Type Full Name :
Sign With Hand
Last Name
City
If Other Breed, specify
{[CNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Required Documents
Vaccination Information
Size *
Owner Information
Sex *
Age *
Phone # *
Rabies Vaccination Exempt? *
Color *
{[PNAME]}
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 *
Type 1 Year 3 Years
Spayed/Neutered $12.00 $30.00
Unspayed/Unneutered $21.00 $63.00
Late Fee (for renewals submitted after May 1st) $10.00 $10.00
Hair Length *
Applicant Signature *
First Name *
Expiration Date *
ZIP
Total Due
First Name
Is Valid?
If applicable, provide details of another owner for this dog that resides at the same address.
Veterinarian Information
Last Name *
Dog Name *
By submitting this form, I am confirming that all of the information I have entered is accurate, according to the best of my knowledge. I understand that failure to provide correct information will result in revocation of my pet’s license.
Email License
Phone #
Spayed/Neutered? *
Please be advised that all payments should be made to the Borough of Leonia for the license to be received in full before a Dog License and Registration Tags can be issued.

License Fee
Vaccination Date *
State
Email *
Full Address *
Dog Information
Name *
Certification
Breed *
Address 2
Memo
Service Dog? *
License Type *
Application Type
Email
Prev. Lic. # (If known)
Specify Address where BOTH Dog and Owner reside *
Application Type