Push to Print Form 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the RABIES TAG # at the top of the form. This unique identifier is essential for tracking vaccination records.
3. Fill in the Owner's Name & Address section clearly, including LAST, FIRST, M.I., STREET, CITY, STATE, and ZIP. Accurate information ensures proper identification.
4. Indicate the SPECIES of your pet (Dog or Cat) and select SEX (Male or Female). Specify if your pet is Sterilized.
5. Provide AGE in months or years and SIZE based on weight categories: Under 20 lbs., 20 - 50 lbs., or Over 50 lbs.
6. In the RABIES VACCINATION INFO section, enter MICROCHIP # and TELEPHONE # for emergency contact purposes.
7. Complete details about your pet’s breed and colors/markings. Enter ANIMAL NAME for easy reference.
8. Fill in the vaccination details: Product Name, DATE VACCINATED (Month/Day/Year), Veterinarian's Name, Manufacturer, and whether it's a 1 Yr or 3 Yr USDA Licensed Vaccine.
9. Lastly, note the NEXT VACCINATION DUE BY date and ensure you include Vaccine Lot Expiration Date and Serial Number. Don’t forget to have your Veterinarian sign and provide their License Number and Clinic Name.

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