Homepage Rabies Certificate Form

Rabies Certificate Sample

 

 

 

RABIES VACCINATION CERTIFICATE

 

 

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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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Instructions on Utilizing Rabies Certificate

Once you have gathered all the necessary information about your pet and their vaccination details, you can begin filling out the Rabies Certificate form. This form is essential for documenting your pet's rabies vaccination, which is often required for travel, boarding, or licensing. Follow these steps carefully to ensure that all information is accurate and complete.

  1. Start by entering the Rabies Tag # in the designated space at the top of the form.
  2. Next, fill in the Owner's Name & Address. Make sure to print clearly to avoid any confusion. Include the last name, first name, middle initial, street address, city, state, and zip code.
  3. Provide the Telephone # for easy contact.
  4. Indicate the Species of your pet (e.g., Dog, Cat, Ferret, Other) and fill in the corresponding Age and Size (Under 20 lbs, 20-50 lbs, Over 50 lbs).
  5. Specify the Predominant Breed and any Colors/Markings that describe your pet.
  6. Enter the Animal Name and indicate whether the animal is Neutered.
  7. If applicable, provide the Animal Control License number.
  8. In the Date Vaccinated section, write the date of the rabies vaccination in the format Month/Day/Year.
  9. Fill in the Product Name of the vaccine used and the Veterinarian's Name.
  10. List the Manufacturer of the vaccine.
  11. Provide the License Number of the veterinarian, which typically consists of the first three letters of their name.
  12. Indicate whether the vaccine is a 1 Yr or 3 Yr USDA Licensed Vaccine, and note the Next Vaccination Due By date.
  13. Finally, the veterinarian must sign the form and date it, confirming the vaccination details.

After completing the form, review it for any errors or missing information. Ensuring accuracy is crucial, as this certificate may be required for various legal and health-related purposes. Once verified, you can print or submit the form as needed.

Misconceptions

When it comes to the Rabies Certificate form, several misconceptions can lead to confusion for pet owners and veterinarians alike. Here are six common misunderstandings:

  • Only dogs need a rabies certificate. Many people believe that rabies vaccination is only necessary for dogs. In reality, cats, ferrets, and other pets can also be at risk and may require vaccination.
  • A rabies certificate is only needed for travel. While it is true that some travel destinations require a rabies certificate, it is also essential for local regulations and public health. Many states mandate that pets be vaccinated against rabies, regardless of travel plans.
  • All rabies vaccines are the same. This is a common misconception. Different vaccines may have varying durations of immunity, and it is crucial to use a USDA licensed vaccine appropriate for the specific animal.
  • Once vaccinated, a pet is protected for life. Although rabies vaccinations do provide protection, they are not lifelong. Pets require booster shots at regular intervals, typically every one to three years, depending on the vaccine used.
  • The rabies certificate is only for the veterinarian's records. Many owners think that the certificate is solely for the veterinarian’s files. However, it is an important document that should be kept by the pet owner, as it may be required for licensing and emergencies.
  • Filling out the form is a simple task. While the form may appear straightforward, it requires accurate information about the animal and vaccination details. Errors can lead to complications, such as invalidating the certificate.

Understanding these misconceptions can help ensure that pet owners comply with vaccination requirements and protect their animals from rabies.

Documents used along the form

The Rabies Certificate is an essential document for pet owners, especially for those who travel or participate in events with their animals. However, there are several other forms and documents that often accompany it. Each serves a unique purpose in ensuring the health, safety, and legal compliance of pet ownership.

  • Pet Health Certificate: This document is issued by a veterinarian and confirms that your 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 your pet’s microchip with a database. It includes your contact information and your pet’s details, ensuring that you can be contacted if your pet is lost and found.
  • Animal Control License: Many jurisdictions require pet owners to obtain a license for their animals. This document typically includes proof of rabies vaccination and helps local authorities keep track of pet populations.
  • Veterinary Treatment Records: These records provide a history of your pet's medical treatments and vaccinations. They are useful for new veterinarians and can be required for certain travel or boarding situations.
  • Travel Health Certificate: If you plan to travel with your pet, this certificate may be necessary. It verifies that your pet is healthy and up to date on vaccinations, particularly for international travel.
  • Pet Adoption Agreement: If you adopt a pet from a shelter or rescue, this agreement outlines the terms of the adoption, including responsibilities and any required follow-up care.
  • Durable Power of Attorney Form: In certain situations, it may be beneficial to designate someone to make decisions on your behalf. A Durable Power of Attorney form in New York retains its authority even if you become incapacitated, ensuring that your choices are respected. For more information, you can visit nypdfforms.com/durable-power-of-attorney-form.
  • Pet Insurance Policy: This document details the coverage you have for your pet’s health care. It can help manage unexpected veterinary costs and ensure your pet receives necessary treatments.
  • Emergency Contact Form: This form lists individuals who can be contacted in case of an emergency involving your pet. It can be crucial for pet sitters, boarding facilities, or during travel.

Understanding these documents can help pet owners navigate responsibilities and ensure their animals are well cared for. Keeping these forms organized and accessible will make managing your pet's health and legal requirements much easier.