Type Full Name :
Sign With Hand
Last Name
City
If Other Breed, specify
Required Documents
Has your dog been deemed dangerous by local or state officials?
Vaccination Information
Size
Pet Owner Information
Sex
Age
Phone #
Rabies Vaccination Exempt?
Color
{[PNAME]}
Phone #
  1. Current rabies certificate
  2. Spayed/Neutered certificate (if available)
Address
Were you referred?
Hair Length
Applicant Signature
Rabies Tag #
First Name
Expiration Date
ZIP
First Name
Are you applying in person?
Is Valid?
If applicable, provide details of another owner for this dog that resides at the same address.
Veterinarian Information
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
https://www.maplewoodnj.gov/
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.
Phone #
Spayed/Neutered?
Application Type
Late fee (Renewals after January 31th) $7.00
Note that payment must 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
Service Dog?
Referral Person
Email
Prev. Lic. # (If known)
Specify Address where BOTH Dog and Owner reside