Woodstown, MT · Salem County
Certificate of Exemption From Rabies Vaccination
This certificate documents a veterinarian’s determination that an animal should not receive a rabies vaccination for medical reasons, with owner acknowledgment.
What this form is
A veterinarian completes this certificate after examining an animal and determining that vaccination is medically contraindicated due to an infirmity, physical condition, or therapy regimen. It records the owner and animal details, the veterinarian’s findings and signature, and the owner’s acknowledgment of the exemption and related responsibilities. The certificate is valid for up to one year; for dogs, it must be presented with a dog license application.
Who needs it
An animal owner seeking a medical exemption from rabies vaccination needs a veterinarian to complete the certificate and must sign it.
How to submit it
For dogs, present the certificate with an application for a dog license. The form does not name a submission office or provide contact details.
About notarization
This document is signed without a notary; the veterinarian and owner sign and date the certificate, with no notarized attachment or related step specified.
How to submit this form
- 1
Download the Certificate
Download the rabies vaccination exemption certificate for the animal.
- 2
Have the Veterinarian Complete It
The veterinarian records the animal’s details and medical reason for the exemption, then signs and dates the certificate.
- 3
Review and Sign
The owner reviews the information and signs and dates the owner acknowledgment.
- 4
Present With a Dog License Application
For dogs, present the certificate with an application for a dog license.
Frequently asked questions
- Do I need a notary for the rabies vaccination exemption certificate?
- No. The veterinarian and owner sign and date the certificate; the form does not specify a notarized attachment or related step.
- How do I submit the rabies vaccination exemption certificate?
- For dogs, present the certificate with an application for a dog license. The form does not name a submission office or provide contact details.
- Who completes the rabies vaccination exemption certificate?
- A veterinarian completes the animal and medical information and signs the certificate. The owner also signs to acknowledge the exemption and related information.
- How long is the exemption certificate valid?
- The certificate is valid until its stated expiration date, which cannot be more than one year from the date of the animal’s last examination.
