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
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 *
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