Form VPH-28 PDF Details

The veterinarian has determined that it would be medically contraindicated to vaccinate this animal due to an infirmity, other physical condition, or regimen of therapy.

Re-examination: this animal must be re-examined by the expiration date listed above.

Vaccination or new certificate: at that time the animal must either be vaccinated against rabies or, if exemption status still applies, a new certificate must be issued.

Copy: a copy of this certificate must be provided to the owner of the animal listed above and kept as proof of exemption.

Dog license: for dogs, this certificate must be presented with an application for a dog license.

QuestionAnswer
Form NameForm VPH-28
Form Length1 page
Fillable?Yes
Fillable fields23
Avg. time to fill out4 min
EditionAUG 26
Issuing agencyNew Jersey Department of Health
Who signsThe veterinarian and the owner
Matches the agency's fileYes, checked October 2, 2026
Other namesVPH-28, VPH 28, VPH28, Form VPH-28, New Jersey VPH-28, Certificate of Exemption from Rabies Vaccination
Official sourceForm VPH-28 (Rev AUG 26), New Jersey Department of Health