Rumson, MT · Monmouth County
Rabies Vaccination Exemption Certificate
This certificate documents a veterinarian’s determination that an animal should not receive a rabies vaccination for medical reasons, for the animal’s owner to use as proof of exemption.
What this form is
A veterinarian uses this certificate to record an animal examination and explain why vaccination is medically contraindicated. The veterinarian and owner provide information and signatures, and the certificate states that the exemption lasts up to one year. For dogs, the certificate must be presented with an application for a dog license; the form also says a new certificate is needed if exemption status still applies at re-examination.
Who needs it
An animal owner seeking a medical exemption from rabies vaccination needs a veterinarian to complete this certificate and provide a copy.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details. The certificate does not list a submission address.
About notarization
This certificate is signed and dated without a notary; the veterinarian and animal owner provide signatures and dates, and 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
Have the veterinarian enter the animal and owner information, examination details, medical reason, and certificate validity information.
- 3
Sign And Date
The veterinarian and animal owner sign and date the certificate.
- 4
Submit The Certificate
Submit it to the city department named on the form; check the city website for current contact details. For dogs, present it with a dog license application.
Frequently asked questions
- What does the Rabies Vaccination Exemption Certificate document?
- It records a veterinarian’s finding that vaccination is medically contraindicated due to an infirmity, other physical condition, or regimen of therapy, along with owner and animal details.
- Do I need a notary for the Rabies Vaccination Exemption Certificate?
- No. The veterinarian and animal owner sign and date the certificate; it identifies no notarized or sworn attachment.
- How do I submit the Rabies Vaccination Exemption Certificate?
- Submit it to the city department named on the form; check the city website for current contact details. The certificate does not list a submission address.
- What happens if the animal is a dog?
- The certificate says it must be presented with an application for a dog license. It also says the animal must be re-examined by the stated expiration date.
Need something notarized?
This Rabies Vaccination Exemption Certificate doesn’t need a notary — but if you have another Rumson form that does, a commissioned online notary can help.