Spring Lake Heights, MT · Monmouth County
Certificate of Exemption From Rabies Vaccination
Veterinarians and animal owners complete this certificate to document a medical exemption from rabies vaccination for an animal.
What this form is
A veterinarian uses this certificate to document that an animal should not receive a rabies vaccine because of an infirmity, physical condition, or therapy regimen. The form records owner and animal details, the veterinarian’s findings and signature, and the exemption’s expiration date. For dogs, the certificate must be presented with an application for a dog license; a copy must also be provided to the owner and kept as proof of exemption.
Who needs it
An animal owner and veterinarian need this certificate when a medical condition or therapy regimen makes rabies vaccination medically contraindicated.
How to submit it
Present this certificate with an application for a dog license; the document does not name a submission office, so check the city website for current contact details.
About notarization
This certificate is signed and dated without a notary; the veterinarian and animal owner provide signatures, and no notarized attachment or sworn step is listed.
How to submit this form
- 1
Download The Certificate
Download the rabies vaccination exemption certificate PDF.
- 2
Complete The Form
Enter the owner and animal information. The veterinarian documents the examination and medical reason for exemption, then signs and dates the certificate.
- 3
Review The Exemption Details
Check the stated expiration date and sign and date the owner acknowledgment.
- 4
Present The Certificate
For a dog, present the certificate with an application for a dog license. Keep a copy as proof of exemption.
Frequently asked questions
- Do I need a notary for the rabies vaccination exemption certificate?
- No. The veterinarian and animal owner sign and date the certificate; it does not list a notarized attachment or sworn step.
- 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 identify a submission office, so check the city website for current contact details.
- Who completes the rabies vaccination exemption certificate?
- The veterinarian records the animal’s medical condition, examination details, and signature. The owner provides animal and contact information and signs and dates the certificate.
- How long is the exemption valid?
- The certificate states that its validity may not exceed one year from the date of the last examination. The animal must be re-examined by the expiration date.
