PET LICENSE APPLICATION FORM
Dog and cat licenses are available from the Pequannock Township Health Department beginning January 2nd of the current year by completing the mail-in form below. When obtaining your animal’s license you must provide proof that the animal has a current rabies vaccination through October 31st of the licensing year. In addition, veterinarian’s proof of spay or neutering (if applicable) must accompany the license application. Residents may also obtain their dog or cat licenses by applying in person at the Pequannock Health Department, 530 Newark Pompton Turnpike, Pompton Plains, between the hours of 8:30 a.m. to 4:30 p.m. Monday through Friday, and on the second Tuesday of each month until 7:30 p.m. and only 1:00 p.m. the following Friday. Residents who do not license their dogs or cats by January 31st of the current year must pay a late fee of $5.00 and are subject to summons as provided by law.
ANIMAL LICENSE MAIL - IN FORM
[ ] DOG [ ] CAT [ ] NEW LICENSE [ ] RENEWAL LICENSE
Please complete one form for each animal and mail along with a stamped, self-addressed return envelope; the proper fee; proof of rabies vaccination; and spay/neutering information (if applicable.)
Please have checks made payable to: Pequannock Township Health Department 530 Newark-Pompton Turnpike Pompton Plains, N.J. 07444 973-835-5700 Ext. 127
FEE: DOGS/CATS per animal - $22.00 - spayed or neutered $25.00 - all other $ 5.00 - late fee after January 31st
Owners’ Name ____________________________________ Phone _______________________
Address ____________________________________ City_______________________________
Animal’s Name ____________________________ Color & Markings ______________________ DOB___________
Hair (S, M, L) _____________ Spayed/Neutered (date) __________________ Sex _______
Breed_____________________ Rabies Inoculation Date _____________________