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This form should be completed by your physician and mailed to NE Dept of Motor Vehicles, Driver and Vehicle Records Division, Attn: Handicapped Parking Permits, PO Box 94789, Lincoln, NE 68509-4789. Do not bring the form to the City Offices.
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DOG FOUND-PLACED IN POUND REPORT

  1. City of Fairbury

  2. DOG FOUND/IN POUND REPORT

  3. ***********************************************ONLY AUTHORIZED PERSONNEL*********************************************** Complete this form to report a dog at large has been picked up and dropped off to the City of Fairbury Dog Pound ***************************************************************************************************************************************

  4. STATUS

  5. DETAILS OF FOUND DOG

  6. COAT:*

  7. TAIL:*

  8. EARS*

  9. COLLAR:*

  10. Leave This Blank:

  11. This field is not part of the form submission.