Type Full Name :

Sign With Hand

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 October 31st of the licensing year.
     
2.  Renewals
     Renewals must include a valid Rabies Certificate.
     The Rabies Certificate must be valid through October 31st 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: Credit Card payments will incur a $1.50 processing fee. An email with a payment link will be sent after submission of this application.

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 *

Full Address *

Dog Information

Name *

Certification

Attachments

Breed *

Address 2

Fee Due

Service Dog ? *

Renewal ? *

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 Clerk's Office at (732) 364-2500 ext. 5230