ACA's Microchip Animal Rapid Recovery Services (M.A.R.R.S.)

Each individual microchip identification number is linked to the latest ownership record of the animal. This form is required to obtain credentialed access by governmental animal control to the microchip database. All submitted information must be verified prior to granting credentialed access.

Please enter the governmental jurisdictional region of your designated Animal Control: (Example: Los Angeles, California)

If you are an official Government Agency, please enter the name of your agency name: (Example: Los Angeles City Animal Licensing and Control Department)

If you are an independent organization or corporation with a current and valid Government Contract for Animal Control Services, please enter the name of your agency: (Example: First Alert Animal Control Services, Inc.)

Please enter your physical address: (for UPS and Fedex Delivery addresses) *

Please enter your City: (Example: Los Angeles.) *

Please enter your State: (Example: California For United States Only) *

Please enter your Zip Code: (Example: 55512) *

Please enter your Country: (Example: United States) *

Please enter your Phone Number: (Example: 800-555-1111)

Please enter your FAX Phone Number: (Example: 800-555-1111)

Please enter your Website: (Example: www.yourcity.gov/animalcontrol/ )

Please enter your Official Email Address: (Example: animalcontrol@losageles.gov ) **

Please enter your Full Name: (Example: Jamed C. Arcilele, Sr.) *

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I swear and affirm that all of the information I am submitting is true and correct. I fully understand that if any of the information is that I have submitted is found to be misleading or intentionally incorrect, that I have knowingly have perjured myself and will be subject to the perjury laws and imprisonment in a correctional facility of my state.

By clicking and submitting this form, I agree to that all of the before information is true.

ANIMAL CONTROL- DATABASE ACCESS REQUEST

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