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Dog License Application

  1. 50 Winfield Scott Plaza
    Elizabeth, NJ 07201
    Phone: 908-820-4178
    Email the City of Elizabeth

  2. Owner Information

  3. If applicable, provide details of another owner for this dog that resides at the same address.

  4. Dog Information

  5. Sex*

  6. Pet Size*

  7. Hair Length*

  8. Debarked*

  9. Is this a Service Dog?*

  10. What Kind of Service Dog

  11. Veterinarian Information

  12. Required Documents

    1. New Registrations: All new applicants must include a valid Rabies Certificate and Spayed/Neutered Certificate before a license can be issued. The Rabies Certificate must be valid through December 31st of the licensing year.
    2. Renewals: Renewals must include a valid Rabies Certificate. The Rabies Certificate must be valid through December 31st of the licensing year.
    3. Service Dogs: All applications for Service Dogs must include a valid Service Dog Registration Certificate.

  13. Vaccination Information

  14. Note that payment must be received in full before a Dog License and Registration Tags can be issued.

  15. I acknowledge that all statements made herein are accurate and that this application will not be accepted as submitted until all required documents are remitted, and all applicable fees are paid. I acknowledge that if no payment is made within 72 hours of this application, it will be deemed null and void, and I will be required to make a new application.

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  17. This field is not part of the form submission.