Rosendale, NY · Ulster County
Certificate of Exemption From Rabies Vaccination
This certificate documents a veterinarian’s determination that an animal should not receive a rabies vaccination because vaccination would endanger its life.
What this form is
A veterinarian completes this certificate after examining an animal and determining that rabies vaccination would endanger its life. The form records the animal’s and owner’s details, the health risk, and the veterinarian’s information and signature; the owner also signs and dates it. The exemption is valid for up to one year unless the veterinarian states otherwise, and a dog’s certificate must accompany a dog license application.
Who needs it
An animal owner whose veterinarian determines that rabies vaccination would endanger the animal’s life needs this certificate completed and signed.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details. For dogs, present it with an application for a dog license.
About notarization
This certificate is signed without a notary; the veterinarian and owner sign and date it, and the document mentions no notarized or sworn attachment.
How to submit this form
- 1
Download the Certificate
Download the Certificate of Exemption From Rabies Vaccination.
- 2
Have the Veterinarian Complete It
The veterinarian records the examination, animal and owner details, health risk, and license information, then signs.
- 3
Sign and Date the Certificate
The owner acknowledges the exemption by signing and dating the certificate.
- 4
Present It With a Dog License Application
For dogs, present the certificate with an application for a dog license. Check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Certificate of Exemption From Rabies Vaccination?
- No. The veterinarian and owner sign and date this certificate without a notary, and the document mentions no notarized or sworn attachment.
- How do I submit the rabies exemption certificate?
- The form gives no submission department or method. Check the city website for current contact details; for dogs, present the certificate with an application for a dog license.
- Who completes the rabies exemption certificate?
- The veterinarian completes the examination and animal information sections, explains the health risk, and signs. The owner acknowledges the exemption by signing and dating the certificate.
- How long is the exemption valid?
- The form says the exemption is valid for up to one year from the examination date unless the veterinarian states otherwise.
Need something notarized?
This Certificate of Exemption From Rabies Vaccination doesn’t need a notary — but if you have another Rosendale form that does, a commissioned online notary can help.