Type Full Name :
Sign With Hand

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

Type Fee
Spayed/Neutered Dog $22.20
Non-Spayed/Neutered Dog $25.20

  • 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.
Last Name
City
If Other Breed, specify
Required Documents
Vaccination Information
Size
Owner Information
Sex
Age
Phone #
Rabies Vaccination Exempt?
Color

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

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Phone #

All Registrations New & Renewals

  • Rabies Vaccination Certificate valid through October 31st of the licensing year
  • Spayed/Neutered Certificate If Available
Please enter your Street Number and part of the Street Name and select your property from the dropdown list.
Address
Amount Due:
Hair Length
Applicant Signature
Rabies Tag #
First Name
Expiration Date
Clark Township
ZIP
First Name
Application Type
Is Valid?
If applicable, provide details of another owner for this dog that resides at the same address.
Veterinarian Information
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?
Facility Name
License Fee
Vaccination Date
State
Email
Full Address
Dog Information
Certification
Breed
Address 2
Email
Prev. Lic. # (If known)
Specify Address where BOTH Dog and Owner reside