Who completes the rabies vaccination exemption certificate?

The veterinarian records the animal’s examination and medical reason for exemption, then signs and dates the certificate. The animal owner also signs and dates it.

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

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

How do I submit the rabies vaccination exemption certificate?

For dogs, present the certificate with an application for a dog license. The document does not provide a department, address, or other submission details.

How long is the exemption certificate valid?

The certificate is valid until the date entered on it, which cannot be more than one year from the date it is signed.

Plainsboro Township, MT · Middlesex County

No notary required

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 veterinarian and animal owner.

What this form is

A veterinarian uses this certificate to document an animal’s medical condition or treatment regimen that makes rabies vaccination medically contraindicated. The form asks for owner and animal details, the veterinarian’s examination date and findings, and signatures from the veterinarian and owner. The certificate is valid for up to one year, and for dogs it must accompany a dog license application.

Who needs it

An animal owner whose veterinarian determines rabies vaccination is medically contraindicated needs this certificate; for a dog, it accompanies the dog license application.

How to submit it

For dogs, present this certificate with an application for a dog license. The document does not identify a submission department or contact details.

About notarization

This certificate is signed without a notary; the veterinarian and owner sign and date it, with no notarized or sworn attachment identified.

How to submit this form

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

Frequently asked questions

Who completes the rabies vaccination exemption certificate?: The veterinarian records the animal’s examination and medical reason for exemption, then signs and dates the certificate. The animal owner also signs and dates it.
Do I need a notary for the rabies vaccination exemption certificate?: No. The veterinarian and owner sign and date the certificate; it does not identify a notarized or sworn attachment.
How do I submit the rabies vaccination exemption certificate?: For dogs, present the certificate with an application for a dog license. The document does not provide a department, address, or other submission details.
How long is the exemption certificate valid?: The certificate is valid until the date entered on it, which cannot be more than one year from the date it is signed.

Need something notarized?

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