Homepage Blank Rabies Certificate Form
Table of Contents

The Rabies Certificate form serves as an essential document for pet owners, veterinarians, and animal control agencies. This form provides critical information regarding the vaccination status of an animal, typically a dog, cat, or ferret. Key details included on the form are the owner's name and address, the animal's species, age, size, and predominant breed. It also captures the unique identification of the pet through a microchip number and a rabies tag number. The vaccination details, such as the product name, manufacturer, and the veterinarian's license number, are crucial for ensuring that the vaccination meets regulatory standards. Furthermore, the form specifies whether the animal has been neutered and includes a section for the veterinarian’s signature, confirming the vaccination date and the next due date for revaccination. This comprehensive documentation is vital for maintaining public health and safety, as well as for compliance with local and state regulations regarding rabies vaccination.

Dos and Don'ts

When filling out the Rabies Certificate form, attention to detail is crucial. Here’s a list of things you should and shouldn’t do to ensure the process goes smoothly.

  • Do print all information clearly. Legibility is key.
  • Do provide accurate details about the animal, including species and breed.
  • Do include the correct vaccination date. This helps in tracking future vaccinations.
  • Do ensure the veterinarian's name and license number are filled out correctly.
  • Don't leave any fields blank. Missing information can delay processing.
  • Don't use abbreviations or nicknames for the animal. Use the official name.
  • Don't forget to check the expiration date of the vaccine. It's important for compliance.

By following these guidelines, you can help ensure that the Rabies Certificate form is completed accurately and efficiently. This is important not only for legal compliance but also for the health and safety of your pet and the community.

Rabies Certificate Sample

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Listed Questions and Answers

  1. What is the purpose of the Rabies Certificate form?

    The Rabies Certificate form serves as an official document that verifies a pet has received a rabies vaccination. It is crucial for pet owners to have this certificate, as it may be required for travel, boarding, or licensing their pets. The form includes essential details such as the owner's information, the animal's characteristics, and vaccination specifics.

  2. What information is required on the form?

    The form requires several pieces of information. Pet owners must provide their name, address, and contact number. Additionally, details about the pet are needed, including species, age, size, predominant breed, and sex. The vaccination details, such as the date vaccinated, product name, veterinarian's name, and license number, must also be included.

  3. How often does my pet need to be vaccinated for rabies?

    The frequency of rabies vaccinations can vary based on local laws and the vaccine used. Generally, pets receive an initial vaccination followed by a booster. Many jurisdictions require rabies vaccinations every one to three years. Always check with a veterinarian to determine the appropriate schedule for your pet.

  4. What should I do if I lose my Rabies Certificate?

    If the Rabies Certificate is lost, pet owners should contact the veterinarian who administered the vaccination. The veterinarian can often provide a duplicate certificate or reissue the original. It is advisable to keep a digital copy for future reference.

  5. Can I use the Rabies Certificate for travel?

    Yes, the Rabies Certificate is often required for traveling with pets, especially when crossing state lines or entering certain countries. Always check the specific travel regulations of your destination, as some places may have additional requirements regarding vaccinations and documentation.

  6. What does the veterinarian's signature signify?

    The veterinarian's signature on the Rabies Certificate confirms that the pet has been vaccinated according to the appropriate guidelines. This signature also indicates that the veterinarian has reviewed the vaccination details and that the information provided is accurate. It is an essential part of the certification process.

Form Overview

Fact Name Description
Form Name The official name of the form is the "Rabies Vaccination Certificate," specifically NASPHV Form 51, revised in 2007.
Purpose This certificate serves as proof that an animal has been vaccinated against rabies, which is essential for public health and safety.
Owner Information It requires the owner's name, address, and contact information, ensuring that the owner can be reached if necessary.
Animal Details The form collects specific details about the animal, including species, age, size, and predominant breed.
Vaccination Details Details about the vaccination, including the date vaccinated, product name, and manufacturer, must be filled out by the veterinarian.
License Information Veterinarians must include their license number and the type of vaccine administered, which can be a 1-year, 3-year, or 4-year USDA licensed vaccine.
Microchip Information If applicable, the form allows for the inclusion of the animal's microchip number, aiding in identification and recovery.
Signature Requirement The veterinarian's signature is required to validate the certificate, confirming that the vaccination was administered.
State-Specific Laws Different states may have specific laws regarding rabies vaccination, such as mandatory vaccination for pets and required certificate issuance.
Next Vaccination Due The form includes a section indicating when the next vaccination is due, helping to ensure ongoing compliance with vaccination requirements.