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Pet License Application

  1. Townhall building

  2. Township of Bloomfield

    1 Municipal Plaza – Room 214 Bloomfield, New Jersey 07003-3487 LOUISE M. PALAGANO Municipal Clerk Tel. (973) 680-4015 Fax. (973) 680-0048

  3. 2019-2020 PET LICENSE APPLICATION

    This License will be valid from July 1, 2019 through June 30, 2020

  4. Owner Information

  5. Animal Information

  6. NOTE:

    If your pet's rabies vaccination expires BEFORE May 1, 2020, you MUST get your pet re-vaccinated! If mailing, please include a copy of the rabies vaccination Certificate.

  7. Please Choose One:*

  8. Please bring in a copy of the rabies vaccination certificate with this application:

  9. License Information

    FEES: $22.00 for spayed/neutered pets (MUST SUBMIT PROOF OF SPAY/NEUTERING) $25.00 for non-spayed/neutered pets (NOTE: No cash will be accepted)

  10. TO OBTAIN A LICENSE FOR YOUR DOG/CAT:

    1. Complete all information requested above, INCLUDING telephone numbers. Your application will not be processed if any information is missing.
    2. Mail a check or money order made payable to the “Township of Bloomfield” in the appropriate amount to:
    Bloomfield Municipal Clerk’s Office (PET LICENSE) Room 214
    1 Municipal Plaza Bloomfield, New Jersey 07003

  11. No cash is accepted. We accept credit and debit card payments in person only. THANK YOU.

  12. Leave This Blank: