Homepage Blank Rabies Certificate Form
Contents

The Rabies Certificate form is a crucial document for pet owners, veterinarians, and animal control agencies, ensuring that animals are vaccinated against rabies—a fatal disease impacting both animals and humans. This form, designated as NASPHV FORM 51 and revised in 2007, captures essential details like the owner's name and address, as well as specific information about the animal being vaccinated, including species, age, size, and breed. With spaces allocated for the rabies tag number and microchip identification, the form establishes a clear link between the pet and its owner, aiding in identification should the need arise. Additionally, it requires the veterinarian to indicate the vaccine used, the date of vaccination, and when the next vaccination is due, as well as their license number. The form also distinguishes between different vaccination durations, offering options for one-year, three-year, and four-year vaccines. By gathering this information, the Rabies Certificate form not only serves as proof of vaccination but also supports public health efforts in controlling the rabies virus. Ultimately, this form facilitates communication between pet owners, healthcare providers, and regulatory agencies, highlighting its importance in safeguarding against a preventable but severe disease.

Sample - 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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form Information

Fact Name Description
Form Title This is the Rabies Vaccination Certificate, specifically NASPHV FORM 51 (revised 2007).
Vaccination Duration The certificate indicates whether the vaccination is valid for 1 year, 3 years, or 4 years.
Owner Information Pet owners must provide their name, address, and telephone number on the certificate.
Animal Details It requires information about the animal, including species, age, size, breed, and sex.
Microchip Information Owners can include microchip numbers for pet identification.
Vaccination Details The form includes the date of vaccination and the product name of the vaccine used.
Veterinarian Information The veterinarian's name, license number, and address must be provided.
Vaccine Manufacturer The form specifies the manufacturer of the vaccine administered.
Serial Number A unique serial number for the vaccine lot is required on the certificate.
Governing Law Each state may have specific laws governing rabies vaccination certificates, such as state health department regulations.

Detailed Guide for Filling Out Rabies Certificate

Completing the Rabies Certificate form is a straightforward process. By following these steps carefully, you will ensure that all necessary information is accurately provided. Attention to detail is key, as this form is essential for documenting your pet's rabies vaccination.

  1. Begin by locating the Rabies Vaccination Certificate form. Make sure it's the correct version, dated NASPHV FORM 51 (revised 2007).
  2. In the first section, enter the Rabies Tag #. This number is usually provided by the veterinarian during the vaccination.
  3. Fill in the Owner's Name and Address fields. Print each part clearly, including First, Last, and Middle Initial.
  4. Provide the Telephone # for the pet owner. Make sure to use a format that is easy to read.
  5. Complete the Species section by identifying whether the pet is a dog, cat, ferret, or other.
  6. Indicate the pet's Age, Size, and Predominant Breed. Select appropriate options based on your pet's characteristics.
  7. Describe the pet's Colors/Markings—this helps to uniquely identify your animal.
  8. State your pet's Sex and indicate if it is Neutered. If neutered, specify as necessary.
  9. Provide the Animal Name, which is the name you call your pet.
  10. Fill out the Animal Control License section, including details about the vaccination's duration (1 Year, 3 Year, or Other).
  11. Add the Date Vaccinated, including month, day, and year.
  12. Enter the name of the Product used for the vaccination and the Veterinarian's Name.
  13. Include the manufacturer information for the vaccine and the License Number (first three letters).
  14. Indicate the Next Vaccination due date, marking whether it’s for 1 Year, 3 Year, or 4 Year.
  15. Finally, obtain the Veterinarian's Signature and their address. Don’t forget the vaccine's serial (lot) number.

After completing the form, review all entries for accuracy. It’s essential to keep a copy for your records. Once finalized, the certificate can be printed and stored safely, ready for any required verification in the future.

Obtain Answers on Rabies Certificate

  1. What is a Rabies Certificate?

    A Rabies Certificate is an official document that verifies that an animal has been vaccinated against rabies. The certificate includes important details about the animal, the owner, and the vaccination itself.

  2. Who needs a Rabies Certificate?

    Any pet owner whose animal has been vaccinated against rabies will receive a Rabies Certificate. This certificate is important for various reasons, including travel, licensing, and compliance with local or state regulations.

  3. What information is required on the form?

    The Rabies Certificate form requires information such as the owner's name and address, animal details (species, age, size, breed, and color), vaccination date, veterinarian's name, and the vaccine's manufacturer. Specific details about the vaccine, including its serial number, are also necessary.

  4. How can I obtain a Rabies Certificate?

    A Rabies Certificate can be obtained from a licensed veterinarian who administers the rabies vaccine to your pet. After vaccination, the veterinarian will complete the Rabies Certificate form and provide you with a copy.

