Dog License Application 2026 * Fields in red are required FEES: Spayed/neutered $16.00 Non-spayed/neurtered $19.00 Late Fee(Renewals only) $3.00 $3.00 per pet, per month after 1/31 PLEASE PRINT THE FOLLOWING INFORMATION: Owner's Name: Phone #: Street Address: Mailing Address (if different): State: - - AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Town: Zip Code: Type of License: New Renewal Dog's Sex: Male Female Reproductive Status: Neutered Spayed Non Altered Proof of Spay/Neuter: Please scan the QR code below with your phone to upload your file directly from your mobile device. https://www.cit-e.net/mt_olive-nj/cn/inc/mobileUpload/mobileUpload.cfm?token=D7F08725-D079-C572-BCB512353CA73DB8&tpid=18022&formid=225&questionID=3961 Scan: Open your phone camera to scan the code. Upload: Select or snap your file on the mobile page. Sync: The file will instantly appear on your desktop form. OK mobile-Proof of Spay/Neuter: Breed: Age: Length of Hair: Color (s): Dog's Name: Date of Rabies Expiration: Rabies Vaccination: Please scan the QR code below with your phone to upload your file directly from your mobile device. https://www.cit-e.net/mt_olive-nj/cn/inc/mobileUpload/mobileUpload.cfm?token=D7F08725-D079-C572-BCB512353CA73DB8&tpid=18022&formid=225&questionID=3960 Scan: Open your phone camera to scan the code. Upload: Select or snap your file on the mobile page. Sync: The file will instantly appear on your desktop form. OK mobile-Rabies Vaccination: NJ regulations require that the duration of immunity from the most recent rabies vaccination must extend through at least the first 10 months of the 12 month licensing period making the cutoff date 11/1 for dogs (N.J.A.C. 8:23A-4.1) Exemption by a Veterinarian form can be obtained on NJDOH website: http://nj.gov/health/forms/vph-28.pdf. Information on the APC programs go to: Department of Health | Veterinary Public Health As a courtesy a renewal notice is mailed January 1st for dogs and April 1st for cats provided the pet was licensed in the prior year. This form has been updated overall, is it easier to use?: I strongly agree I strongly disagree Reason for Disagreeing : Payer Information Billing Name: Address: Address 2: City: State: - - AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ZIP Code: Daytime Phone: Payer E-mail Address: Payment Information Payment Amount: $16.00 - New Spayed/neutered $19.00 - New Non-spayed/neutered $43.00 - Renewal Spayed/neutered $46.00 - Renewal Non-spayed/neutered Payment Method: ACH Payment (e-Check) Convenience Fee: Enter information as it appears on your check (USA Banks Only) Account Type: Select Type Personal Checking Business Checking Routing Number: Account Number: Re-Enter Account #: Using the following lower portion of a personal check as an example, enter the information that appears at the bottom of your check. Do NOT include any dashes or spaces. Comments: