What does the rabies vaccination exemption certificate do?

It records a veterinarian’s determination that rabies vaccination is medically contraindicated for an animal and the owner’s acknowledgment of the exemption information.

Who completes the certificate?

The form requests information from the animal’s owner and veterinarian. The veterinarian describes the medical reason for the exemption and signs; the owner also signs and dates the certificate.

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

No. The document calls for the veterinarian and owner to sign and date it; it does not mention a notarized or sworn attachment.

How do I submit the 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.

Neptune Township, MT · Monmouth County

No notary required

Certificate of Exemption From Rabies Vaccination

This certificate documents a veterinarian’s medical determination that an animal should be exempt from rabies vaccination, with the owner’s acknowledgment.

What this form is

A veterinarian uses this certificate to document an animal’s infirmity, physical condition, or therapy regimen that makes rabies vaccination medically contraindicated. It asks for owner and animal details, the veterinarian’s examination and license information, the reason for exemption, and signatures and dates. The certificate says the exemption lasts up to one year and, for dogs, 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 acknowledge the exemption.

How to submit it

For dogs, present this certificate with an application for a dog license. The certificate 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 it, and no notarized or sworn attachment is mentioned.

How to submit this form

1
Download The Certificate
Download the rabies vaccination exemption certificate PDF.
2
Complete The Form
Provide the requested owner and animal information, and have the veterinarian document the medical reason and sign.
3
Sign And Date
The owner signs and dates the certificate after reviewing the acknowledgment.
4
Present With A Dog License Application
For dogs, present the certificate with an application for a dog license; provide a copy to the owner and keep it as proof.

Frequently asked questions

What does the rabies vaccination exemption certificate do?: It records a veterinarian’s determination that rabies vaccination is medically contraindicated for an animal and the owner’s acknowledgment of the exemption information.
Who completes the certificate?: The form requests information from the animal’s owner and veterinarian. The veterinarian describes the medical reason for the exemption and signs; the owner also signs and dates the certificate.
Do I need a notary for the rabies vaccination exemption certificate?: No. The document calls for the veterinarian and owner to sign and date it; it does not mention a notarized or sworn attachment.
How do I submit the 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.

Need something notarized?

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