No Yes

No Yes

New Application Renewal Application

Short Medium Long

Male Female

No Yes

No Yes

No Yes Exempt

Cash Check Money Order Credit Card

City

Type	Required Documents
New Registrations	1. Rabies Certificate valid through November 1st of the licensing year 2. Spayed/Neutered Certificate
Renewals	1. Proof of new rabies vaccination (if rabies expires prior to November 1st)

Application Type*

Address *

Hair Length *

Certification

500 West Crescent Avenue
Allendale, NJ 07401
201-818-4400
www.allendalenj.gov

Name

Age *

Cat Information

PLEASE NOTE THAT AN APPLICANT CAN REGISTER UP TO 5 (FIVE) CATS PER LICENSING YEAR, BUT ONLY ONE CAT PER APPLICATION.

Cat's Name *

Is this a registration for an additional cat? *

(Proof of Exemption Required)

Phone # *

Last Name *

Amount Due:

State

Applicant Signature *

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

If you are renewing a Cat License payment must be made prior to February 1st, after that a $10.00 late fee will be charged.

Rabies Expiration Date *

Note that payment must be received in full before a Cat License and Registration Tags can be issued.
Applications paid via credit card are subject to a 3% Credit Card Processing Fee.

Previous Year License #

Sex *

Address

Address 2

Vaccination Information

Is Spayed/Neutered? *

If Breed is "Other", specify

Microchip #

Phone #

Borough of
Allendale

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 72 hours of this application, it will be deemed null and void, and I will be required to make a new application.

ZIP

Fee Schedule

Breed *

How do you intend to pay? *

Required Documents

If "Yes", enter REFERENCE# for 1st cat registered this year

Color *

Specify Address where BOTH Cat and Owner reside *

Is Valid?

First Name *

Please attach all the necessary documents without which your application will NOT be processed. Please note that all attachments should be JPG or PDF documents. *

Email *

Owner Information

Cat License
Application

Is Rabies Vaccination Exempt? *

Veterinarian Information