Application for International Health Certificate Exams
(Please note that preparing for travel to some countries can take months)
Pet Owner Information
Name
*
First Name
Last Name
Address (Where Your Pet Resides)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Patient/ Pet Information
How many pets will be travelling with you? (If more than 1 is selected, you will need to fill out a separate application form for each additional pet)
*
Pet Name
*
Sex (F, F/S, M, M/N)
*
Please Select
Female
Female/Spayed
Male
Male/Neutered
Species
*
Please Select
Dog
Cat
Ferret
Other
If OTHER, please specify
Breed
*
Color
*
Date of Birth (please choose approximate date if unsure)
*
-
Month
-
Day
Year
Date
Weight in pounds (approximate if unsure)
Lbs.
Does the destination country require a microchip?
*
Yes
No
Microchip number (if required by the destination country)
Location of microchip
Please Select
Dorasal Midline
Left Neck
Other
If OTHER, please specify
Date of microchip placement (if applicable)
-
Month
-
Day
Year
Date
Travel Information
Will you be traveling on the same flight as your pet?
*
Yes
No
If NO, who will your pet be traveling with?
*
Designated person traveling on the same plane as the pet
Pet Transport Company or Airline Cargo is solely responsible for shipping the pet AND the owner or designated person has traveled or will travel within 5 days of the pet
Neither the owner nor a designated person is traveling within 5 days of the pet
If NEITHER, please explain:
If TRANSPORT COMPANY, AIRLINE CARGO or DESIGNATED PERSON, please provide full name/ company information
Destination Country
*
Port of Embarkation (name of airport/ border crossing where your pet will be leaving the U.S. from)
*
(ex. MA- Boston, Logan Airport)
Port of Entry (name of airport/ border crossing where your pet will be entering the destination country)
*
Date of Travel
*
-
Month
-
Day
Year
Date
Date of Entry into Destination Country
*
-
Month
-
Day
Year
Date
Please enter time frame of travel if you do not currently have an exact date.
*
If you already know your expected date of travel and have entered it above, please re-enter it here
Destination Address (where your pet will be staying)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number (where you may be reached in destination country)
*
Please enter a valid phone number.
Type of Admission to Destination Country
*
Temporary
Permanent
Re-Entry
Transit
Purpose of travel
Pleasure
Relocation
Which airline will you be leaving the United States with?
*
Method of Travel
*
Air Cabin
Air Cargo
Flight Number (if you do not yet have this information, please provide it once you do)
What type of container (cage, carrier, etc...) will your pet be travelling in (if any)
*
Destination Country Requirements
What type of health certificate is required by the destination country? (check one)
*
a country-specific international health certificate (as found on the USDA-APHIS Pet Travel website)
a generic pet health certificate (ex. APHIS Form 7001)
None, my pet has a current/ valid Pet Passport
Does the destination country accept certificates submitted to the USDA APHIS through VEHCS? (This information can be found on the USDA APHIS Pet Travel website after selecting your destination country)
*
Yes
No
Does the destination country require the USDA APHIS to ink-sign and emboss the certificate? (This information can be found on the USDA APHIS Pet Travel website after selecting your destination country)
*
Yes
No
***If YES, this means that the final, endorsed health certificate that travels with your pet will need to be mailed back to you***
***This means that you will need to provide a pre-paid, pre-addressed, expedited return shipping label before your certificate can be submitted. The label will need to be in JPEG or PDF format. The label should be addressed to and from yourself for you to receive it in time for travel. FedEx is recommended***
I HAVE READ THE ABOVE INFORMATION REGARDING USDA APHIS ENDORSEMENT
*
Yes
Is your pet's rabies vaccination considered a primary/ initial vaccination?
*
Yes, it is the first rabies vaccination given after microchip implantation
Yes, the previous rabies vaccination was expired when the latest vaccination was given
No, my pet's current rabies vaccination was a booster and is current (was given within the last 1,092 days)
No, my pet's current rabies vaccination was a booster but is NOT current and will need to be given prior to travel
Other
If OTHER, please specify
If your pet's rabies vaccination is considered a primary/ initial vaccination, it must be administered within 365 days and at least 21 days prior to travel
Is your pet current on any/ all other vaccinations required by the destination country and were the vaccinations given within the required timeframe?
*
Yes
No
If NO, what vaccinations will your pet need and when must they be given?
***You must upload your pet's vaccination history and Rabies certificate (current or most recent) with this application if the vaccines were NOT administered by Animal Health Care Associates***
Does the destination country require any lab tests/blood work?
*
Yes
No
If YES, what tests are required and when must the samples be collected? (please list)
***Please note that samples will need to be collected within the testing timeframe required by your destination country and some tests may take weeks or months for the results to be returned***
**Some countries require a waiting period after testing and before entry into the destination country**
Does the destination country require any treatments such as internal/external parasite control?
*
Yes
No
If YES, what treatments are required and when must they be administered? (please list)
(ex. Flea, Tick and Tapeworm treatment - within 15 days of travel)
Does your airline have any of its own specific requirements?
*
Yes
No
If YES, what is required? (please list and provide any documentation you will need filled out)
Please provide any other relevant information here
***Please upload any forms required by your airline that will need to be filled out or signed by the doctor. Make sure to fill out ALL areas that are not specifically required to be filled out by a veterinarian***
Please upload any relevant documents that need to accompany your application here (i.e. vaccination history, Rabies certificate, airline paperwork, etc...)
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Please note, if submitting images of a vaccine booklet/log, you must include an image of the front of the booklet with your pets name, sex, breed, color, DOB, etc... All images must be clear and all vaccine sticker lot/serial numbers must be readable.
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