*
Animal Sex is required
Select One
Female
Male
Animal Name
*
Animal Name is required
Back
Reset
Submit
This site requires Javascript in order to function properly. Please enable Javascript in your browser and reload this page to proceed with your application.
© Copyright 2024 City of Los Angeles. All rights reserved.