Form Center Module

Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Pet License Application

Sign in to Save Progress
  2. Townhall building
  3. 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
  6. PET LICENSE APPLICATION
    This License will be valid from July 1, through June 30.
  7. Please Choose One:
  10. Owner Information
  23. Animal Information
  35. NOTE:
    If your pet's rabies vaccination expires BEFORE May 1, of NEXT YEAR, you MUST get your pet re-vaccinated! If mailing, please include a copy of the rabies vaccination Certificate.
  36. Please Choose One:*
  43. Please bring in a copy of the rabies vaccination certificate with this application:
  45. 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)
  47. 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
  49. No cash is accepted. We accept credit and debit card payments in person only. THANK YOU.
    50. Leave This Blank: