Type Full Name :
Sign With Hand
First Name
Address 2
Phone # *
Begin search by typing the address number and part of the street name and press Enter. *
If "Other", specify
Required Documents
State *
Sex *
Age *
If "Other", specify
Is Rabies Vaccination Exempt? *
Dog License Application
Color *
Phone # *
1.  New Registrations
     All new applicants must include a valid Rabies Certificate and Spayed/Neutered Certificate before a license can be issued.
     The Rabies Certificate must be valid through October 1st of the licensing year.
     
2.  Renewals
     Renewals must include a valid Rabies Certificate.
     The Rabies Certificate must be valid through October 1st of the licensing year.

3. Important Notice
     Please note that if your pet’s rabies is due on or before October 1st then you must provide a signed note from your vet stating that it is too
     soon to get an updated vaccine.
Borough of
New Providence
Hair Length *
Applicant Signature *
Expiration Date *
Are all required documents attached to this online application? *
Amount Due
Size *
Is Valid?
Veterinarian Information
Address *
Email
First Name *
Last Name
ZIP *
Dog's Name *
Dog Fee:   $16 if spayed/neutered
I acknowledge that all statements made herein are accurate and that this application will not be accepted as submitted until all required documents are remitted, and all applicable fees are paid.
$19 if not spayed/neutered
Phone #
Is this Application for a New Dog or Renewal? *
Is the dog Spayed/Neutered? *
A renewal license must be paid for prior to February 28th, after that a $5.00 late fee will be charged.
Email *
License Fee
Vaccination Date *
If applicable, provide details of another owner for this dog that resides at the same address.
Address *
Dog Information
Hospital Name *
Certification
Documents
Owner Information
Breed *
Last Name *
360 Elkwood Avenue
New Providence, NJ 07974
Tel: (908) 665-1400 ext.0 | Fax: (908) 665-9272
www.newprov.us
Is this a Service Dog? *
Vaccination Information
Previous License Number (if known)
City *