Ridgewood, MT · Bergen County
Certificate of Exemption From Rabies Vaccination
This certificate documents a veterinarian’s determination that an animal should not receive a rabies vaccination for medical reasons and is completed by the veterinarian and owner.
What this form is
A veterinarian uses this certificate to record that vaccinating an animal is medically contraindicated, describe the condition or treatment, and set the certificate’s expiration date. The owner acknowledges the exemption and its conditions by signing. For dogs, the certificate must be presented with an application for a dog license; it also serves as proof of exemption.
Who needs it
An animal owner seeking a rabies vaccination exemption needs the veterinarian to complete the certificate and must sign the owner acknowledgment.
How to submit it
For dogs, present this certificate with an application for a dog license. The form says a copy must be provided to the owner and kept as proof of exemption.
About notarization
This document is signed without a notary; the veterinarian and owner sign and date the certificate, with no notarized or sworn attachment specified.
How to submit this form
- 1
Download The Certificate
Download the rabies vaccination exemption certificate.
- 2
Have The Veterinarian Complete It
The veterinarian records the animal’s information, medical reason for exemption, examination date, and certificate expiration.
- 3
Review And Sign
The owner reviews the acknowledgment and signs and dates the certificate.
- 4
Present With A Dog License Application
For dogs, present the certificate with an application for a dog license and keep a copy as proof of exemption.
Frequently asked questions
- Do I need a notary for the rabies exemption certificate?
- No. The veterinarian and owner sign and date the certificate; it does not specify a notarized or sworn attachment.
- Who completes the rabies exemption certificate?
- The veterinarian records the animal’s medical information and reason vaccination is contraindicated. The owner signs to acknowledge the exemption and its conditions.
- How do I submit the rabies exemption certificate?
- For dogs, present the certificate with an application for a dog license. The form also says a copy must be provided to the owner and kept as proof of exemption.