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The Rabies Certificate form serves as a crucial document in ensuring public health and safety regarding rabies vaccinations for pets. This form is designed to be filled out by a licensed veterinarian and includes essential information such as the owner's name and address, the animal's details—including species, age, size, and predominant breed—and the vaccination specifics. It captures critical data like the rabies tag number, microchip number, and the veterinarian's license number, ensuring that all relevant parties can verify the vaccination status of the animal. The form also specifies the type of vaccine administered, whether it’s a one-year or three-year vaccine, and includes the product name and manufacturer. Furthermore, it outlines the date of vaccination and the due date for the next vaccination, which is vital for maintaining the animal's health and compliance with local regulations. In addition to these details, the form requires the veterinarian's signature, adding an extra layer of authenticity. The comprehensive nature of this form not only facilitates the tracking of vaccinations but also aids in the prevention of rabies outbreaks, underscoring its importance in responsible pet ownership.

Key takeaways

When filling out and utilizing the Rabies Certificate form, several key points should be kept in mind to ensure accuracy and compliance.

  • Complete Owner Information: Clearly print the owner's name, address, and contact details. This ensures that the certificate is traceable and that the owner can be contacted if necessary.
  • Accurate Animal Details: Provide precise information about the animal, including species, age, size, and breed. This information is crucial for proper identification and record-keeping.
  • Vaccination Information: Record the date of vaccination, product name, and the veterinarian's details. This includes the veterinarian's license number and the vaccine's serial number, which are important for tracking the vaccine's safety and efficacy.
  • Renewal Dates: Note the next vaccination due date clearly. Keeping track of renewal dates helps in maintaining the animal's vaccination schedule and ensures compliance with local regulations.

Dos and Don'ts

When filling out the Rabies Certificate form, attention to detail is crucial. Here’s a list of dos and don’ts to ensure your form is completed accurately.

  • Do print clearly to avoid any misunderstandings.
  • Do include the correct rabies tag number as it is essential for tracking.
  • Do provide complete owner information, including name and address.
  • Do specify the animal's species, breed, and age accurately.
  • Don't leave any sections blank; all fields must be filled out.
  • Don't use abbreviations or shorthand that may confuse the reader.
  • Don't forget to sign the form and include the veterinarian's signature.

By following these guidelines, you can help ensure that your Rabies Certificate is processed without delay. Properly completed forms contribute to public health and safety.

Documents used along the form

The Rabies Certificate form is a crucial document for pet owners, particularly when traveling or participating in events where proof of vaccination is required. However, several other forms and documents often accompany it to ensure compliance with local laws and regulations regarding pet ownership and health. Below is a list of commonly used documents that may be needed alongside the Rabies Certificate.

  • Pet Health Certificate: This document verifies that a pet is healthy and free from contagious diseases. It is often required for travel, especially when crossing state lines or entering certain facilities.
  • Microchip Registration Form: This form registers a pet's microchip with a database, ensuring that the pet can be identified and returned if lost. It typically includes the owner's contact information and the microchip number.
  • Pet License Application: Many municipalities require pet owners to apply for a license for their pets. This application usually includes details about the pet, such as breed, age, and vaccination status.
  • Veterinary Records: These documents provide a comprehensive history of a pet's health, vaccinations, and treatments. They are essential for new pet owners and may be requested by boarding facilities or pet sitters.
  • IRS Form 2553: This important form allows eligible small business corporations to elect S corporation status for tax purposes, potentially providing significant tax benefits. For more information, visit Fast PDF Templates.
  • Import Permit: For pets traveling internationally, an import permit may be necessary. This document ensures that the pet meets the health and vaccination requirements of the destination country.
  • Owner Surrender Form: If a pet owner can no longer care for their pet, this form is used to officially surrender the animal to a shelter or rescue organization. It includes information about the pet's history and health.
  • Pet Adoption Agreement: This document outlines the terms and conditions of adopting a pet from a shelter or rescue. It typically includes responsibilities of the new owner and the shelter's policies.
  • Emergency Contact Form: This form provides important contact information for the pet owner in case of emergencies. It may also include details about the pet's medical needs and preferred veterinarians.

Understanding these documents can help pet owners navigate the responsibilities of pet ownership more effectively. Each form serves a specific purpose, ensuring that pets receive proper care and that owners comply with regulations. Keeping these documents organized and accessible can simplify many processes related to pet health and safety.

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Things to Know About This Form

What is a Rabies Certificate?

A Rabies Certificate is an official document that confirms a pet has been vaccinated against rabies. This certificate is crucial for pet owners, especially when traveling, boarding pets, or complying with local laws. It provides proof that the animal has received a rabies vaccination from a licensed veterinarian.

Why do I need a Rabies Certificate?

