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The Rabies Certificate form plays a crucial role in public health and animal safety by providing essential information regarding a pet's rabies vaccination status. This form is designed to be clear and comprehensive, ensuring that pet owners can easily document their animals' vaccination details. Key components include the owner's name and address, along with the animal's specifics, such as species, age, size, and predominant breed. The certificate also requires the rabies tag number and microchip number, if applicable, which helps in identifying the pet. Additionally, the form captures vital vaccination information, including the date of vaccination, the product name, and the veterinarian's details. It distinguishes between different vaccination durations, such as one-year and three-year vaccines, and includes a section for the veterinarian's signature. With all this information compiled, the Rabies Certificate serves not only as proof of vaccination but also as a safeguard for both pets and the community at large.

Dos and Don'ts

When filling out the Rabies Certificate form, attention to detail is crucial. Here are some important dos and don'ts to consider:

  • Do print clearly and legibly to ensure all information is easily readable.
  • Do provide accurate and complete details about your pet, including species, breed, and age.
  • Do include the veterinarian's name and license number to validate the vaccination.
  • Do check the vaccination dates to ensure they are current and correctly recorded.
  • Don't leave any required fields blank; incomplete forms can lead to delays.
  • Don't use abbreviations or shorthand that could cause confusion; clarity is key.

Document Attributes

Fact Name Description
Form Title The document is titled "Rabies Vaccination Certificate" and is based on NASPHV FORM 51, revised in 2007.
Owner Information It requires the owner's name, address, and contact number. This information must be printed clearly.
Animal Details The form collects specific details about the animal, including species, age, size, breed, and markings.
Vaccination Information Details about the vaccination, such as the date vaccinated, product name, and veterinarian's information, are included.
State-Specific Laws Each state may have its own laws governing rabies vaccination requirements. Check local regulations for compliance.

Key takeaways

When filling out the Rabies Certificate form, it is essential to pay attention to detail to ensure accuracy and compliance. Here are some key takeaways to consider:

  • Print Clearly: Use clear and legible handwriting when filling out the owner's name and address, as well as other important details. This helps prevent any misunderstandings.
  • Complete All Sections: Ensure that every section of the form is filled out completely. Missing information can lead to delays in processing or issues with vaccination records.
  • Specify Animal Details: Provide accurate details about the animal, including species, age, size, and predominant breed. This information is crucial for identification purposes.
  • Vaccination Information: Record the date of vaccination, product name, and the veterinarian’s name. This information is vital for tracking the vaccination history.
  • License Information: Include the animal control license number and the vaccination duration (1 Yr, 3 Yr, or other). This helps in maintaining compliance with local regulations.
  • Veterinarian's Signature: Ensure that the veterinarian signs the form. This signature confirms that the vaccination has been administered properly.
  • Keep Copies: After completing the form, make copies for your records. This ensures you have documentation in case it is needed for travel or other purposes.

By following these guidelines, you can ensure that the Rabies Certificate is filled out correctly and serves its purpose effectively.

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Example - 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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Detailed Instructions for Writing Rabies Certificate

After gathering the necessary information, you can proceed to fill out the Rabies Certificate form. This document requires specific details about the pet and the vaccination administered. Ensure all information is accurate to facilitate proper record-keeping.

  1. Begin by entering the Rabies Tag Number at the top of the form.
  2. Fill in the Owner's Name and Address. Include the first name, last name, middle initial, street address, city, state, and zip code. Write clearly.
  3. Provide the Telephone Number of the owner.
  4. Indicate the Species of the animal (Dog, Cat, Ferret, Other).
  5. Record the Age of the animal in months or years, depending on the species.
  6. Specify the Size of the animal: Under 20 lbs, 20 - 50 lbs, or Over 50 lbs.
  7. List the Predominant Breed of the animal.
  8. Describe the Colors/Markings of the animal.
  9. Indicate the Sex of the animal (Male or Female).
  10. Enter the Animal Name.
  11. Note if the animal is Neutered and specify if applicable.
  12. Fill in the Animal Control License details.
  13. Choose the Vaccination Duration (1 Yr, 3 Yr, Other) and mark the appropriate box.
  14. Record the Date Vaccinated using the format Month/Day/Year.
  15. Provide the Product Name of the vaccine used.
  16. Enter the Veterinarian's Name who administered the vaccine.
  17. List the Manufacturer of the vaccine.
  18. Input the License Number of the veterinarian (first 3 letters).
  19. Indicate the type of vaccine used (1 Yr, 3 Yr, or 4 Yr) and check the USDA Licensed Vaccine box if applicable.
  20. Record the Next Vaccination Due By date.
  21. Provide the Vaccine Serial (lot) Number.
  22. Finally, obtain the Veterinarian's Signature and their address.

Documents used along the form

The Rabies Certificate is an essential document for pet owners, particularly when traveling or registering pets with local authorities. However, it often accompanies several other forms and documents that serve various purposes in the realm of pet health and ownership. Below is a list of documents commonly used alongside the Rabies Certificate.

  • Vaccination Records: This document provides a comprehensive history of a pet's vaccinations, including dates and types of vaccines administered. It helps ensure that pets are up to date on all necessary immunizations.
  • Dirt Bike Bill of Sale: This legal document is essential for transferring ownership of a dirt bike. It serves as proof of purchase and includes important transaction details. For more information, visit https://newyorkform.com/free-dirt-bike-bill-of-sale-template.
  • Microchip Registration Form: This form registers a pet's microchip information with a national database. It includes details such as the pet's name, owner's contact information, and the microchip number, helping to reunite lost pets with their owners.
  • Health Certificate: Often required for travel, this certificate is issued by a veterinarian and verifies that a pet is free from contagious diseases. It may also indicate that the pet is fit for travel, particularly on airlines.
  • Animal Control License: This license is required by many municipalities and demonstrates that a pet is registered with local authorities. It often includes the pet's information and the owner's details.
  • Spay/Neuter Certificate: This document confirms that a pet has been spayed or neutered. It can be important for pet registration and for certain pet insurance policies.
  • Pet Insurance Policy: This document outlines the coverage details for a pet's health care. It includes information on premiums, deductibles, and the types of treatments covered.
  • Travel Authorization Form: Some airlines or travel companies require this form to ensure that a pet meets health and safety standards for travel. It may need to be filled out by a veterinarian.
  • Owner's Affidavit: This legal document may be required in some jurisdictions to affirm pet ownership. It can be necessary for rehoming a pet or in case of disputes.
  • Pet Adoption Agreement: This agreement outlines the terms of adopting a pet from a shelter or rescue organization. It typically includes responsibilities for care and any conditions of the adoption.
  • Veterinary Treatment Authorization: This form allows a veterinarian to provide necessary medical treatment to a pet, especially in emergencies when the owner may not be present.

Each of these documents plays a vital role in ensuring the health, safety, and legal compliance of pet ownership. By understanding their significance, pet owners can better navigate the responsibilities that come with caring for their beloved animals.