Health certificate form | Mckinleyville Animal

PET TRAVEL FORM

Consignor person traveling with the pet (First and Last name)

Consignor Phone Number

Address of origin (Must be a physical address)

Consignee (person the pet will be received by). If the same as consignor, leave blank.

Consignee Phone Number (if same as above, leave blank)

Destination address (Where pet will be staying)

Destination Country or State

Zone of Destination (shipping region)

Port of Embarkation (where you are leaving from)

Border Crossings (if any)

Date Of Shipment (Travel date)

Month

Day

Year

Means Of Transportation please describe below.

If air travel, will the pet be in CARGO or CABIN? Click below that applies.

CABIN

CARGO

Flight Number

IF TRAVELING VIA AIR, PLEASE BRING THE AIRLINE'S SPECIFIC PET TRAVEL FORMS AT THE TIME OF APPOINTMENT.

Description Of Commodity

Canine

Feline

Total number of Commodity(s)

Commodities Intended Use

Type Of Admission (ie: relocation, vacation)

Please list the following information for patient #1 : NAME -K9 or FELINE -BREED - COLOR- AGE -SEX - ALTERED or UNALTERED

Microchip Number ( ISO Compliant)

Microchip Implantation date

Month

Day

Year

Please list the following information for patient #2 : NAME -K9 or FELINE -BREED - COLOR- AGE -SEX - ALTERED or UNALTERED

Microchip Number ( ISO Compliant)

Microchip Implantation date

Month

Day

Year

IF VACCINES ARE NOT DONE WITH OUR CLINIC, PLEASE BRING VACCINE HISTORY AND A RABIES CERTIFICATE SIGNED BY THE DOCTOR ON THE CERTIFICATE.

IF ANY OF THE DOCUMENTS OR INFORMATION ASKED FOR IN THE ABOVE FORMS ARE MISSING OR NOT PRESENTED AT THE TIME OF THE APPOINTMENT, THIS WILL DELAY THE HEALTH CERTIFICATE PROCESS, AFFECTING TRAVEL PLANS.

For additional information or assistance, please go to the USDA pet travel website.

https://www.aphis.usda.gov/aphis/pet-travel

Please attach all documents related to the above travel, along with a signed rabies certificate.