What is the Dog Rabies Exemption Form for?

It documents a veterinarian’s determination that rabies vaccination is medically contraindicated for the described animal and records the exemption period.

Who completes the form?

The form includes information from the animal’s owner and veterinarian. The veterinarian records the examination and medical reason, and both sign and date it.

Do I need a notary for the Dog Rabies Exemption Form?

No. The veterinarian and owner sign and date this certificate without a notary; the form lists no sworn attachment or notarized related step.

How do I submit the Dog Rabies Exemption Form?

For dogs, present the certificate with an application for a dog license. The form does not name a submission department or provide contact details.

Waldwick, MT · Bergen County

No notary required

Dog Rabies Exemption Form

This certificate documents a veterinarian’s medical reason for exempting a dog from rabies vaccination and is presented with an application for a dog license.

What this form is

The form records the owner’s contact information and the dog’s details, along with the veterinarian’s examination, medical reason for exemption, license information, signature, and certificate expiration date. The owner also signs to acknowledge the exemption and related information. The certificate is valid for up to one year, and for dogs it must be presented with an application for a dog license.

Who needs it

A dog owner seeking a rabies vaccination exemption for medical reasons needs a veterinarian to complete this certificate and presents it with a dog license application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This certificate is signed and dated by the veterinarian and owner without a notary; the form lists no sworn attachment or notarized related step.

How to submit this form

1
Download The Form
Download the Dog Rabies Exemption Form.
2
Complete The Owner And Animal Details
Fill in the owner’s contact information and the animal’s identifying details.
3
Have The Veterinarian Complete It
The veterinarian records the examination and medical reason for the exemption, then signs and dates the certificate.
4
Sign And Present The Certificate
The owner signs and dates the certificate. For dogs, present it with an application for a dog license.

Frequently asked questions

What is the Dog Rabies Exemption Form for?: It documents a veterinarian’s determination that rabies vaccination is medically contraindicated for the described animal and records the exemption period.
Who completes the form?: The form includes information from the animal’s owner and veterinarian. The veterinarian records the examination and medical reason, and both sign and date it.
Do I need a notary for the Dog Rabies Exemption Form?: No. The veterinarian and owner sign and date this certificate without a notary; the form lists no sworn attachment or notarized related step.
How do I submit the Dog Rabies Exemption Form?: For dogs, present the certificate with an application for a dog license. The form does not name a submission department or provide contact details.

Need something notarized?

This Dog Rabies Exemption Form doesn’t need a notary — but if you have another Waldwick form that does, a commissioned online notary can help.