Type Full Name :

Sign With Hand

Last Name

If Other Breed, specify

Required Documents

How do you intend to pay?

Borough of
Allendale

Fee Due

Vaccination Information

Owner Information

Sex *

Age *

Phone # *

Rabies Vaccination Exempt? *

Color *

Dog License Application

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 November 1st of the licensing year.

2. Renewals
Renewals must include a valid Rabies Certificate. *
The Rabies Certificate must be valid through November 1st of the licensing year.

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

Address *

Hair Length *

Applicant Signature *

Application Type *

First Name *

Expiration Date *

First Name

Is Valid?

If applicable, provide details of another owner for this dog that resides at the same address.

Veterinarian Information

Last Name *

Important Notice: Select "New" ONLY if the dog has never been licensed in Allendale. False information may result in penalties. Late fees will be strictly enforced.

Dog Name *

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.

Phone #

Spayed/Neutered? *

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

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

If you are renewing a Dog License payment must be made prior to February 1st, after that a $5.00 late fee will be charged.

License Fee

Vaccination Date *

Email *

Full Address *

* Please make sure the dates entered are matching the attached certificate dates. *

Dog Information

Name *

Certification

Breed *

Address 2

Service Dog? *

Previous License Number (if known)

Specify Address where BOTH Dog and Owner reside *