Kenilworth, MT · Union County

No notary required

Certificate of Exemption From Rabies Vaccination

This certificate records a veterinarian’s medical exemption from rabies vaccination and the animal owner’s acknowledgment of the exemption.

What this form is

A veterinarian completes this certificate when an animal has an infirmity, physical condition, or therapy regimen that makes rabies vaccination medically contraindicated. It asks for owner and animal details, the veterinarian’s examination and findings, and signatures from the veterinarian and owner. The certificate is valid for up to one year, and for dogs it must accompany a dog license application.

Who needs it

Animal owners whose veterinarian determines that rabies vaccination is medically contraindicated need this certificate to document the exemption.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This certificate is signed without a notary; the veterinarian and owner sign and date it, and no notarized or sworn attachment is listed.

How to submit this form

  1. 1

    Download the Certificate

    Download the Certificate of Exemption from Rabies Vaccination.

  2. 2

    Complete the Form

    Enter the owner and animal information, then have the veterinarian record the examination and medical basis for exemption.

  3. 3

    Sign and Date

    Have the veterinarian and animal owner sign and date the certificate.

  4. 4

    Submit the Certificate

    For dogs, present the certificate with an application for a dog license.

Frequently asked questions

What is the Certificate of Exemption from Rabies Vaccination?
It documents a veterinarian’s determination that an animal has a medical condition or therapy regimen that makes rabies vaccination contraindicated, along with the owner’s acknowledgment.
Who completes and signs the certificate?
The form requests the owner’s and animal’s details, the veterinarian’s examination findings and signature, and the owner’s signature and date.
Do I need a notary for the rabies exemption certificate?
No. The veterinarian and owner sign and date this certificate without a notary; the document lists no notarized or sworn attachment.
How do I submit the rabies exemption certificate?
The document does not name a submission office or method. For dogs, it says to present the certificate with an application for a dog license.

Need something notarized?

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