Form ADLEB 19 PDF Details

Make checks payable to County Treasurer and mail the application to the County Treasurer's office.

Proof: if a license requires the dog owner be a senior citizen (age 65 or older) or a person with disability, provide proof of age or disability to the County Treasurer.

Signature: the signature of the dog owner/applicant is required; if the applicant is a minor, the signature of a parent or guardian is required.

Dog: Dog's Name, Breed, Age and Color / Markings.

Owner: Dog Owner's Name, Owner's Birthdate, Phone Number, E-mail Address and Street Address.

QuestionAnswer
Form NameForm ADLEB 19
Form Length1 page
Fillable?Yes
Fillable fields24
Avg. time to fill out4 min
Edition9/2025
Issuing agencyPA Department of Agriculture, Bureau of Dog Law Enforcement
Where to sendCounty Treasurer's office
Matches the agency's fileYes, checked October 2, 2026
Other namesADLEB 19, ADLEB19, Lifetime Dog License Application, PA lifetime dog license, Pennsylvania lifetime dog license application
Official sourceForm ADLEB 19 (Rev 9/2025), Pennsylvania Department of Agriculture