San Clemente, CA · Orange County

No notary required

Exemption From Canine Rabies Vaccination

Dog owners seeking an exemption from rabies vaccination submit this form with veterinarian information for review by the local health officer.

What this form is

This form requests an exemption from rabies vaccination for a dog when vaccination would endanger the dog's life. The completed certificate, signed and approved by the local health officer, may be submitted instead of vaccination proof when securing a dog license. For dogs residing in Orange County, the document also requires a county supplemental form, relevant medical records, and an annual application fee.

Who needs it

A dog owner seeking a rabies vaccination exemption for a dog residing in Orange County needs this form and the county supplemental form.

How to submit it

Mail or return the completed forms and required medical records to OC Animal Care, 1630 Victory Road, Tustin, CA 92782. The document lists a $65 annual non-refundable application fee, payable by check to OC Animal Care.

About notarization

This document is signed without a notary; the owner, veterinarian, and local health officer sign and date the forms.

How to submit this form

  1. 1

    Download The Form

    Download the rabies vaccination exemption certificate and the County of Orange supplemental form.

  2. 2

    Complete The Forms

    Provide the requested dog and owner information; the veterinarian completes the medical details and signs.

  3. 3

    Gather Required Records

    Include no more than five pages of medical records relevant to the conditions noted on the forms.

  4. 4

    Submit To OC Animal Care

    Mail or return the completed materials to OC Animal Care at 1630 Victory Road, Tustin, CA 92782, with the listed application fee.

Frequently asked questions

Do I need a notary for the rabies vaccination exemption form?
No. The form calls for owner, veterinarian, and local health officer signatures, not notarization. Orange County residents must also submit the county supplemental form and relevant medical records.
How do I submit the rabies vaccination exemption form?
Mail or return the completed forms and required medical records to OC Animal Care at 1630 Victory Road, Tustin, CA 92782. The document lists a $65 annual non-refundable application fee.
What documents are required with the exemption request?
Orange County residents must submit the county supplemental form, the rabies vaccination exemption certificate, and no more than five pages of relevant medical records.
How long is an approved exemption valid?
The document states that an approved exemption is valid for one year. If the dog cannot be immunized the following year, a new exemption request must be submitted.

Need something notarized?

This Exemption From Canine Rabies Vaccination doesn’t need a notary — but if you have another San Clemente form that does, a commissioned online notary can help.