Type Full Name :
Sign With Hand
Last Name
*** LATE FEES WILL BE WAIVED FOR 2021 ***
If Other Breed, specify
Required Documents/Instructions
{[CNAME]}
Size *
Vaccination Information
Owner Information
Sex *
Age *
Phone # *
Rabies Vaccination Exempt? *
Color *
Dog License Application
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 April 30th 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 a valid Service Dog Registration Certificate

4.  State Statute requires that all dogs be licensed and have a current tag affixed to collar or harness.  All dogs 6 months or older must be licensed
     EXCEPTION:  Dogs used as guides for blind persons and commonly known as seeing eye dogs shall be licensed in the same manner as other
                            dogs, except that the owner or keeper shall not be required to pay any fee

5.  All dog licenses expire on December 31 each year

6.  Check rabies information and neuter status.  If there have been any changes since the last billing, be sure to attach the required certificates

7.  No dogs are permitted to run at large. Owners will be subject to a fine

8.  License must be issued in the name of an adult member of the household

9.  FREE RABIES CLINIC - CHECK TOWNSHIP WEBSITE FOR DATES

Please upload a photo of your dog for our records (not a requirement for submission)
Address *
Hair Length *
Applicant Signature *
First Name *
Expiration Date *
First Name
If applicable, provide details of another owner for this dog that resides at the same address.
Color/Pattern Description
Veterinarian Information
Last Name *
Dog Name *
Pursuant to N.J.A.C. 8:23A-4.2, in order to issue a dog license, the pet owner must first supply to the dog licensing clerk a rabies vaccination certificate signed by a licensed veterinarian indicating that the animal's duration of immunity extends throughout at least the first ten months of the twelve month licensing period.   Animals that have a duration of immunity which expires prior to the ten month cut-off must receive a booster rabies vaccination prior to licensure.   Boostering an animal before expiration of the previous vaccine has not been associated with an increased occurrence of adverse reactions and is not medically contraindicated.   Prepared by the NJDDH , Infectious and Zoonotic Disease Program (609) 826-4872. 4:19-15.2a - Evidence of inoculation with rabies vaccine or certification of exemption; requirement for license.   No municipal clerk or other official designated by the governing body of any municipality to license dogs therein shall grant any such license and official metal registration tag for any dog unless the owner thereof provides evidence that the dog to be licensed and registered has been inoculated with a rabies vaccine of a type approved by and administered in accordance with the recommendations of the United States Department of Agriculture and the United States Department of Health, Education, and Welfare, or has been certified exempt as provided by regulations of the State Department of Health.   Such vaccination shall be repeated at intervals as provided by regulations of the State Department of Health, and shall be administered by a duly licensed veterinarian or by such other veterinarian permitted by law to do the same.   The State Department of Health shall promulgate regulations providing for the recognized duration of immunity, interval of inoculation, certificate of vaccination, certificate of exemption, and such other matters related to this act. (Effective: Jan. 1, 2013)
Weight (Approximate)
Phone #
For Tri-color/Other color dogs, please describe the colors listing the predominant color first
Spayed/Neutered? *
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
PLEASE NOTE:   FEB 1. TO DEC. 31 $2.00 PER MONTH/PER DOG WILL BE ASSESSED IF LICENSE IS NOT RENEWED BY JANUARY 31ST.   OFFICE IS OPEN ONLY FROM MONDAY TO FRIDAY 8:00AM TO 4:00PM.
License Fee
Vaccination Date
New Pet or Renewal? *
Email *
Full Address *
Dog Information
Name *
Certification
Breed *
Address 2
Service Dog? *
Email
Previous License Number (if known)
Specify Address where BOTH Dog and Owner reside *
Please make check or money order made payable to the TOWNSHIP OF TABERNACLE, in the appropriate amount to: Township Clerk, 163 Carranza Road, Tabernacle, N.J. 08088.