Pet Owner Worksheet

For International and Domestic Travel Health Certificates.
Name(Required)
Address(Required)

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

What is the species and breed of your pet?*

Will you be permanently moving to this country or just visiting(Required)
Who will be accompanying the pet while traveling?(Required)

Please list the address and phone number in the destination country where your pet will stay:*

How is your pet leaving the United States:*(Required)

If you answered b to the question above and will be traveling by air with layovers in another country, please list the country or countries your pet will land in before the destination country is reached.

If you answered f to the question above and will be traveling by cruise ship please list all the countries where the ship will be stopping.

On what date, and from where is your pet leaving the United States (last air or seaport in the US)?*

MM slash DD slash YYYY

Please provide the date you and your pet will arrive in the destination country:*

MM slash DD slash YYYY
MM slash DD slash YYYY

When will your pet be returning to the United States? *if pet will not be returning, please type N/A.*

Does your pet have a microchip?*(Required)
The veterinarian issuing my international health certificate administered my pet’s last rabies vaccination.(Required)
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.(Required)
My pet isn't vaccinated for rabies.(Required)
Does your destination country require an import permit?*(Required)
Does your airline or cruise ship have any additional requirements?*(Required)