NASPHV Form 51 at a glance
What it is: NASPHV Form 51 (revised 2007) is the Rabies Vaccination Certificate.
Who signs: Enter the Veterinarian's Name, License Number and Address, and add the Veterinarian's Signature.
A filled-in NASPHV Form 51 example: a veterinarian completes the certificate for a dog

How to fill out NASPHV Form 51, box by box
Owner's Name & Address
Species, age, size, sex and breed

Mark the Species as Dog, Cat, Ferret or Other, and write the Other species at (specify).
Enter the Age in Months or Years, and mark the Size as Under 20 lbs., 20 - 50 lbs. or Over 50 lbs.
Mark the Sex as Male or Female. Mark Neutered only for a Neutered animal.
Enter the Predominant Breed, the Predominant Colors/Markings and the Animal Name.
Animal Control License
Vaccine and date vaccinated

Enter the Date Vaccinated as Month / Day / Year.
Enter the Product Name.
Enter the Manufacturer (First 3 letters).
Mark the vaccine as a 1 Yr USDA Licensed Vaccine, a 3 Yr USDA Licensed Vaccine or a 4 Yr USDA Licensed Vaccine.
Mark Initial dose or Booster dose, and enter the Vaccine Serial (lot) Number.
Enter NEXT VACCINATION DUE BY as Month / Day / Year.
Sources
[1] NASPHV Form 51 Rabies Vaccination Certificate (revised 2007), National Association of State Public Health Veterinarians (the Official source link on this page).




