Do I need a notary for this rabies vaccination exemption certificate?

No. The veterinarian and animal owner sign and date this certificate; it does not identify a notarized or sworn attachment.

Who completes the certificate?

The certificate includes information for the animal’s owner and veterinarian. The veterinarian records the examination and medical reason vaccination is contraindicated, and both sign and date it.

How long is the exemption certificate valid?

The certificate states that its validity must not exceed one year from the date of the last examination. The animal must be re-examined by the listed expiration date.

Moorestown, MT · Burlington County

No notary required

Certificate of Exemption from Rabies Vaccination

This certificate documents a veterinarian’s determination that an animal should not receive a rabies vaccine for medical reasons, and is presented with a dog license application.

What this form is

A veterinarian uses this certificate to document that an animal has a medical condition or treatment regimen that makes rabies vaccination medically contraindicated. It requests owner and animal details, the veterinarian’s examination findings and license information, and signatures and dates from the veterinarian and owner. For dogs, the certificate must be presented with a dog license application.

Who needs it

An animal owner whose veterinarian determines that rabies vaccination is medically contraindicated needs this certificate to document the exemption.

How to submit it

For dogs, present this certificate with an application for a dog license. The document does not name a receiving office; check the city website for current contact details.

About notarization

This certificate is signed and dated by the veterinarian and animal owner without a notary; no notarized or sworn attachment is identified.

How to submit this form

1
Download The Certificate
Download the rabies vaccination exemption certificate PDF.
2
Complete The Certificate
Provide the owner and animal details; the veterinarian records the examination, medical reason, license information, and certificate expiration.
3
Sign And Date
The veterinarian and animal owner sign and date the certificate.
4
Present With Dog License Application
For dogs, present the certificate with an application for a dog license.

Frequently asked questions

Do I need a notary for this rabies vaccination exemption certificate?: No. The veterinarian and animal owner sign and date this certificate; it does not identify a notarized or sworn attachment.
How do I submit the rabies exemption certificate?: For dogs, present the certificate with an application for a dog license. The document does not name a receiving office, so check the city website for current contact details.
Who completes the certificate?: The certificate includes information for the animal’s owner and veterinarian. The veterinarian records the examination and medical reason vaccination is contraindicated, and both sign and date it.
How long is the exemption certificate valid?: The certificate states that its validity must not exceed one year from the date of the last examination. The animal must be re-examined by the listed expiration date.

Need something notarized?

This Certificate of Exemption from Rabies Vaccination doesn’t need a notary — but if you have another Moorestown form that does, a commissioned online notary can help.