Primary Owner Information - Legal Owner of Pet Required

You must be at least 18 years old to travel unaccompanied with a pet.
A non-refundable Document Review Fee will be collected before we begin the process of research and preparation for completing all Health Certificates. This fee will go towards to total paid at the time of the exam for the Health Certificate. Upon completion of this form, please call us to pay the fee.

Owner First and Last Name

License Number

Expiration Date

State/Province Issued

Address of Origin

This is where the pet currently lives or is traveling from.

City/Town of Origin

ZIP/Postal Code of Origin

County of Origin:

Primary Phone Number:

Secondary Phone Number:

Email Address:

Recipient Name (First and Last)

If the pet will be changing hands/ownership, enter their name here. If the pet will be staying with the owner, enter the owner name.

Destination Address

This is where the pet will be traveling to or the address of the person picking them up once they arrive.

Destination City/Town

Destination ZIP/Postal Code

Destination Country

Destination County:

Owner Group:

Civilian

Army

Marines

Coast Guard

Air Force

Other

Pet Information

Pet Name:

Species:

Cat

Dog

Age/DOB

Breed:

Color

Gender:

Male

Female

Neutered Male

Spayed Female

Microchipped?

Yes

Unknown

Not Microchipped

Microchip Number:

Date Microchip Implanted:

How will your pet be traveling?

Airline

Land vehicle

Who will your pet be traveling with?

Owner

Alone

Authorized Caretaker/Transporter

If traveling by air, what airline?

If traveling by air, where on the plane will they be traveling?

Cabin

With owner/caretaker

Checked

With baggage

Cargo

In cargo hold

Departure Airport (if flying)

Departure Town:

Departure Date:

Arrival Airport/City/Port of Arrival

Include airport code AND city, state, and country (if outside of US)

Arrival Date

If flying, are there any layovers?

Yes.

Name or Transport Company (if applicable)

Transporter Address

Address 2

Transporter City/Town

Transporter State/Province

Transporter ZIP/Postal Code

Transporter Country

Is someone other than you picking your pet up from the airport?

Yes

If someone else is picking up your pet at the airport, enter their name here.

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Health Certificate Form

Primary Owner Information - Legal Owner of Pet Required

You must be at least 18 years old to travel unaccompanied with a pet.

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