Homepage Rabies Certificate Form
Table of Contents

In the interest of public health and the prevention of rabies, a critical document comes into play--the Rabies Certificate form. This essential piece of paper, also known as NASPHV Form 51, revised in 2007, serves as a formal record verifying that an animal has been vaccinated against rabies. The form covers a comprehensive range of details, starting from the owner’s contact information, including their name, address, and telephone number, down to the specifics of the vaccinated animal such as species, age, size, and predominant breed. It doesn't stop there; the coloration or markings of the pet, its sex, and whether it has been neutered are also recorded. Notably, the certificate outlines whether the animal wears a rabies tag, carries a microchip, and its animal control license status, providing a three-dimensional view of the pet's identification and rabies vaccination history. Crucially, it lists the product name of the vaccine used, the name and license number of the administering veterinarian, and the manufacturer of the vaccine, alongside the date the vaccine was given and when the next booster is due. This information ensures traceability and accountability in the vaccination process. By formalizing the vaccination event with a veterinarian's signature and contact details, the Rabies Certificate reinforces the joint responsibility of pet owners, veterinarians, and public health systems in preventing rabies transmission.

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 Number Description
1 The form is identified as NASPHV FORM 51 (revised 2007).
2 It is designed for documenting rabies vaccinations.
3 Owner's information, including name, address, and telephone number, is required.
4 The form collects detailed information about the animal, including species, age, size, breed, and sex.
5 Details of the vaccination are recorded, such as the date of vaccination, product name, manufacturer, and veterinarian's information.
6 It specifies the duration of immunity provided by the vaccine, with options for 1, 3, or 4 year intervals.
7 The veterinarian's signature is required, validating the form.
8 Governing laws for state-specific forms are not mentioned within this form, indicating its use as a general document applicable across various regions, albeit local regulations may necessitate additional compliance.

Detailed Guide for Writing Rabies Certificate

Filling out a Rabies Vaccination Certificate is a crucial step in ensuring the health and safety of our pets, as well as compliance with local laws regarding rabies vaccinations. The process involves providing detailed information about the pet, the owner, and the vaccine administered. This document serves as an official record of vaccination, ensuring pets are protected against the rabies virus. It is typically required for pet registration, travel, and sometimes boarding. Following the structured steps outlined below will guide you through filling out the form accurately.

  1. Begin by clicking on "Push to Print Form" if you need a hard copy or wish to save a filled version for your records.
  2. If you make a mistake and need to start over, select "Push to Reset Form."
  3. Under "RABIES TAG #", enter the tag number associated with the rabies vaccination.
  4. In the "Owner's Name & Address" section, write the owner's last name, first name, and middle initial clearly. Ensure the address is complete, including the street number, city, state, and ZIP code.
  5. Input the owner's telephone number in the space provided.
  6. For "MICROCHIP #", if the pet has a microchip, enter the number. If not, leave this blank.
  7. Select the species of the animal (Dog, Cat, Ferret, Other) and fill in the specific type if "Other" is selected.
  8. Indicate the age of the pet. Choose between "Months" for pets under 1 year and "Years" for those older.
  9. Specify the size of the pet according to weight guidelines provided.
  10. Enter the predominant breed of your pet. If mixed, enter the breeds that are most noticeable.
  11. Describe the predominant colors/markings of the pet to help with identification.
  12. Indicate the sex of the pet by selecting "Male" or "Female." Additionally, specify if the animal is neutered.
  13. For the animal’s name, enter the name you commonly use to address the pet.
  14. If applicable, include the Animal Control License number and specify the term of the license.
  15. Enter the "DATE VACCINATED" using the format Month/Day/Year.
  16. Under "Product Name," provide the name of the rabies vaccine used.
  17. Fill in the "Veterinarian's Name" who administered the vaccine.
  18. Identify the "Manufacturer" of the vaccine.
  19. Include the veterinarian's license number, starting with the first three letters.
  20. Specify whether it's a "1 Yr USDA Licensed Vaccine," "3 Yr," or "4 Yr," depending on the vaccine given.
  21. Mark whether the administered dose was an "Initial dose" or a "Booster dose."
  22. Document the "Vaccine Serial (lot) Number" for reference.
  23. The "NEXT VACCINATION DUE BY" section should be completed based on the type of vaccine administered and local guidelines.
  24. Ensure the veterinarian signs the form to validate the information provided.
  25. Lastly, confirm the veterinarian's address is filled in correctly.

