Type Full Name :
Sign With Hand
Last Name
New or Renewal?
If Other Breed, specify
{[CITY]}, {[STATE]} {[ZIP]}
Required Documents
Vaccination Information
Size *
Owner Information
Sex *
Age *
Phone # *
Rabies Vaccination Exempt? *
Color *
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 November 1st of the licensing year.

2. Renewals
Renewals: must include a valid Rabies Certificate.
The Rabies Certificate must be valid through November 1st of the licensing year.

3. Service Dogs:
All applications for Service Dogs must include proof that the dog has been individually trained to the requirements of a person with a disability, as per N.J.S.A 10:5-5(dd).

4. Guide Dogs:
All applications for Guide dogs must include proof that the dog has been trained to assist a blind or deaf person, as per N.J.S.A 10:5-5(s).

**Please upload attachments as PDF, JPG, or JPEG.

Address *
Neutered/Spayed: $10.00
Not Neutered/Spayed: $16.00

Late fee of $10 starts on July 1st.
Hair Length *
Applicant Signature *
First Name *
Fee Late
Expiration Date *
First Name
Fee Due
***Payment will NOT be requested until your application has been approved & accepted.***
Please monitor your e-mail for the Payment Request e-mail.
Is Valid?
If applicable, provide details of another owner for this dog that resides at the same address.
Last Name *
Dog Name *
By submitting this form, I am confirming that all of the information I have entered is accurate, according to the best of my knowledge. I understand that failure to provide correct information will result in revocation of my pet’s license.
Phone #
Spayed/Neutered? *
Guide Dog? *
Note that payment must be received in full before a Dog License and Registration Tags can be issued.

License Fee
Vaccination Date *
Email *
Dog Information
Breed *
Address 2
Service Dog? *
Prev. Lic. # (If known)
Specify Address where BOTH Dog and Owner reside - type the street number and name (Ex: 123 main) select from the dropdown values *