Breeders Permit Application

Breeders Permit Application
A breeder is:
1. Any person who intentionally or unintentionally causes the breeding of more than one cat or dog or makes more than one cat or dog available for breeding purposes in a 12-month period; and/or
2. Any person who offers for sale, sells, trades, receives other compensation or gives away any offspring of more than one litter of dogs or cats; and/or
3. Any owner or person having custody of more than one dog or cat that has delivered a litter or caused the delivery of a litter. (Sec. 5-69)
Want to learn more about breeders permits and regulations? Please see sections 5-68 “Minor breeders permit; regulation” & 5-69 “Breeder permit regulations” of the Municipal Code.

If you breed only one animal and/or litter in a year, you qualify for the Minor Breeders Permit. You may go to that form and disregard this one.
Your Information
Name

First NameMiddle NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com

Describe Animal(s)

Photo Submission

You are required to submit pictures of your litter, breeding animals, and breeding setup with your application. Please let us know if you are going to come in-person to submit photos, otherwise you will be directed to upload them on this form.
Instead of submitting photos, I would like to request an in-person inspection by an Animal Welfare Officer
I will come in-person to submit pictures of my breeding setup instead of submitting them online.

Submit Photos

If you are submitting photos through the form, you may do so here.
Pictures
Photo Uploads

Cancelof

Signature
I hereby make an application to operate as a breeder within the city limits of South Bend. I have not been convicted of cruelty to animals and affirm the information I have given on this application is true and correct.
Printed Name

First NameLast Name
Should be Empty:

Your Information