Type Full Name :
Sign With Hand

New Registrations

  • Rabies Certificate valid through October 31st of the licensing year
  • Spayed/Neutered Certificate
  • Proof of rabies exemption if applies


  • Proof of new rabies vaccination (if rabies expires prior to October 31st of the licensing year)
Application Type
Clark Township
Hair Length

Clark Health Department
430 Westfield Ave.
Clark, NJ 07066
732-428-8405, 732-388-3600 ext 3006

Cat Information
Cat's Name
(If "Yes", Proof of Exemption is Required)
Phone #
Please enter your Street Number and part of the Street Name and select your property from the dropdown list.
Facility Name
Phone #
Last Name
Amount Due:
Applicant Signature
Rabies Expiration Date
Previous License Number (if known)
Address 2
Vaccination Information
Is Spayed/Neutered?
Type Fee
Spayed/Neutered Cat $18.00
Non-Spayed/Neutered Cat $20.00

  • Please be advised there is a $3.00 processing fee for Credit Card payments.

  • Please note that you will be contacted upon review of application and documentation, and at that time payment will be requested. Payment can be made via cash, check or credit card.
If "Other", specify
Microchip #
Rabies Tag #
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 cat’s license.
Fee Schedule
Required Documents
Veterinarian Information
Specify Address where BOTH Cat and Owner reside
First Name
Owner Information
Is Rabies Vaccination Exempt?
Rabies Vaccination Date