Application for Dog License

Please fill out the information below by using your computer mouse or tab button.  When complete mail a copy of the current rabies vaccination certificate, the correct fee (checks made out to Chesterfield Township) and the form to:

Chesterfield Twp. Police Dept.
Attn:  Dog Registrar
300 Bordentown-Chesterfield Road
Chesterfield, NJ  08515

(Please note:  If the rabies certificate expires during the 2014 calendar year, you must obtain an updated rabies shot before the dog can be licensed.)

Fees for Dog Licenses are:
Spayed or Neutered Dogs:  $8.00
Non-Spayed Dogs:  $11.00
Late Fee:  (after March 31):  $5.00 per month for renewal only (not new dogs)

Owners Information:
Name:

Physical Address: 

Phone Number: 

Mailing Address (if different than above): 

Pet Information:
Name: 
     Sex:    Male:      Female:       Age: 

Hair:  Short:       Medium:        Long:            Breed:        Color:

Spayed/Neutered?:   Yes:       No:   

New Dog?:  Yes:   No:         Previously Licensed in Chesterfield Township?:   Yes:        No: