Type Full Name :
Sign With Hand
Address *
Borough of
Union Beach
Last Name *
Specify Address where BOTH Dog and Owner reside *
If "Other", specify
Required Documents
Phone # *
Sex *
Age *
Is Rabies Vaccination Exempt? *
Color *
State
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 31st of the licensing year.

2. Renewals
Renewals must include a valid Rabies Certificate.
The Rabies Certificate must be valid through October 31st of the licensing year.

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

Documents can be attached to this online application in the window below, alternatively they must be brought in person to the Borough Clerk's Office within five (5) days of submission of this online application.

650 Poole Avenue
Union Beach, NJ 07735
732-264-2277
www.ubnj.net
Dog License Application
Hair Length *
Applicant Signature *
Expiration Date *
Microchip # (if known)
Amount Due
Is Valid?
City
Tag Number (if known)
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 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.
First Name *
Is Spayed/Neutered? *
Owner Information
Licenses expire in December and must be renewed in January. Note that payment must be received in full before a Dog License and Registration Tags can be issued. A renewal license must be paid for prior to February 1st, 2018, after that a $15.00 late fee will be charged beginning in addition to the licensing fee.
License Fee
Address 2
Email *
Dog Information
Certification
Documents
Breed *
ZIP
Is a Service Dog? *
Vaccination Information
Previous License # (if known)