New Jersey Department of Health

Infectious and Zoonotic Diseases Program

PO Box 369

Trenton, NJ 08625-0369	LIST OF LICENSED KENNELS,

PET SHOPS, SHELTERS AND POUNDS
This form is to be submitted to the New Jersey Department of Health to identify licensed animal facilities. Please submit the same information for any newly licensed facilities during the year. NOTE: Facilities should not be licensed or re-licensed unless they have evidence of satisfactory inspection (within 2 to 3 months) from state or local health authorities. All licenses expire on the last day of June of each year. The annual license fees for facilities is established in N.J.S.A. 4:19-15.9.

Municipality

County

Name of Licensee	Mailing Address of Establishment/Physical Address if Different From Mailing Address	Type of

License	Email Address	Telephone Number/

Fax Number
Name of Person Completing Form

Agency

Telephone Number

Date

VPH-3

JUL 12

VPH-3, List of Licensed Kennels, Pet Shops, Shelters and Pounds

Zoonotic, Veterinary Public Health, Shelters, licensed kennels, VPH-3, infectious and zoonotic diseases program

EWhite

2001-02-02

NJDOH