Type Full Name :
Sign With Hand
Last Name
City
If Other Breed, specify
Required Documents *
Vaccination Information
Amount Due:
Size *
Owner Information
Sex *
Age *
Phone # *
Rabies Vaccination Exempt? *
Color *
License Fee (limit of 4 per household)
Type Fee
Spayed/Neutered Dog $11.00
Unaltered Dog $14.00
Senior Rate (Age of owner) SPAYED/NEUTERED $5.00
Senior Rate (Age of owner) UNSPAYED/UNNEUTERED $8.00
Phone # *
  1. Current rabies certificate
  2. Spayed/Neutered certificate
Address *
Hair Length *
Applicant Signature *
Rabies Tag #
First Name *
{[PNAME]}
Expiration Date *
ZIP
First Name
If applicable, provide details of another owner for this dog that resides at the same address.
Veterinarian Information
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.
Late Fee (if applicable)
Month Renewed Fee Month Renewed Fee
March $10.00 August $35.00
April $15.00 September $40.00
May $20.00 October $45.00
June $25.00 November $50.00
July $30.00 December $55.00
Phone #
Spayed/Neutered? *
Application Type *
Are you a Senior Citizen? (62+ years) *
Fee Description Fee
Spayed/Neutered 1 Year Dog $12.00
Non Spayed/Neutered 1 Year Dog $16.00
Spayed/Neutered 3 Year Dog $30.00
Non Spayed/Neutered 3 Year Dog $40.00
Dogs that are over seven (7) months old or with permanent teeth must be licensed within 10 days of acquisition, including foster animals.

As of March 1st a late fee will be applied for any unlicensed pet. In addition to the licensing fee you will be charged a late fee.

Note that payment must be received in full before a Dog License and Registration Tags can be issued.
License Fee
Vaccination Date *
State
Email *
Full Address *
Dog Information
Name *
Certification
Breed *
Address 2
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
(609) 289-5280
{[AWEBSITE]}
Service Dog? *
Email
Prev. Lic. # (If known)
Specify Address where BOTH Dog and Owner reside *
Address Search - Enter the street number and street name and press Enter to Search. For best results do not enter St., Ave, Pl, etc.*