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Content Overview

The Rabies Certificate form is an essential document for pet owners, particularly for those who want to ensure their animals are vaccinated against rabies. This form captures vital information about the pet, including the owner's name, address, and contact details, as well as specifics about the animal itself, such as species, age, size, and predominant breed. For pets like dogs and cats, the form requires details about their physical characteristics, including colors and markings. Additionally, it includes important vaccination information, such as the date vaccinated, the product name, and the veterinarian's details. A rabies tag number and microchip number can also be included for better identification. The form specifies whether the animal has been neutered and indicates the duration of the vaccination, whether it’s for one year or three years. Veterinarians play a crucial role in this process, as their signature and license number validate the vaccination, ensuring compliance with health regulations. Keeping track of the next vaccination date is also a key aspect, as it helps maintain the pet's health and safety. Overall, the Rabies Certificate form serves as a crucial record for pet owners, veterinarians, and animal control agencies alike, fostering a safer environment for both pets and people.

Key takeaways

When filling out the Rabies Certificate form, keep these key takeaways in mind:

  • Print Clearly: Ensure all information is legible to avoid processing delays.
  • Owner Information: Include the owner's full name, address, and telephone number.
  • Animal Details: Specify the animal's species, age, size, and predominant breed.
  • Microchip Number: If applicable, provide the microchip number for identification.
  • Vaccination Information: Record the date of vaccination, product name, and manufacturer.
  • Veterinarian Details: Include the veterinarian's name, license number, and signature.
  • Vaccination Duration: Indicate whether the vaccination is for 1 year, 3 years, or other durations.
  • Next Vaccination Due: Clearly state the date when the next vaccination is due.
  • Animal Control License: If applicable, include the animal control license information.

Following these guidelines will help ensure that the Rabies Certificate is completed correctly and efficiently.

Guide to Writing Rabies Certificate

Completing the Rabies Certificate form accurately is essential to ensure that your pet is properly documented and compliant with local regulations. Follow the steps below to fill out the form correctly. Make sure to have all necessary information at hand before you begin.

  1. Start by locating the Rabies Tag # section at the top of the form. Enter the tag number assigned to your pet.
  2. In the Owner's Name & Address section, print your name clearly. Include your first name, last name, middle initial, and complete address (number, street, city, state, and ZIP code).
  3. Provide your telephone number in the designated space.
  4. Identify your pet's species (Dog, Cat, Ferret, Other) and fill in the age and size of your pet. For dogs, specify the predominant breed.
  5. Describe your pet's colors/markings to help identify them.
  6. Indicate the sex of your pet by checking either Male or Female. If your pet is neutered, please specify.
  7. Enter your pet's name in the appropriate field.
  8. In the Animal Control License section, select the duration of the vaccination (1 Yr, 3 Yr, Other) and fill in the date vaccinated.
  9. Provide the Product Name of the vaccine used, along with the Veterinarian's Name and Manufacturer.
  10. Fill in the License Number of the veterinarian, which usually consists of the first three letters of their name.
  11. Indicate the next vaccination due date and the type of vaccine (1 Yr, 3 Yr, 4 Yr). Include the Vaccine Serial (lot) Number as well.
  12. Finally, ensure the Veterinarian's Signature is included, along with their address.

Once you have completed the form, double-check all entries for accuracy. This will help prevent any issues with your pet's vaccination record. After verification, submit the form to the appropriate authority or keep it for your records.

Form Preview Example

 

 

 

RABIES VACCINATION CERTIFICATE

 

 

Push to Print Form

 

Push to Reset Form

 

 

NASPHV FORM 51 (revised 2007)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RABIES TAG #

 

 

 

 

 

 

 

 

Owner's Name & Address

Print Clearly

MICROCHIP #

 

 

 

 

 

LAST

FIRST

M.I.

TELEPHONE #

 

NO.STREET

CITY

STATE

ZIP

SPECIES

AGE

 

 

 

 

 

 

 

 

SIZE

PREDOMINANT BREED

PREDOMINANT

Dog

 

 

 

 

 

 

 

 

 

 

Months

Under 20 lbs.

 

 

 

 

 

 

 

 

COLORS/MARKINGS

Cat

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Years

 

 

20 - 50 lbs.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ferret

 

 

 

 

SEX

 

 

Male

Over 50 lbs.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Female

 

 

 

 

 

 

 

 

 

 

ANIMAL NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Neutered

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Animal Control License

 

 

 

 

 

1 Yr

 

 

 

3 Yr

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE VACCINATED

Product Name:

 

 

 

 

 

 

 

 

 

 

Veterinarian's Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Manufacturer:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Month / Day / Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

(First 3 letters)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 Yr USDA Licensed Vaccine

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NEXT VACCINATION

 

 

 

 

 

3 Yr USDA Licensed Vaccine

 

 

 

Veterinarian's Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DUE BY:

 

 

 

 

 

4 Yr USDA Licensed Vaccine

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Initial dose

 

 

Booster dose

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Month / Day / Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vaccine Serial (lot) Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Documents used along the form

The Rabies Certificate is an essential document for pet owners, particularly for those who travel or participate in events with their animals. Alongside this certificate, there are several other forms and documents that may be required for various purposes. Understanding these documents can help ensure compliance with local regulations and facilitate smooth interactions with veterinary services, animal control, and travel authorities.

  • Pet Health Certificate: This document verifies that a pet is healthy and free from contagious diseases. It is often required for travel, boarding, or entering certain facilities.
  • Microchip Registration Form: This form registers a pet's microchip with a database. It is crucial for identification and recovery if a pet gets lost.
  • Veterinary Examination Report: This report provides a detailed assessment of a pet's health during a veterinary visit. It can be necessary for adoption or travel purposes.
  • Animal Control License Application: This application is required to obtain a license for pet ownership in certain jurisdictions. It often includes details about the pet and owner.
  • Recommendation Letter form: A standardized document that endorses an individual's abilities and character, often required by employers or academic institutions as part of an application process. For more information, visit smarttemplates.net.
  • Proof of Spay/Neuter Certificate: This certificate confirms that a pet has been spayed or neutered. It may be needed for licensing or adoption processes.
  • Travel Health Certificate: Similar to a pet health certificate, this document is specifically for travel. It may include additional vaccinations required by airlines or states.
  • Vaccination Records: These records detail all vaccinations a pet has received, including dates and types. They are essential for school, daycare, or boarding facilities.
  • Import/Export Permit: Required for pets traveling internationally, this permit ensures compliance with the destination country's regulations regarding pet entry.
  • Emergency Contact Form: This form lists contacts in case of an emergency involving the pet. It can be helpful for caregivers or pet sitters.

Each of these documents plays a vital role in responsible pet ownership. Keeping them organized and accessible can make a significant difference in ensuring the well-being and safety of your pet.