  5. How long is a Rabies Certificate valid?

    The validity of a Rabies Certificate often depends on the duration of the vaccination administered. Some vaccines are effective for one year, while others may provide protection for three years or more. Check with your veterinarian for specific details.

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

    If your Rabies Certificate is lost, contact your veterinarian. They can often provide a duplicate certificate with the necessary vaccination details. Make sure to keep records of your pet’s vaccinations in a safe place.

  7. Can the Rabies Certificate be used for travel?

    Yes, the Rabies Certificate is often required for pet travel. Many airlines and countries require proof of rabies vaccination before allowing pets to travel. Always check the specific requirements for your destination.

  8. What happens if my pet is not vaccinated for rabies?

    If your pet is not vaccinated, it may face quarantine or other restrictions, especially when traveling or in areas with rabies outbreaks. Vaccination is vital for your pet's health and your community's safety.

  9. Is there a specific rabies vaccination schedule?

    Yes, pets typically receive their first rabies vaccination at a young age, usually around three to four months old. Follow-up vaccinations are required based on the vaccine type, generally after one year and then every one to three years as advised by your veterinarian.

  10. What should I do if my pet has an adverse reaction to the rabies vaccine?

    If your pet exhibits any concerning symptoms after vaccination, such as swelling, lethargy, or vomiting, contact your veterinarian immediately. They can provide guidance and care for your pet to address any adverse effects.

Common mistakes

Completing the Rabies Certificate form may seem straightforward, but many individuals often overlook details that can lead to complications. One common mistake occurs during the section where the owner's name and address need to be provided. People frequently fail to print their information clearly. When the handwriting is unclear, inaccuracies in the contact details can arise, which may hinder communication regarding vaccination status or renewal reminders.

Another prevalent error happens with the "Species" and "Predominant Breed" fields. Individuals sometimes list incorrect species or use vague breed descriptions that may not be recognized. For instance, putting down "Dog" without specifying the breed can lead to confusion. Accurate breed identification is crucial for records and future vaccinations. Lack of specificity may result in issues during a veterinary visit or when proving vaccination to local authorities.

Additionally, the section requesting the animal's age is often misfilled. Owners may not provide the correct age of their pets, or they confuse months with years. This oversight can have serious implications for vaccination intervals. Different species and age groups may require different vaccination schedules; thus, incorrect age can lead to improper vaccination protocols.

Another frequent mistake involves the veterinarian's information. Owners sometimes forget to include the veterinarian's name or license number. This information is essential as it verifies that the vaccination was performed by a licensed professional. Without these details, the certificate may not be considered valid, resulting in potential legal issues or challenges when traveling with the pet.

Finally, many individuals overlook the importance of completing the "Next Vaccination Due By" section. Failing to indicate the next appointment date can lead to missed vaccinations. Keeping track of vaccination schedules is vital for the health of the pet and for compliance with local laws. When this section remains blank, it increases the risk of the animal being under-vaccinated.

Documents used along the form

When it comes to pet ownership, ensuring your furry friend is up-to-date on vaccinations is crucial. Additionally, there are other important documents that accompany the Rabies Certificate, which may be required for travel, boarding, or even local regulations. Here are some common forms you might encounter.

  • Health Certificate: This document certifies that your pet has been examined by a veterinarian and is free from contagious diseases. Often required for interstate travel or when boarding your pet, it ensures that your pet's health is in good standing.
  • Vaccination Records: Detailed records of all vaccinations your pet has received. This includes important dates, types of vaccines, and the veterinarian who administered them. Keeping this document handy can simplify requirements for grooming, training classes, and travel.
  • Pet License: Many jurisdictions require pet owners to obtain a license for their dogs and sometimes for cats. This document typically includes proof of rabies vaccination and often needs to be renewed annually. It's a good way to show that your pet is registered with local authorities.
  • Microchip Registration: While not a formal document in a traditional sense, it’s important to have your pet’s microchip registered. This form links your pet’s unique ID number to your contact information in a database, increasing the chances of recovering your pet if they go missing.

Each of these documents plays a significant role in pet ownership. With the appropriate paperwork in order, you'll not only keep your companion safe but also ease the process of travel and compliance with local laws.

Similar forms

  • Health Certificate for Pets: Similar to a Rabies Certificate, this document verifies that a pet is free from contagious diseases and has received necessary vaccinations. It typically includes owner details, pet information, and vet information.

  • Vaccination Record: This record outlines all vaccinations a pet has received, including those for rabies. It serves as proof of vaccination history, usually documented by a veterinarian.

  • Animal Control License: This license indicates that a pet is registered with local authorities. Like the Rabies Certificate, it requires owner and pet details and helps ensure compliance with local regulations.

