Homepage Official Rabies Certificate Form in PDF
Content Navigation

The Rabies Certificate form serves as a crucial document for pet owners, veterinarians, and animal control agencies alike. This form, officially known as NASPHV FORM 51, is designed to provide essential information about a pet's rabies vaccination status. Key details include the owner's name and address, the animal's species, age, and breed, along with specific identifiers like the rabies tag number and microchip number. Additionally, the form captures important vaccination information, such as the product name, manufacturer, and veterinarian's license number. It also indicates the vaccination duration, whether it’s a one-year or three-year vaccine, and outlines the due date for the next vaccination. By requiring the veterinarian's signature and the vaccine's serial number, the form ensures authenticity and compliance with health regulations. Overall, the Rabies Certificate is not just a piece of paper; it represents a commitment to public health and safety, confirming that pets have been vaccinated against a disease that poses serious risks to both animals and humans.

Steps to Using Rabies Certificate

Filling out the Rabies Certificate form is an essential step in ensuring that your pet is properly documented after receiving a rabies vaccination. This form requires specific information about both the pet and the owner. After completing the form, you will be able to provide proof of vaccination for your animal, which may be necessary for licensing or travel purposes.

  1. Begin by locating the Rabies Certificate form, either in print or online.
  2. In the section labeled Owner's Name & Address, fill in your name clearly, including your last name, first name, and middle initial.
  3. Provide your complete address, including the street number, city, state, and zip code.
  4. Enter your telephone number in the designated space.
  5. Indicate the species of your animal (Dog, Cat, Ferret, or Other) and fill in the age and size of your pet.
  6. Specify the predominant breed of your pet, along with any colors or markings that describe them.
  7. Record the animal's name and indicate its sex (Male or Female).
  8. If applicable, note whether your pet is neutered and provide the animal control license number.
  9. Choose the duration of the vaccination (1 Year, 3 Year, or Other) and fill in the date vaccinated.
  10. Fill in the product name of the vaccine used, along with the veterinarian's name and the manufacturer's name.
  11. Record the veterinarian's license number, which consists of the first three letters.
  12. Indicate the type of vaccine used (1 Yr, 3 Yr, or 4 Yr) and provide the vaccine serial (lot) number.
  13. Sign the form where indicated, ensuring that you include the date of signing.
  14. Finally, ensure all information is accurate before submitting the form or keeping it for your records.

Key takeaways

When filling out and using the Rabies Certificate form, it is essential to follow certain guidelines to ensure accuracy and compliance. Here are key takeaways to keep in mind:

  • Print Clearly: All information should be printed clearly to avoid any misunderstandings. This includes the owner's name, address, and animal details.
  • Accurate Animal Information: Provide specific details about the animal, such as species, age, size, and predominant breed. This information is crucial for identification.
  • Microchip Number: If the animal has a microchip, include the number. This helps in tracking and verifying the animal's identity.
  • Vaccination Dates: Clearly indicate the date of vaccination. This helps in keeping track of when the next vaccination is due.
  • Product and Manufacturer Details: Fill in the product name and manufacturer of the vaccine used. This information is vital for records and future reference.
  • Veterinarian Information: Ensure that the veterinarian's name and license number are included. This adds credibility to the vaccination record.
  • Signature Requirement: The veterinarian must sign the form. A signature confirms that the vaccination was administered properly.
  • Choose the Correct Vaccination Duration: Indicate whether the vaccination is valid for 1 year, 3 years, or another duration. This affects compliance with local laws.
  • Keep a Copy: Always retain a copy of the completed Rabies Certificate for your records. This can be useful for travel, boarding, or local regulations.

By following these key points, pet owners can ensure that their Rabies Certificate is filled out correctly and serves its intended purpose effectively.

Misconceptions

Understanding the Rabies Certificate form is crucial for pet owners and veterinarians alike. However, several misconceptions can lead to confusion. Here are eight common misconceptions:

  • It is only required for dogs. Many believe that rabies certificates are only necessary for dogs, but this form is also essential for cats and ferrets, as they can contract rabies.
  • Rabies vaccination is a one-time requirement. Some pet owners think that once their pet is vaccinated, they do not need to worry about it again. In reality, rabies vaccinations need to be renewed regularly, typically every one to three years, depending on the vaccine used.
  • Any veterinarian can issue a rabies certificate. While most veterinarians can administer the rabies vaccine, only those with a valid license can legally issue a rabies certificate. Ensure your veterinarian is licensed in your state.
  • The form is only for travel purposes. Although many people use the rabies certificate for traveling with pets, it also serves as proof of vaccination for local laws and regulations, which can help avoid fines.
  • Microchipping is not necessary for the certificate. Some pet owners think that microchipping is optional. However, including the microchip number on the certificate is highly recommended, as it helps identify the pet and link it to its owner.
  • The date of vaccination is not important. The date of vaccination is crucial. It indicates when the pet was vaccinated and helps determine when the next vaccination is due.
  • All rabies vaccines are the same. There are different types of rabies vaccines available, and not all are created equal. The certificate will specify the vaccine used, which can affect the duration of immunity.
  • Once filled out, the form cannot be changed. While it is best to ensure all information is accurate before submission, corrections can be made if necessary. However, it’s advisable to consult with the veterinarian to ensure the changes are properly documented.

By addressing these misconceptions, pet owners can better navigate the requirements surrounding the rabies vaccination and ensure their pets remain protected.

Preview - 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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Document Specs

Fact Name Description
Form Title The document is officially titled the "Rabies Vaccination Certificate." It is used to certify that an animal has been vaccinated against rabies.
Governing Law In many states, the issuance and requirements of this certificate are governed by state public health laws. For example, California Health and Safety Code § 121690 mandates rabies vaccinations for dogs and cats.
Form Version This certificate is based on the NASPHV FORM 51, which was revised in 2007.
Owner Information The form requires the owner's name, address, and telephone number to ensure proper identification and contact.
Animal Identification Details about the animal, including species, age, size, predominant breed, and colors/markings, must be filled out clearly.
Microchip Information If applicable, the microchip number of the animal must be included on the certificate.
Vaccination Details The date of vaccination, product name, and manufacturer's information are crucial for verifying the vaccination's validity.
Veterinarian's Role A licensed veterinarian must sign the form, confirming the vaccination and providing their license number.
Vaccination Duration The certificate indicates the duration of the vaccination, which can be for 1 year, 3 years, or other specified time frames.
Next Vaccination Due The form specifies when the next vaccination is due, ensuring that pet owners keep track of their animal's health needs.