Enter the dog owner's name, birthdate and phone number and the dog's breed, age, name and color / markings.
Verification form: a Permanent Identification Verification Form must be completed before the license will be issued.
Licenses: Regular Lifetime License and Person With Disability or Senior Citizen, each listed for male and female.
Mail: mail to the County Treasurer's office and make checks payable to County Treasurer.
Color / markings: Spotted, White, Black, Brown or Other-Indicate.
| Question | Answer |
|---|---|
| Form Name | ADLEB 19 |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 24 |
| Avg. time to fill out | 4 min |
| Edition | Rev 9/2025 |
| Issuing agency | PA Department of Agriculture, Bureau of Dog Law Enforcement |
| Where to send | County Treasurer's office; make checks payable to County Treasurer |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | ADLEB 19, ADLEB19, Lifetime Dog License Application, PA Lifetime Dog License |
| Official source | ADLEB 19 (Rev 9/2025), PA Department of Agriculture, Bureau of Dog Law Enforcement |
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