Owner Name *

First

Last

Email *

Pet Name *

Pet Owner Worksheet for Preparing Visit with Accredited Veterinarian to Complete Health Certificate

Please note that preparing for travel to some countries can take several months.

Complete this worksheet BEFORE meeting with the USDA Accredited Veterinarian who needs this information to complete your international health certificate.

List the destination country you are traveling to with your pet. *

Who is accompanying your pet while traveling? *

The owner
A person authorized by the owner
No one
A pet transport company is transporting the pet

List the address(s) and phone number(s) in the destination country where your pet will stay during the visit. *

How is your pet leaving the United States? *

(Layover) List the country or countries your pet will land in before the destination country is reached: *

(Cruise) List all countries the cruise is stopping at: *

What date is your pet leaving the United States and from where (last air or seaport in the U.S.)? *

Provide the date that you arrive in the destination country: *

Provide the date that your pet arrives in the destination country: *

How many pets are traveling? *

How old will the pet be at the date of travel? *

What type of pet will be traveling? *

What or U.S.)?

Does your pet have a microchip? *

Yes, and I know when it was implanted.
Yes, but I don't know when it was implanted.
I have more than one pet but not all of them have microchips.
No
I don't know

(Yes) When was the microchip implanted? *

When was your pet's last rabies vaccination? *

The veterinarian issuing my international health certificate administered my pet's last rabies vaccination.
A veterinarian other than the veterinarian issuing my international health certificate administered my pet's last rabies vaccination. I will need to bring the last valid rabies certificate to my appointment.
I don't know.
My pet isn't vaccinated for rabies.

Rabies vaccination date: *

Does your destination country require an import permit? *

Yes
No
I don't know.

Did your airline or cruise ship give you any additional travel requirements for your pet? *

Yes, I will give this to the veterinarian issuing my international health certificate.
No.

International Health Certificate Form

International Health Certificate Form

Pet Owner Worksheet for Preparing Visit with Accredited Veterinarian to Complete Health Certificate

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