Once the form is filled out, verify all the information is correct and legible. Keep a copy for your records and provide any required copies to your local animal control or licensing agency, if necessary. This certificate serves as a key document in your pet's medical record, so it's important to store it in a safe place and update it as needed following future vaccinations.

Important Points on Rabies Certificate

What is the importance of a Rabies Vaccination Certificate?

The Rabies Vaccination Certificate is a crucial document that serves as proof of vaccination against rabies for pets like dogs, cats, and ferrets. It plays a significant role in public health by ensuring animals are vaccinated against this deadly virus, protecting both the pets and the community. It is often required for travel, boarding, and in cases of animal control incidents to verify the vaccination status of the pet.

How do I obtain a Rabies Vaccination Certificate for my pet?

To obtain a Rabies Vaccination Certificate, you must have your pet vaccinated by a licensed veterinarian. During the vaccination appointment, the veterinarian will fill out the NASPHV Form 51 (revised 2007), which details the vaccine given, including its manufacturer, serial number, and the next due date for vaccination. The veterinarian will then sign and provide you with this certificate as official documentation of your pet's rabies vaccination.

What information is included on the Rabies Vaccination Certificate?

The Rabies Vaccination Certificate includes detailed information to identify the vaccinated pet clearly and the vaccination administered. Information provided includes the owner's name and address, the pet's microchip number (if applicable), species, age, size, breed, and distinctive colors or markings. Additionally, it contains the rabies tag number, the animal's name and sex, the vaccine product name, the administering veterinarian's name and license number, the date vaccinated, and when the next vaccination is due.

Is it necessary to renew the Rabies Vaccination Certificate, and how often?

Yes, renewing the Rabies Vaccination Certificate is necessary and is contingent on the type of vaccine used during vaccination. The certificate specifies whether the vaccine is valid for 1, 3, or 4 years, indicating when the next vaccination is due. It is vital to adhere to these timelines to keep your pet's vaccination status current, ensuring their ongoing protection against rabies and maintaining compliance with local and state regulations.

Common mistakes

Filling out a Rabies Vaccination Certificate correctly is crucial for ensuring the health and safety of pets and the community. However, it's easy to stumble on a few common mistakes. One typical error is not printing clearly. It's vital to fill out the form legibly, as unclear handwriting can lead to misinterpretation of critical information, such as the owner's address or the veterinarian's name.

Another oversight involves the Rabies Tag Number. Frequently, this section is left blank or not filled out correctly. The tag number is essential for tracking the vaccination status of the pet should it become lost or if there's a need to verify its rabies vaccination history.

Incorrectly noting the species, age, and size of the pet can also lead to confusion. These details help in understanding the appropriate care and vaccine dosage for the animal. Especially the differentiation between species like dogs, cats, and ferrets; and specific details like the pet's age and weight, ensure the vaccine's efficacy and safety.

Misclassifying the pet's sex and reproductive status is a further mistake that can occur. Marking a pet as male when it is female, or vice versa, or failing to indicate whether it has been neutered, can have implications for health management and control of the pet population.

Entering the wrong date vaccinated or the next vaccination due date are errors that have significant consequences. These dates determine when the pet is protected from rabies and when it's time to renew the vaccination. Misdates can lead to a lapse in protection.

An error often made revolves around the vaccine information. Some fail to clearly write the product name or manufacturer, or they might choose the wrong vaccine type (1 Yr, 3 Yr, or 4 Yr USDA Licensed Vaccine). This information is crucial for ensuring that the pet receives a legally recognized and effective vaccine.

Another oversight is providing incomplete veterinarian details. The veterinarian's name, license number, and address are essential for verification purposes and to seek additional information if needed. It's also important for ensuring that the vaccination was administered by a qualified professional.

Forgetting to identify the initial dose from a booster dose is a mistake that can affect the scheduling of future vaccinations. This distinction helps pet owners and veterinaries keep track of the vaccination schedule, ensuring pets remain protected.

Last but not least, neglecting to provide detailed contact information, including a current telephone number, can impede necessary communication. Up-to-date contact details are vital for any follow-ups, reminders for future vaccinations, or in the unfortunate event the pet is lost and found.

Documents used along the form

When managing the health and documentation for pets, especially for travel or boarding, the Rabies Vaccination Certificate is a vital document. However, it's often just the starting point. Various other forms and documents commonly accompany this certificate to ensure a pet's health records are comprehensive and up-to-date. Here's a look at some of these additional documents that are frequently used alongside the Rabies Certificate.

