Type Full Name :
Sign With Hand
Last Name
A $15 Late Fee is applied to all renewals starting February 1st.
City
If Other Breed, specify
Required Documents
Vaccination Information
Size
Owner Information
Sex
Age
Phone #
Rabies Vaccination Exempt?
Color
{[PNAME]}
State
Phone #

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 November 1st of the following year.

Renewals

  • Applicants must provide proof of rabies certificate that must be valid through November 1st of the following year.

Rabies Exemption Form

  • If your pet cannot receive a rabies vaccination due to a medical condition, please have your Veterinarian complete the NJDOH Certificate of Exemption from Rabies Vaccination Form.
Address 2
Address
Hair Length
Applicant Signature
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
First Name
Expiration Date
ZIP
First Name
City
Is Valid?
If applicable, provide details of another owner for this dog that resides at the same address.
Veterinarian Information
ZIP
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.
Phone #
Spayed/Neutered?
Application Type
Note that payment must be received in full before a Dog License and Registration Tags can be issued.
License Fee
Vaccination Date
State
Email
Address
Dog Information
Name
Certification
Breed
Address 2
Service Dog?
Email
Previous License # (If known)
Specify Address where BOTH Dog and Owner reside
Are you a Volunteer Firefighter or in the First Aid Squad?