Glassboro, MT · Gloucester County
Certificate of Exemption From Rabies Vaccination
This certificate documents a veterinarian’s medical determination that an animal should not receive a rabies vaccine and is completed by the owner and veterinarian.
What this form is
Use this certificate when a veterinarian determines that vaccinating an animal is medically contraindicated because of an infirmity, physical condition, or therapy regimen. It asks for the owner’s and animal’s details, the veterinarian’s examination and medical explanation, and signatures and dates from the veterinarian and owner. The certificate is valid for up to one year and must accompany a dog license application.
Who needs it
An animal owner seeking a rabies vaccination exemption needs the veterinarian to complete the medical determination and the owner to sign the certificate.
How to submit it
For dogs, present the certificate with a dog license application. Licenses are available at Borough Hall or by mail to 1 South Main Street, Glassboro, NJ 08028-2592.
About notarization
This certificate is signed and dated without a notary; the owner and veterinarian sign it, and no notarized or sworn attachment is identified.
How to submit this form
- 1
Download the Certificate
Download and print the rabies vaccination exemption certificate.
- 2
Complete the Certificate
Provide the owner and animal information, and have the veterinarian document the examination and medical reason for exemption.
- 3
Gather the License Application
For a dog, include the completed certificate with the dog license application.
- 4
Submit to Glassboro
Present the application at Borough Hall or mail it to 1 South Main Street, Glassboro, NJ 08028-2592.
Frequently asked questions
- Do I need a notary for the rabies exemption certificate?
- No. The owner and veterinarian sign and date this certificate without a notary; the document identifies no notarized or sworn attachment.
- How do I submit the rabies exemption certificate?
- For a dog, present the certificate with a dog license application. Glassboro says licenses can be purchased at Borough Hall or by mail.
- Who completes the rabies exemption certificate?
- The veterinarian records the examination, medical reason for exemption, license details, and signature. The animal’s owner also provides information and signs the certificate.
- How long is the rabies exemption certificate valid?
- The certificate states that it is valid for up to one year. 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 Glassboro form that does, a commissioned online notary can help.