Type Full Name :
Sign With Hand
State
556 Tinton Avenue
Tinton Falls, NJ 07724
(732) 542-3400 Ext. 260
www.tintonfalls.com
If "Other", specify
Required Documents
Owner Information
Sex *
Age *
City
Phone *
Is Rabies Vaccination Exempt? *
Color *
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 31, 2017

2. Renewals
Renewals must include a valid Rabies Certificate.
The Rabies Certificate must be valid through October 31, 2017

3. Service Dogs
All applications for Service Dogs must include a valid Service Dog Registration Certificate.

Address *
Hair Length *
Applicant Signature *
Dog License
Application
First Name *
Expiration Date *
Amount Due
Is Valid?
Veterinarian Information
Last Name *
Dog's Name *
Is this Application for a New Dog or Renewal? *
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. I acknowledge that if the required documents are not remitted, the application will be deemed null and void, and I will be required to make a new application.
Is Spayed/Neutered? *
All Volunteers please contact Borough Clerk’s Office for fee waivers.
A renewal license must be paid for prior to January 31st, after that a $5.00 late fee will be charged.

Late fees will be assessed and added by the Borough Clerk if applicable.

License Fee
Vaccination Date *
Email *
Address
ZIP
Dog Information
Hospital Name *
Certification
Documents
Breed *
Borough of
Tinton Falls
Address 2
Is a Service Dog? *
Vaccination Information
Is the Dog Debarked?
Specify Address where BOTH Dog and Owner reside *