  • Pet Passport: This is essential for pet owners traveling internationally with their animals. It includes a record of all vaccinations (not just rabies), along with the pet's identification details.
  • Veterinary Health Certificate: Often required for travel, this certificate confirms that a pet is free from contagious diseases and is healthy enough to travel. It's usually signed by a licensed veterinarian after a thorough check-up.
  • Proof of Spay/Neuter: This document verifies that a pet has been spayed or neutered, which can be a requirement for some boarding facilities, apartments, or even local licensing laws.
  • Local Animal License: Many municipalities require pets to be registered and licensed. This document proves that a pet has been registered with the local government and has met any local vaccination requirements.
  • Microchip Registration Form: If a pet is microchipped, this form provides the microchip number, the pet's details, and the owner's contact information. It's crucial for reuniting lost pets with their owners.
  • Medical History Record: A comprehensive log of a pet's medical history, including all vaccinations, surgeries, allergies, and any significant illnesses or treatments, is extremely beneficial. It ensures continuity of care across different veterinarians and emergency situations.

In summary, while the Rabies Vaccination Certificate is a critical document for pet owners, it's often just one component of a broader set of records. Keeping a comprehensive and up-to-date file that includes documents such as a pet passport, veterinary health certificate, and medical history record, can make managing health care and logistical needs for your pet far smoother. This organized approach not only helps in maintaining the well-being of pets but also ensures compliance with various health and legal requirements.

Similar forms

The Animal License Application is quite similar to the Rabies Vaccination Certificate in its requirement for detailed information about an animal. Like the rabies certificate, this application typically asks for the pet owner’s contact information, the pet’s species, breed, age, color, and markings. Both forms are used to ensure the responsible ownership and identification of pets, although the license specifically allows for legal ownership within a locality, while the rabies certificate is proof of vaccination.

A Pet Passport mirrors the Rabies Vaccination Certificate in its purpose of keeping track of an animal’s vaccination history, particularly against rabies. It goes further by also including records of all other relevant vaccinations and treatments, facilitating international travel. Each serves as an essential document in verifying the health status of animals, with the passport offering a more comprehensive health overview.

An Adoption Application for pets shares similarities with the Rabies Vaccination Certificate in terms of collecting detailed information about the animal. However, while the rabies certificate focuses on vaccination status, the adoption application also explores the suitability of the prospective home and may include questions about the living environment, past pet ownership, and how the animal will be cared for. Both documents prioritize the well-being of the animal, albeit from different perspectives.

Veterinary Treatment Records, much like the Rabies Vaccination Certificate, provide detailed accounts of an animal's medical history, but are broader in scope. These records encompass all treatments and procedures an animal undergoes, not just vaccinations. Both documents are vital for tracking the health and treatment of pets, ensuring continuity of care across different veterinary services.

An Insurance Claim Form for pets shares the emphasis on detailed information seen in the Rabies Vaccination Certificate while focusing on financial aspects of pet care. The claim form requires owner and pet information, detailed descriptions of the reasons for the claim, and documentation of veterinary care, paralleling the rabies certificate’s role in ensuring the pet’s health status is documented and actionable.

The Microchip Registration Form also parallels the Rabies Vaccination Certificate by collecting detailed information about the pet and its owner for identification purposes. While the rabies certificate is crucial for public health, the microchip form ensures a permanent form of ID is linked to the pet, aiding in recovery if lost. Both documents enhance the safety and traceability of pets.

Lastly, the Emergency Pet Information Form shares the precautionary and preparatory nature of the Rabies Vaccination Certificate by detailing critical information about a pet for use in emergencies. This form often includes the pet’s medical history, veterinarian contact information, and specific care instructions, similar to how the rabies certificate provides vital health information. Both documents play important roles in maintaining the safety and well-being of pets during urgent situations.

Dos and Don'ts

When filling out the Rabies Vaccination Certificate, it is important to follow specific guidelines to ensure the accuracy and validity of the form. Below are the things you should and shouldn't do.

