Type Full Name :
Sign With Hand
Address *
1200 Mountain Avenue
Middlesex, NJ 08846
(732) 356-7400
www.middlesexboro-nj.gov
Last Name *
Specify Address where BOTH Dog and Owner reside *
If "Other", specify
Required Documents
Phone *
How do you intend to pay? Note: There is a 3% surcharge if paying by Credit Card and a $.25 fee if by eCheck. *
Sex *
Age *
Is Rabies Vaccination Exempt?
Color *
*Proof of Exemption Required*
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 November 1st of the licensing year.

2. Renewals
Proof of new rabies vaccination is required if rabies expire prior to November 1, 2018.

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.

Spayed/Neutered Dog: $10.00
Unaltered Dog: $13.00
Hair Length *
Applicant Signature *
Surcharge
Dog License
Application
Rabies Expiration Date *
Amount Due
City
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.
Amount CC
First Name *
Is Spayed/Neutered? *
Owner Information
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 March 1st, after that a $10.00 late fee will be charged.

Calc CC Fee
License Fee
Address 2
Email *
Dog Information
Certification
Documents
Breed *
Borough of
Middlesex
ZIP
Is a Service Dog? *
Vaccination Information
Previous License Number (if known)