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Apply for a Replacement Chicken Band

  1. Instructions
    Complete and submit the form below to request a replacement chicken leg band. All chickens are required to wear numbered leg bands for identification purposes. Replacement leg bands may be purchased separately if: 1) a band is lost or damaged, or 2) a chicken is sold or deceased. Residents may keep a maximum of six chickens and six leg bands. Leg bands cost $5 per chicken.
  2. Chicken
  3. Contact Information
  4. Chicken Information
  5. Reason for Replacement*
  6. Next Steps
    Submit payment by check or money order. Payable to Coralville Police Department. Mail payment to:
  7. Attn: Chicken Permits, Coralville Police Department, PO Box 5911, Coralville, IA 52241
  8. *Leg bands will be mailed within 1-2 business days after the payment is received.
  9. Leave This Blank:

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