2. I agree to the following terms and conditions set by the Lucas County Auditor to serve as a dog license agent for the 2020-2021 Dog License Season.
4. 1. I agree to submit a Surety Bond – Minimum ONE YEAR, $5,000.00 bond. No tags will be issued until the Surety Bond is submitted to the Lucas County Auditor.
6. 2. I agree to only sell Lucas County Dog Tags to Lucas County Residents.
8. 3. I agree to grant authority to the Lucas County Auditor to advertise on radio, media and any newspapers, the Vendor/Agent’s name and location IF the Agent has lost any forms or essential data to reunite a lost dog. In addition, I must identify the owner of any missing dog tag within 48 to 72 hours or immediately cease selling tags until found.
10. 4. I agree to place a Lucas County issued “Missing Dog Tag Poster” in the front entrance on a window or door in a visible location near the point of sale until the essential data has been provided.
12. 5. I agree to being billed monthly for the tags sold each month.
14. 6. I agree to only charge $0.75 per application, NOT per tag.
16. 7. I agree to charge the amount per the 2021 Lucas County Auditor Dog Registration Schedule of Fees.
18. Agree & Accept*

    By checking this box, I agree to and accept the terms and conditions outlined above.

    1. I agree and accept
20. Agent's Name
22. First Name
23. Last Name
25. Date and Time
    Date and Time

    Date and Time
26. Bond Upload
    Optional: Upload a copy of your bond to submit along with this agreement.
28. Phone Number
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field