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Animal Registration Application


    Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 911.

    This form is an application for licensure, and submission does not guarantee your animal a license. Please use this form to submit application information, and then remit payment to:

    Rockaway Township Division of Health
    65 Mount Hope Road
    Rockaway NJ 07866

    If you do not submit payment, your animal remains unlicensed. Please contact the Division of Health with questions at 973-983-2848.

  2. Owner Contact Information

  3. Please upload a .pdf of your pets alteration.

  4. Please upload a .pdf of your rabies certificate.

  5. Hair Length*

  6. Sex*

  7. Which Type of License Are You Applying for:

  8. Please use the license fee schedule above, plus $5.00 for each month past January if you are renewing a license. Please send in a check with application. Check should be made out to Rockaway Township.

  9. Leave This Blank:

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