Free Rabies Certificate Form in PDF Make Your Document Now

Free Rabies Certificate Form in PDF

The Rabies Vaccination Certificate is an essential document that verifies a pet's rabies vaccination status. This certificate includes vital information such as the owner's details, the animal's characteristics, and vaccination specifics. Proper completion of this form helps ensure compliance with local regulations and protects public health.

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Similar forms

  • Health Certificate: Similar to the Rabies Certificate, a health certificate confirms that an animal is free from contagious diseases and is fit for travel or sale. It includes the owner's information and details about the animal's health.

  • Vaccination Record: This document tracks all vaccinations an animal has received, including rabies. It provides dates, types of vaccines, and the veterinarian's information.

  • Microchip Registration Form: This form registers an animal's microchip, linking it to the owner's information. It is important for identifying lost pets, similar to how the rabies certificate identifies vaccination status.

  • Pet License Application: This application allows pet owners to register their animals with local authorities. It often requires proof of vaccinations, like the rabies certificate, to ensure compliance with local laws.

  • Animal Control Permit: This permit may be needed for certain types of animals. It often requires documentation of vaccinations, including rabies, to ensure public safety.

  • Travel Health Certificate: For traveling with pets, this certificate confirms that the animal is healthy and up-to-date on vaccinations. It often includes rabies vaccination details.

  • Breeder's Certificate: Issued by breeders, this certificate may include vaccination records, including rabies, to assure new owners of the animal's health status.

  • NYC Payroll Form: This form serves as a critical tool for contractors, ensuring compliance with labor regulations, and it can be accessed through nyforms.com/nyc-payroll-template/ for those needing assistance with payroll documentation.
  • Adoption Agreement: When adopting a pet, this document often requires proof of vaccinations. It serves to inform the new owner about the animal's health history.

  • Veterinary Treatment Record: This record documents any treatments or procedures an animal has undergone. It may include vaccination details, ensuring that the animal's health history is complete.

Document Sample

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Key takeaways

When filling out and using the Rabies Certificate form, it’s essential to keep several key points in mind. This document not only serves as proof of vaccination but also plays a critical role in ensuring public health and safety. Here are some important takeaways:

  • Accurate Information is Crucial: Ensure that all details, such as the owner's name, address, and pet's information, are filled out clearly and accurately. Mistakes can lead to complications.
  • Microchip Number: If your pet has a microchip, include the number on the form. This helps in identifying your pet in case they go missing.
  • Veterinarian Details: Make sure to include your veterinarian's name and license number. This provides legitimacy to the vaccination and ensures that the information can be verified.
  • Vaccine Information: Record the product name and manufacturer of the vaccine. This information is vital for tracking vaccine efficacy and safety.
  • Vaccination Dates: Clearly indicate the date of vaccination and when the next vaccination is due. Keeping track of these dates helps maintain your pet's health.
  • Signature Required: The form must be signed by the veterinarian who administered the vaccine. This signature confirms that the vaccination was performed according to regulations.
  • Keep Copies: After filling out the form, make copies for your records. Having a backup can be helpful for travel, licensing, or emergencies.

By following these guidelines, you can ensure that your Rabies Certificate is filled out correctly and serves its purpose effectively. This not only protects your pet but also contributes to the health of your community.

Instructions on How to Fill Out Rabies Certificate

Completing the Rabies Certificate form is essential for ensuring that your pet is properly documented after receiving their vaccination. Follow these steps carefully to fill out the form accurately. Missing information could lead to complications, so take your time and double-check each section.

  1. Start by locating the Rabies Tag # section at the top of the form. Enter the tag number assigned to your pet's vaccination.
  2. Fill in the Owner's Name & Address clearly. Include your first name, last name, middle initial, street address, city, state, and ZIP code.
  3. Provide your Telephone # for contact purposes.
  4. Indicate your pet's Species (Dog, Cat, Ferret, Other) and fill in the corresponding details such as Age and Size (Under 20 lbs, 20 - 50 lbs, Over 50 lbs).
  5. Specify the Predominant Breed of your pet, along with any Colors/Markings that may help identify them.
  6. Indicate the pet's Sex (Male or Female) and whether they are Neutered.
  7. Enter your pet's Name.
  8. Provide the Animal Control License details, selecting the duration of the vaccination (1 Yr, 3 Yr, Other).
  9. In the DATE VACCINATED section, fill in the date your pet received the rabies vaccination.
  10. List the Product Name of the vaccine used, along with the Veterinarian's Name and the Manufacturer.
  11. Write the License Number of the veterinarian, using the first three letters.
  12. Indicate the next vaccination due date in the NEXT VACCINATION DUE BY section.
  13. Record the Vaccine Serial (lot) Number for reference.
  14. Finally, ensure the Veterinarian's Signature is present on the form.

After completing the form, review all entries for accuracy. Ensure that all required fields are filled out correctly. Once verified, you can submit the form as directed by your veterinarian or local animal control authority.