Notice To New Owners Of Rabies Vaccination Form printable pdf download

NOTICE TO NEW OWNERS OF RABIES VACCINATION*

Received: ________________________________

DATE Transferred/Sold to New Owner: __________

I, _________________________________________,

Health Certificate #: _______________________

SIGN NAME HERE

(If from out of state)

understand that under RI General Law 4-13-4.1 this animal

DOG

CAT

FERRET

MUST be inoculated against RABIES within thirty (30)

BREED:_________________________________

days of the above date or when the animal reaches three (3)

months of age.

AGE: ________________SEX:_______________

NAME & ADDRESS OF NEW OWNER:

NAME & ADDRESS OF BREEDER/WHOLESALER:

_______________________________________________

Phone #:_____________________________________

Phone #:________________________________________

Received: ________________________________

DATE Transferred/Sold to New Owner: __________

I, _________________________________________,

Health Certificate #: _______________________

SIGN NAME HERE

(If from out of state)

understand that under RI General Law 4-13-4.1 this animal

DOG

CAT

FERRET

MUST be inoculated against RABIES within thirty (30)

BREED:_________________________________

days of the above date or when the animal reaches three (3)

months of age.

AGE: ________________SEX:_______________

NAME & ADDRESS OF NEW OWNER:

NAME & ADDRESS OF BREEDER/WHOLESALER:

_______________________________________________

Phone #:_____________________________________

Phone #:________________________________________

Received: ________________________________

DATE Transferred/Sold to New Owner: __________

I, _________________________________________,

Health Certificate #: _______________________

SIGN NAME HERE

(If from out of state)

understand that under RI General Law 4-13-4.1 this animal

DOG

CAT

FERRET

MUST be inoculated against RABIES within thirty (30)

BREED:_________________________________

days of the above date or when the animal reaches three (3)

months of age.

AGE: ________________SEX:_______________

NAME & ADDRESS OF NEW OWNER:

NAME & ADDRESS OF BREEDER/WHOLESALER:

_______________________________________________

Phone #:_____________________________________

Phone #:________________________________________

Received: ________________________________

DATE Transferred/Sold to New Owner: __________

I, _________________________________________,

Health Certificate #: _______________________

SIGN NAME HERE

(If from out of state)

understand that under RI General Law 4-13-4.1 this animal

DOG

CAT

FERRET

MUST be inoculated against RABIES within thirty (30)

BREED:_________________________________

days of the above date or when the animal reaches three (3)

months of age.

AGE: ________________SEX:_______________

NAME & ADDRESS OF NEW OWNER:

NAME & ADDRESS OF BREEDER/WHOLESALER:

_______________________________________________

Phone #:_____________________________________

Phone #:________________________________________

Received: ________________________________

DATE Transferred/Sold to New Owner: __________

I, _________________________________________,

Health Certificate #: _______________________

SIGN NAME HERE

(If from out of state)

understand that under RI General Law 4-13-4.1 this animal

DOG

CAT

FERRET

MUST be inoculated against RABIES within thirty (30)

BREED:_________________________________

days of the above date or when the animal reaches three (3)

months of age.

AGE: ________________SEX:_______________

NAME & ADDRESS OF NEW OWNER:

NAME & ADDRESS OF BREEDER/WHOLESALER:

_______________________________________________

Phone #:_____________________________________

Phone #:________________________________________

FOR ALL DOGS, CATS, AND FERRETS sold/adopted in Rhode Island

MUST BE PERMANENTLY MAINTAINED ON STORE PREMISES

Notice To New Owners Of Rabies Vaccination Form

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