  • Microchip Registration: Similar in purpose, this document lists the microchip information of a pet, including the owner's contact details. It aids in pet identification and recovery.

  • Travel Certificate for Pets: Essential for pets traveling domestically or internationally, it confirms that a pet is healthy and vaccinated, sharing similarities with the Rabies Certificate in its verification purpose.

  • Animal Adoption Agreement: This document is similar in that it often includes vaccination information. It formalizes the adoption process and outlines responsibilities of both the adopter and the shelter.

  • Pet Insurance Policy: While primarily a financial document, it may detail vaccination requirements for coverage. This aligns it with the Rabies Certificate which is often needed for coverage eligibility.

  • Proof of Sterilization Certificate: This provides evidence that a pet has been spayed or neutered. It can be required by certain authorities, similar to the way a Rabies Certificate is.

  • Pest Control Treatment Certificate: This document certifies that a pet has undergone treatment for parasites. Like a Rabies Certificate, it is often required for boarding or travel.

  • Veterinary Appointment Records: Appointments may include updates on a pet's health and vaccination status. They can serve as supplementary proof alongside a Rabies Certificate when needed.

Dos and Don'ts

When filling out the Rabies Certificate form, it is important to be thorough and accurate. Below are some essential do's and don'ts to keep in mind.

  • Do: Print clearly to ensure all information is legible.
  • Do: Include all required information, such as the owner's name, address, and animal details.
  • Do: Verify that the veterinarian's name and license number are correctly entered.
  • Do: Use the accurate vaccination dates and product details as provided by the veterinarian.
  • Do: Keep a copy of the completed certificate for your records.
  • Don't: Leave any required fields blank, as this may delay processing.
  • Don't: Use abbreviations or shorthand that may be unclear.
  • Don't: Provide false information or misrepresent the vaccination status of the animal.
  • Don't: Forget to review the certificate for errors before submission.
  • Don't: Discard any paperwork related to the vaccination after completing the form.

Misconceptions

1. A rabies certificate is not necessary for all pets. Some pet owners believe that all pets, regardless of species, require a rabies certificate. However, rabies vaccination regulations vary by state and species. For instance, cats and ferrets might not need a rabies certificate in certain areas.

2. The rabies certificate is the same as the vaccination record. Many individuals confuse the rabies certificate with the vaccination record. While the vaccination record documents all pet vaccinations, the rabies certificate specifically confirms that the animal has been vaccinated against rabies.

3. All rabies vaccinations are valid for the same duration. The duration of rabies vaccination validity can differ based on the vaccine type and local regulations. Some vaccines are effective for one year, while others may last for three years or longer.

4. Only dogs need to be vaccinated against rabies. A common misconception is that only dogs require rabies vaccinations. In reality, many states require that cats, ferrets, and other animals also receive rabies vaccinations.

5. A rabies certificate can be obtained without a veterinarian. Some individuals believe they can fill out a rabies certificate on their own. However, a veterinarian must perform the vaccination and provide the certificate to ensure its validity.

6. If a pet is vaccinated once, they are protected for life. Not all pets are immune for life after a single vaccination. Booster shots are necessary to maintain immunity against rabies, and schedules vary depending on the vaccine type.

7. Microchipping is optional for rabies certification. Many assume that microchipping their pets is not required for obtaining a rabies certificate. However, some jurisdictions may require identification via microchip to boost tracing should a rabies exposure occur.

8. The rabies certificate does not expire. There is a belief that rabies certificates are permanent. In truth, they do have expiration dates and must be renewed according to vaccination schedules to remain valid.

9. All veterinarians issue rabies certificates. It is mistakenly thought that any veterinarian can issue a rabies certificate. In fact, vets must be accredited to provide these certificates, and they must also adhere to state-specific rules.

10. Rabies vaccination is unnecessary for indoor pets. Some pet owners feel their indoor pets are safe from rabies and do not need vaccinations. However, rabies can still pose a threat to indoor pets through exposure to wildlife or other unvaccinated animals.

Key takeaways

1. Accurate Information is Crucial: Fill out the Rabies Certificate form clearly and correctly. Misleading or incorrect information can lead to complications, including penalties or the inability to travel with your pet.

2. Keep Track of Your Pet’s Vaccination Schedule: The form marks important dates, such as when the vaccination was administered and when the next dose is due. Staying organized helps you avoid lapses in vaccinations.

3. Ensure Veterinarian Completeness: Your veterinarian must complete and sign the section confirming vaccination details. Without this, the certificate may not be valid.

4. Know Your Local Requirements: Different states and municipalities have their own regulations regarding rabies vaccinations. Familiarize yourself with these requirements to ensure compliance.