Intact Permit Application - Louisiana SPCA

Owner Information

Name*

First Last

Email*

Primary Phone*

Secondary Phone

Address*

Street Address Address Line 2 City State ZIP Code

Are you the primary owner of this pet?*

Yes
No

Would you like to add an alternate owner?

Yes
No

Alternate Owner Information

Name

First Last

Primary Phone

Secondary Phone

Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Pet Information

Pet's Name*

Sex*

Male
Female

Approximate Date of Birth*

Primary Breed*

Secondary Breed

Primary Color*

Secondary Color

Weight*

Size*

Ears*

Tail*

Distinguishing marks

Have you previously received an intact permit for this animal?*

Yes
No

Intact Permit Number

Veterinarian Information

Clinic's Name*

Phone*

Medical History

Using your pet’s current shot records, please enter the dates your pet received the following vaccinations.

Parvo*

Distemper*

Rabies*

Current Orleans Parish License/Rabies Tag Number*

Microchip Number*

Additional Pets

Answering "yes" to the following question will allow you to apply for additional intact permits or renew existing ones.

Do you have another pet needing an intact permit?*

Yes
No

2nd Pet Information

2nd Pet's Name*

2nd Pet's Sex*

Male
Female

Approximate Date of Birth*

Primary Breed*

Secondary Breed

Weight*

Size*

Ears*

Tail*

Distinguishing marks

Have you received a previous intact permit for this animal?*

Yes
No

2nd pet's permit number*

Veterinarian Information

Clinic's Name*

Phone*

Medical History

Parvo*

Distemper*

Rabies*

Current Orleans Parish License/Rabies Tag Number*

Microchip Number*

Do you have a third animal needing an intact permit?*

Yes
No

Third Pet Information

Third Pet Name*

Third animal's sex*

Male
Female

Approximate Date of Birth*

Primary Breed*

Secondary Breed

Primary Color*

Secondary Color

Weight*

Size*

Ears*

Tail*

Distinguishing marks

Did you previously receive an intact permit for this animal?*

Yes
No

3rd Pet's Permit Number*

Veterinarian Information

Clinic's Name*

Phone*

Medical History

Parvo*

Distemper*

Rabies*

Current Orleans Parish License/Rabies Tag Number*

Microchip Number*

Do you have another animal needing an intact permit?*

Yes
No

Fourth Pet Information

Fourth Pet's Name*

Sex*

Male
Female

Approximate Date of Birth*

Primary Breed*

Secondary Breed

Primary Color*

Secondary Color

Weight*

Size*

Ears*

Tail*

Distinguishing marks

Have you previously received an intact permit for this animal?*

Yes
No

4th Pet's Permit Number*

Veterinarian Information

Clinic's Name*

Phone*

Medical History

Parvo*

Distemper*

Rabies*

Current Orleans Parish License/Rabies Tag Number*

Microchip Number*

Orleans Parish animal ordinances allow for only four intact pets per household. Please contact 504-368-5191, ext. 100, for more information

File Uploads

Please upload the supporting documents for each application/renewal to complete your application. If you are unable to upload these documents you may use any of the below means of communication to ensure we receive the supporting documents within 5 working days. Other ways to send the documents include: Email: CityLicense@la-spca.org, Fax: (504) 368-5108, Text: (504) 329-5218, Mail or hand deliver to the Louisiana SPCA: (Louisiana SPCA Attn: Intact Permit 1700 Mardi Gras Blvd. New Orleans, LA 70114) Failure to do this will void your application/renewal and result in fines and loss of application/renewal fees. If you have any questions or concerns, or to confirm receipt of documents, please call (504) 762-3319.

Sending Required Documents

I am unable to upload the required documents. I will using another means of delivery.

Proof of vaccination

Drop files here or

Please upload the current shot records for each application/renewal. Make sure the files are named with the appropriate dog's name

Proof of Microchip

Drop files here or

If the microchip number is NOT listed on the shot records, please upload proof of microchip for each dog you are applying for. Make sure the files are named with the appropriate dog's name

Photo of your dog(s)

Drop files here or

Upload 1 recent photo of each dog you are applying for. Please make sure the files are named with the appropriate dog's name. If you are renewing your dog’s Intact Permit, you do not have to do this step

Pet Owner's ID

Drop files here or

Please upload a copy of the pet owner's ID.

Verify Information*

Yes the information I submitted is accurate

By checking this box and submitting this application, you are confirming, to the best of your knowledge, that the information you've submitted is accurate. Fees will not be refunded in the event of falsified information.

First Time Application

Price: $100.00 Quantity:

Please insert the number of dogs for which you submitted first-time applications.

Annual Renewal

Price: $25.00 Quantity:

Please insert the number of dogs for which you are renewing permits.

Total to be charged

$0.00

Credit Card

Card Details

Cardholder Name