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Download Rabies Certificate Form in PDF

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The Rabies Certificate form plays a crucial role in ensuring the health and safety of pets and the community. This document is essential for pet owners, veterinarians, and animal control authorities alike. It includes important details such as the owner's name and address, the animal's species, age, and predominant breed. Additionally, it requires information about the vaccination, including the product name, manufacturer, and the veterinarian's signature. The form also indicates whether the animal is neutered and provides space for a microchip number, which helps in identifying lost pets. Furthermore, it specifies the vaccination duration, offering options for one-year, three-year, or even four-year vaccines. Each section is designed to capture vital information that ensures compliance with local regulations and promotes public health. Overall, the Rabies Certificate form is a comprehensive tool that facilitates responsible pet ownership and enhances community safety.

Document Data

Fact Name Description
Purpose The Rabies Certificate serves as proof that an animal has been vaccinated against rabies, which is a critical requirement for public health.
Form Version This certificate is based on the NASPHV FORM 51, revised in 2007, ensuring it meets current standards for rabies vaccination documentation.
Vaccination Duration Rabies vaccinations are typically valid for one, three, or four years, depending on the vaccine used and local regulations.
Owner Information The form requires clear printing of the owner's name, address, and contact details to ensure accurate identification and communication.
Animal Identification Details such as species, age, size, breed, and microchip number must be provided to uniquely identify the vaccinated animal.
Veterinarian's Role A licensed veterinarian must complete and sign the certificate, confirming that the vaccination was administered properly.
State Regulations Each state may have specific laws governing rabies vaccination requirements. For example, California mandates rabies vaccinations for dogs and cats over four months old.
Next Vaccination Due The certificate includes a section to note when the next vaccination is due, helping pet owners stay compliant with vaccination schedules.

How to Write Rabies Certificate

Filling out the Rabies Certificate form is an important step in ensuring your pet is properly vaccinated and documented. This form will need to be completed accurately to provide proof of vaccination and maintain compliance with local regulations. Here’s how to fill it out step by step.

  1. Start by locating the Rabies Tag # section at the top of the form. Enter the unique tag number assigned to your pet’s rabies vaccination.
  2. In the Owner's Name & Address section, print your name clearly. Include your first name, last name, middle initial, and full address including street, city, state, and ZIP code.
  3. Next, provide your Telephone # for contact purposes.
  4. Move on to the Microchip # field. If your pet has a microchip, enter the number here.
  5. Fill in the Species of your pet (Dog, Cat, Ferret, or Other). Then, indicate the Age in months or years, and the Size (Under 20 lbs, 20-50 lbs, or Over 50 lbs).
  6. Provide details about your pet’s Predominant Breed and any Colors/Markings that help identify them.
  7. Indicate the Sex of your pet by marking either Male or Female.
  8. In the Animal Name section, write the name of your pet.
  9. If applicable, indicate if your pet is Neutered and specify the status.
  10. Next, enter the Animal Control License information if you have it.
  11. In the Date Vaccinated section, provide the date your pet was vaccinated using the format Month/Day/Year.
  12. Fill in the Product Name of the vaccine used, along with the Veterinarian's Name and Manufacturer.
  13. Enter the License Number of the veterinarian, using the first three letters.
  14. Specify the Next Vaccination due date by entering Month/Day/Year.
  15. Finally, have your veterinarian sign the form in the Veterinarian's Signature section.
  16. Ensure you fill in the Vaccine Serial (lot) Number for the vaccine administered.

Once the form is completed, make sure to keep a copy for your records. You may need to present this certificate to local authorities or when visiting certain facilities. Proper documentation helps ensure the health and safety of your pet and the community.

Rabies Certificate 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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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