Was all of the information received in the 2025 ACO designation email correct?(Required)

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Please submit all updated information by February 1, 2025

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    ACO Supervisor Information

    Supervisory Name:
    Supervisor Address:

    Municipal Holding Facility information

    Type of Facility:
    Holding Facility Address:
    Types of animals housed at Facility:
    select as many as apply

    Animal Control Officer(s) Information

    ACO Office Address:
    ACO Status:
    ACO Name:
    Kept internally at MDAR for ACO updates and emergency contact
    Do you have additional ACOs you need to add/remove or update?(Required)
    If yes repeat ACO Information from ACO Status -date of hire.

    2nd Animal Control Officer(s) Information

    ACO Status:
    ACO Name:
    Kept internally at MDAR for ACO updates and emergency contact.
    Do you have additional ACOs you need to add/remove or update?(Required)
    If yes repeat ACO Information from ACO Status -date of hire.

    3nd Animal Control Officer(s) Information

    ACO Status:
    ACO Name:
    Kept internally at MDAR for ACO updates and emergency contact.
    Do you have any additional ACOs you need to add/remove or update?(Required)
    If yes repeat ACO Information from ACO Status -date of hire
    Please list the additional ACO Information from ACO Status thru date of hire.