United States Service Dog Registry
United States Service Dog Registry
 
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U.S. Service Dog Registry Questionnaire


Information on this page will only be available if someone enters your 10 digit code into the United States Service Dog Registry website.

Are you filling out this form for yourself or someone else?


Please register with the information pertaining to the person who uses the Service Dog.

First Name

Last Name

Gender

Address (will be kept private)

City

State

Zip Code

Phone (will be kept private)

TTY/VP

Dog's Name

What year was your Service Dog born?

What breed of dog do you own?

If Mixed Breed/Other Breed Enter Here

Dog's Gender

Upload a picture of you and/or your dog (Optional).



Privacy Policy
  • Our privacy policy is simple.
  • Your profile is only visible to those you choose to share your 10 digit code with.
  • We will never ask for your password, username, credit card, or other personal information in an e-mail.
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    Learn about different types of Service Dogs, how they can help people and the law that protects them | Find out about the US Service Dog Registry

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