Submitted Online Payment Registered

M F

Short Medium Long

Yes No

No Yes

No Hearing Ear Seeing Eye Service Dog

No Yes

No Yes Exempt

Cash Check Credit Card

Last Name

If Other Breed, specify

Required Documents

Rabies Vaccination Exempt?

Owner Information

Sex *

Age *

Phone # *

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 the first full week of November of the licensing year.

2. Renewals
Renewals must include a valid Rabies Certificate.
The Rabies Certificate must be valid through the first full week of November of the licensing year.

3. Service Dogs
All applications for Service Dogs must include a valid Service Dog Registration Certificate.

Address *

Confirmation Email

Hair Length *

Applicant Signature *

First Name *

Expiration Date *

First Name

Is Valid?

If applicable, provide details of another owner for this dog that resides at the same address.

Veterinarian Information

Last Name *

Dog Name *

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. I acknowledge that if no payment is made within seventy two (72) hours of this application, it will be deemed null and void, and I will be required to make a new application.

Payment Type *

Phone #

Spayed/Neutered? *

231 Third Street
Lakewood, NJ 08701
(732) 364-2500 x 5230, 5231, 5232
www.lakewoodnj.gov

Note that payment must be received in full before a Dog License and Registration Tags can be issued.

A renewal license must be paid for prior to March 1st, after that a $5 late fee will be charged.

License Fee

Vaccination Date *

Email

Full Address *

Dog Information

Name *

Certification

Documents

Breed *

Address 2

Service Dog? *

Renewal? *

Email

Vaccination Information

Previous License Number (if known)

Begin typing address and select from the populated dropdown.*
If your address does not populate please call the Municipal Clerks Office at (732) 364-2500 ext. 5230