Renewed Not Renewed

No Yes

No Yes

No Yes

New Dog Renewal

Short Medium Long

Male Female

No Yes

No Hearing Ear Seeing Eye Service Dog

No Yes

No Yes Exempt

Cash Check Money Order Credit Card eCheck

Address *

Last Name *

Specify Address where BOTH Dog and Owner reside - Type the street number and part of the street name (Ex: 123 main) and select from the dropdown list.*
Middlesex Borough Residents Only

If "Other", specify

Required Documents

Phone *

How do you intend to pay? Note: There is a 2.65% surcharge ($1.50 minimum) if paying by Credit Card and a $1.50 fee if paying by eCheck. *

Sex *

Age *

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 November 1st of the licensing year.

2. Renewals
Proof of new rabies vaccination is required if vaccination expires prior to November 1st 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.

Spayed/Neutered Dog: $10.00
Unaltered Dog: $13.00

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 the end of February, after that a $10.00 late fee will be charged.

Hair Length *

Applicant Signature *

Rabies Expiration Date *(Please Don't Type, Use the Calendar to Choose the 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 seventy-two (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

License Fee

Address 2

Email (lower case only, any spaces in your entry will cause an error) *

Dog Information

Certification

Breed *

ZIP

Is a Service Dog? *

Vaccination Information

Previous License Number (if known)