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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 _____________________
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You can request certified copies of births, deaths, or marriages from Pequannock township’s Vital Statistics and Records Division. Records can be obtained in person or by mail. The event must have occurred within the Township of Pequannock to obtain the record.
Monday through Friday (excluding Holidays)8:30 a.m. to 4:30 p.m.;
Extended hours to 7:30 p.m. the second Tuesday of each month and 8:30 a.m through 1:00 p.m. the following Friday.
Certificate obtained same day (typically about five minute wait).
Certificates typically processed and mailed same day (takes about 1 to 2 weeks).
WHERE TO APPLY:
Appointment RequiredPequannock Township Health Department530 Newark-Pompton Turnpike, Pompton Plains, NJ 07444Telephone: 973-835-5700 ext. 127Office Hours for License Application Process Only: Monday-Friday, 9:00 a.m. - 4:00 p.m.; (the second Tuesday of the month until 7:00 p.m and the following Friday until 12:30 p.m.)Closed Holiday and WeekendsPROCEDURE TO APPLY:You may apply in the municipality where either applicant resides. If both applicants live out of state you must apply in the New Jersey municipality where the ceremony is to be held.THE PROCESS FOR APPLYING IN PEQUANNOCK TOWNSHIP:Both applicants must present themselves at our office at their scheduled appointment time along with one witness. You will be required to complete an application, provide proof of residency, and pay a $28.00 application fee (cash or money order, personal checks not accepted.). Once the application is completed and accepted by our office there is a minimum 72 hour waiting period before the license may be issued. Once issued the license will be valid for a thirty day period.Anyone 18 years of age or older may apply for a license. If you are under 18 years of age we request you contact our office for special instructions.ADDITIONAL INFORMATION NEEDED WHEN APPLYING:Applicants must know the following: -the city/state of their birth -both parents full names/mother’s maiden name -parent’s birth places (city/state) -social security numbers -place and date of divorce finalization -name, address and contact number of person(s) performing the ceremony -date of ceremony -municipality where ceremony/event will occur