Montgomery Township, MT · Somerset 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, and the owner signs to acknowledge the exemption.
What this form is
A veterinarian uses this certificate to record an animal’s medical reason for exemption, the examination date, and how long the exemption is valid. The form requests owner and animal details, the veterinarian’s license number and signature, and the owner’s signature. The certificate says it is valid for up to one year and, for dogs, must be presented with an application for a dog license.
Who needs it
An animal owner whose veterinarian determines that rabies vaccination is medically contraindicated needs this certificate; dog owners must present it with a dog license application.
How to submit it
For dogs, present the certificate with an application for a dog license. The document does not specify where or how to submit the application.
About notarization
This document is signed without a notary; the veterinarian and owner sign and date the certificate.
How to submit this form
- 1
Download the Certificate
Download the rabies vaccination exemption certificate.
- 2
Complete the Certificate
Provide the owner and animal details. The veterinarian records the examination and medical reason for exemption and completes the veterinarian fields.
- 3
Sign and Date
The veterinarian and 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
- Do I need a notary for the rabies vaccination exemption certificate?
- No. This document is signed and dated by the veterinarian and animal owner; it does not require a notary.
- 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 specify where or how to submit the application.
- Who completes the certificate?
- The veterinarian records the examination and medical reason for exemption and signs the certificate. The owner provides animal and owner details and signs to acknowledge the exemption.
- How long is the exemption certificate valid?
- The certificate states that it is valid until its listed expiration date, which must not exceed one year from the date of the last examination.
Need something notarized?
This Certificate of Exemption From Rabies Vaccination doesn’t need a notary — but if you have another Montgomery Township form that does, a commissioned online notary can help.