Things You Should Do:
  • Print clearly: To avoid any misinterpretation, ensure all information is legible.
  • Verify the rabies tag number: Make sure it matches the one given for your pet.
  • Include complete owner information: Provide the full name, address, and telephone number as requested.
  • Specify the microchip number if available: This adds another layer of identification for your pet.
  • Detail the pet's information accurately: This includes species, age, size, predominant breed, and colors/markings.
  • Record the vaccination date correctly: The month, day, and year should reflect the actual date the vaccine was administered.
  • Use the proper vaccine name and manufacturer: This information is critical for vaccine identification.
  • Ensure the veterinarian's information is complete: This includes the name, license number, and address.
  • Sign the form: The veterinarian’s signature is required to validate the certificate.
  • Keep a copy for your records: After submission, retain a copy in case it needs to be referenced in the future.
Things You Shouldn't Do:
  • Leave blank fields: Incomplete forms may not be accepted or could delay processing.
  • Use cursive or hard-to-read handwriting: This can lead to errors in the document.
  • Guess information: Verify all details, particularly regarding the vaccine and veterinarian.
  • Alter the form after the veterinarian’s signature: Any changes post-signature could void the certificate.
  • Skip the rabies tag number: This is a crucial identifier for your pet’s rabies vaccination.
  • Forget to specify if the animal is neutered: This detail is often required for complete records.
  • Misstate the next vaccination due date: Accurate forecasting is necessary for ongoing rabies compliance.
  • Use unofficial forms: Always ensure you’re using the latest version of the NASPHV Form 51.
  • Overlook the species-specific sections: Fill out the form according to the species of your pet, whether dog, cat, ferret, or other.
  • Submit without reviewing: Double-check the form for any errors or omissions before submission.

Misconceptions

There are several common misconceptions about the Rabies Certificate form that need clarification:

  • Any veterinarian can sign the form: Only a licensed veterinarian can sign the Rabies Certificate form. This ensures that the vaccination was administered properly and that the veterinarian is qualified to do so.
  • Microchip number is optional: While the Microchip number may seem like an optional detail, providing it is crucial for the identification of the pet, particularly in cases where the rabies tag is lost or the pet goes missing.
  • It's acceptable to have missing details as long as the vaccination date is documented: Every field in the Rabies Certificate form is important. Missing details can invalidate the form or cause problems when records are needed, such as during travel or in the event of a bite incident.
  • The size of the animal doesn't matter: Indicating the size of the animal is important for several reasons, including dosage considerations for the vaccine and for identification purposes.
  • The rabies tag number is just for internal use: The rabies tag number is a critical piece of information that ties the animal to the vaccination record. This number is used by veterinaries, animal control officers, and others for identification and verification purposes.
  • Any rabies vaccine brand is acceptable: The Rabies Certificate form specifies that the vaccine used must be USDA licensed. This ensures the quality and efficacy of the vaccine administered to the animal.
  • A printed form is not necessary; digital copies are just as valid: While digital records are becoming more accepted, having a printed copy of the Rabies Certificate can be crucial, particularly in situations where digital access is limited or non-acceptable by certain agencies or institutions.
  • The form is valid indefinitely once filled out: The Rabies Certificate needs to be renewed following the vaccination schedule, which could be 1 year, 3 years, or other as specified. The "Next Vaccination Due By" date is a critical component that indicates when the animal needs to be revaccinated to maintain immunity against rabies.

Key takeaways

Understanding the Rabies Vaccination Certificate is essential for pet owners, veterinarians, and legal personnel engaged in animal welfare and control. Given its importance, here are key takeaways from the NASPHV Form 51 (revised 2007) for proper completion and use:

  • Be precise when entering details such as the owner's name, address, and telephone number to ensure clear communication and accountability.
  • The inclusion of both a rabies tag number and a microchip number enhances the traceability of the animal's vaccination history and ownership.
  • Clarifying the species, age, size, and predominant breed of the animal provides essential information for assessing vaccine efficacy and potential health risks.
  • Marking the sex of the animal, as well as its neutered status, is crucial for comprehensive veterinary records and can influence the animal's behavior and health.
  • The option to specify if the animal control license is for 1 year, 3 years, or another duration allows for alignment with local regulations regarding rabies vaccination.
  • Recording the date vaccinated, along with the product name and manufacturer, ensures that the vaccination can be accurately identified and verified if necessary.
  • The veterinarian's name, license number, and signature are indispensable for certifying the authenticity of the vaccination and confirming that it was administered by a qualified professional.
  • Differentiating between initial and booster doses on the form helps to track the vaccination schedule and ensure timely follow-up vaccinations.
  • Indicating the vaccine's serial (lot) number is critical for identifying the specific batch of the vaccine, which can be important in cases of vaccine recall or adverse reactions.
  • Stating the next vaccination due date encourages compliance with recommended vaccination schedules, enhancing the public health effort to control rabies.

Completing the Rabies Vaccination Certificate with attention to detail and accuracy serves not only to comply with legal requirements but also to protect animal and public health by facilitating effective vaccination tracking and management.

Please rate Rabies Certificate Form Form
4.73
First-rate
15 Votes