Rabies is a serious disease that can be fatal to both animals and humans. Many states and local jurisdictions require pets to be vaccinated against rabies. A Rabies Certificate ensures that your pet is compliant with these regulations. Additionally, it can be necessary for travel, pet daycare, and some housing situations.

How do I obtain a Rabies Certificate?

To get a Rabies Certificate, you need to take your pet to a licensed veterinarian. The vet will administer the rabies vaccine and complete the certificate form. Make sure to provide your pet's information, such as species, age, and any microchip details, so the certificate is accurate.

What information is included on the Rabies Certificate?

The Rabies Certificate typically includes:

  • Owner's name and address
  • Pet's species, age, size, and breed
  • Microchip number (if applicable)
  • Date of vaccination
  • Vaccine product name and manufacturer
  • Veterinarian's name and license number
  • Next vaccination due date
  • Veterinarian's signature

How long is a Rabies Certificate valid?

The validity of a Rabies Certificate depends on the type of vaccine used. Generally, rabies vaccines are given for one, three, or four years. Your veterinarian will specify the expiration date based on the vaccine administered. It’s essential to keep track of these dates to ensure your pet remains compliant.

What should I do if I lose my Rabies Certificate?

If you lose your Rabies Certificate, contact your veterinarian. They can often provide a replacement or a copy of the vaccination record. Keeping a digital copy or taking a picture of the certificate can help prevent future issues.

Can I use a Rabies Certificate from another state?

Yes, a Rabies Certificate from another state is generally acceptable, as long as it meets the vaccination requirements of your current location. However, some states may have specific regulations, so it’s wise to check local laws to ensure compliance.

What if my pet is not vaccinated yet?

If your pet has not been vaccinated against rabies, schedule an appointment with a veterinarian as soon as possible. They will administer the vaccine and provide you with the Rabies Certificate once the vaccination is complete. It’s important to vaccinate your pet to protect their health and comply with local laws.

What should I do if my pet has a reaction to the rabies vaccine?

While reactions to rabies vaccines are rare, they can occur. If your pet shows signs of an allergic reaction, such as swelling, difficulty breathing, or vomiting, contact your veterinarian immediately. They can provide the necessary treatment and advice on how to proceed with future vaccinations.

Preview - Rabies Certificate Form

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Document Specifics

Fact Name Description
Form Identification The Rabies Vaccination Certificate is identified as NASPHV Form 51, revised in 2007, which standardizes rabies vaccination documentation across various jurisdictions.
Owner Information The form requires the owner's name, address, and contact information, ensuring that pet owners can be easily identified and contacted regarding their animal's vaccination status.
Animal Details Specific information about the animal is collected, including species, age, size, breed, and markings. This data is crucial for identifying the vaccinated animal.
Vaccination Information The certificate must include details about the vaccination, such as the product name, manufacturer, and veterinarian’s information, ensuring traceability and accountability.
State Regulations Each state may have specific laws governing rabies vaccinations. For example, California requires rabies vaccinations for dogs over four months old under the California Health and Safety Code Section 121690.
Validity Period The form allows for different vaccination durations, typically one year or three years, depending on the vaccine used and state regulations, which affects how often pets must be re-vaccinated.

How to Fill Out Rabies Certificate

After gathering all necessary information, you can begin filling out the Rabies Certificate form. Ensure that all details are accurate to avoid any issues. The completed form should be submitted to the appropriate authority or kept for your records.

  1. Locate the Rabies Certificate form, ensuring it is the most recent version (NASPHV FORM 51, revised 2007).
  2. Fill in the Rabies Tag # at the top of the form.
  3. In the Owner's Name & Address section, print your name clearly. Include your first name, last name, middle initial (if applicable), street address, city, state, and zip code.
  4. Provide your Telephone # for contact purposes.
  5. Indicate the Species of the animal (Dog, Cat, Ferret, Other) and fill in the Age (in months or years) and Size (Under 20 lbs, 20 - 50 lbs, Over 50 lbs).
  6. Specify the Predominant Breed and describe the Colors/Markings of your animal.
  7. State the Animal Name and whether it is Neutered (indicate if applicable).
  8. Provide the Animal Control License information, selecting between 1 Yr, 3 Yr, or Other.
  9. Fill in the Date Vaccinated by entering the month, day, and year.
  10. List the Product Name of the rabies vaccine used.
  11. Enter the Veterinarian's Name and License Number (first three letters).
  12. Indicate the Manufacturer of the vaccine.
  13. Mark the Next Vaccination due date, selecting from 1 Yr, 3 Yr, or 4 Yr USDA Licensed Vaccine.
  14. Obtain the Veterinarian's Signature to validate the vaccination.
  15. Finally, fill in the Vaccine Serial (lot) Number for record-keeping.