Direct Release Request - Kauai North Shore Animal Clinic

If you are submitting this request less than 30 days before your pet's arrival:

There is no guarantee your permit will be issued in time.
The state will not provide status updates and does not make exceptions for late submissions, including for service animals.
You may be required to reschedule your travel or route your pet through Honolulu (HNL).
Our Direct Release booking fee is non-refundable, even if the permit is not issued.

⚠️ Please note:
You may have already submitted your documents to AQS—however, they will not begin processing your Neighbor Island Inspection Permit (NIIP) until our confirmation is also received.

We cannot provide that confirmation unless you submit this form and your payment at least 30 days before your pet’s arrival.

The AQS does not notify us when you submit documents to them, and they do not guarantee permits for requests received with less than 30 days’ notice—even for service animals.

Please check the box below to confirm that you have read and understand this policy:

I understand that even if I have submitted paperwork to the State of Hawaiʻi, my pet’s permit will likely not be issued unless this form and payment are received at least 30 days before arrival. I accept the risks of late submission and understand that the Direct Release booking fee is non-refundable.

We're always happy to help with Direct Release inspections, even on short notice—but the final approval comes from the Animal Quarantine Station, and they rarely issue Neighbor Island Inspection Permits (NIIPs) with less than 30 days' notice. We wish we had more control, but without a permit, we’re not allowed to release pets at LIH.

Please indicate one of the following:*

This is my first Direct Release and I am NOT a client of Kauai North Shore Animal ClinicThis is my first Direct Release and I AM a client of Kauai North Shore Animal ClinicThis is NOT my first Direct Release and I AM a client of Kauai North Shore Animal Clinic

Today's Date*

Today's Date

Please check this box to indicate this is a new arrival (REQUIRED)*

New Arrival

Date of arrival*

Date of Arrival

Time Of Arrival (into LIH airport):*

Hour Minutes

AM/PM Option

Airline AND flight number (flight number only will not be sufficient)*

Please only provide the airline and flight number that is arriving at LIH. DO NOT provide any connecting flight information.

Private Arrival

If flying on a private aircraft, please provide the aircraft, state tail # or name of carrier service. Also provide the name of the FBO (Fixed Based Operator), either Signature Aviation or Atlantic Aviation at Lihue Airport. Requests cannot be processed without this information

Owner full name*

Owner phone number*

Owner e-mail: Your Neighbor Island Inspection Permit (NIIP) will be emailed to you by the Animal Quarantine Station. Please ensure you monitor your inbox for the NIIP.*

example@example.com

Address: (if you are relocating to Kaua'i please give Kaua'i address)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

**If any information is incomplete or microchip number is incorrect, the confirmation will be returned to you for re-submission.

*****PLEASE REACH OUT TO YOUR AIRLINE IF YOU ARE UNSURE HOW YOUR PET IS TRAVELING. The wrong selection will delay the release process and may incur additional fees.*****

If your pet is traveling in the cabin the inspector will either meet you at the end of the jetbridge as you enter the terminal or as you enter the baggage claim area.

If your pet is traveling as checked baggage the inspector will meet you at the elevators in the baggage claim area.

If your pet is traveling as cargo the inspector will meet you at your airline's cargo facility. The cargo facilities are located a short walk from the passenger terminal. Please arrive promptly at the cargo facility upon arrival.

Pet #1 Name (first name only)*

Pet #1 Microchip*

Please DOUBLE CHECK this number for accuracy!

Pet #1 Species*

Pet #1 Color*

Pet #1 Age (please indicate months or years)*

Pet #1 Gender*

Pet #1 Breed*

Is Pet #1 travelling:*

In the cabin with you.Checked baggage (you are on the same flight and you are checking your pet in at the airline ticket counter)Cargo (your pet is oversized or you are not travelling on the same flight - you are checking your pet in at the airline's cargo facility)

Add 2nd Pet*

YesNo

Pet # 2 Name (first name only)*

Pet #2 Microchip*

Please DOUBLE CHECK this number for accuracy!

Pet # 2 Species*

Pet #2 Color*

Pet #2 Age (please indicate months or years)*

Pet #2 Gender*

Pet # 2 Breed*

Is Pet # 2 travelling:*

In the cabin with you.Checked baggage (you are on the SAME flight and you are checking your pet in at the airline TICKET counter)Cargo (your pet is OVERSIZED or you are NOT travelling on the same flight - you are checking your pet in at the airline's CARGO FACILITY)

Add 3rd Pet*

YesNo

Pet # 3 Name (first name only)*

Pet # 3 Microchip*

Please DOUBLE CHECK this number for accuracy!

Pet # 3 Species*

Pet # 3 Color*

Pet # 3 Age (please indicate months or years)*

Pet #3 Gender*

Pet # 3 Breed*

Is Pet #3 travelling:*

In the cabin with you.Checked baggage (you are on the same flight and you are checking your pet in at the airline ticket counter)Cargo (your pet is oversized or you are not travelling on the same flight - you are checking your pet in at the airline's cargo facility)

Add 4th Pet*

YesNo

Pet # 4 Name (first name only)*

Pet # 4 Microchip*

Please DOUBLE CHECK this number for accuracy!

Pet # 4 Species*

Pet # 4 Color*

Pet # 4 Age (please indicate months or years)*

Pet #4 Gender*

Pet # 4 Breed*

Is Pet #4 travelling:*

In the cabin with you.Checked baggage (you are on the same flight and you are checking your pet in at the airline ticket counter)Cargo (your pet is oversized or you are not travelling on the same flight - you are checking your pet in at the airline's cargo facility)

Kauai North Shore Animal Clinic strongly recommends establishing care for your pet so a veterinarian can fully discuss the recommended preventative care necessary for a pet living in or visiting Kauai.

Complimentary Exam for New Pets

New Pets arriving on Kauai are offered a complimentary exam (regularly priced exam $73.24) to establish care with Kauai North Shore Animal Clinic.
*valid within 30 days of arrival for regularly scheduled exams.

Discounted Exam for Pets Returning to Kauai

Pets returning to Kauai are offered a 50% discount on exams scheduled within 30 days of arrival.
*valid within 30 days of arrival for regularly scheduled exams.

Would you like to schedule an appointment to have your pet be seen by the veterinarian at our clinic? We recommend scheduling at least 3-5 days after your arrival in Kauai!*

YesNo

Appointment Request #1*

Appointment Request #2

Secondary Owner*

YesNo

Secondary Owner Name

First NameLast Name

Secondary Owner Phone Number

Please enter a valid phone number.

Secondary Owner Relationship

Secondary Owner may make the following decisions:

FinancialMedicalDrop off/pick upOther

Would you like us to request records from your previous veterinary clinic?*

YesNoI will upload or send previous recordI will request my previous veterinary clinic send records to: admin@kauainorthshoreanimalclinic.com

Previous Veterinary Clinic

Clinic's Phone Number

Please enter a valid phone number.

Upload previous medical record

Our goal is to provide you with extraordinary care & service. Is there anything we can do to give you the best experience?

I agree to the following terms and confirm all of the information I have provided is correct.

I confirm the flight information I have provided is correct.
I confirm this flight originates from the mainland and Lihue is my pet's first port of entry into the state of Hawaii. *Flight changes are subject to a $50 flight change fee.
I understand additional booking fees will apply to the following:
- Flights that arrive AT or AFTER 5:00 PM, or AT or BEFORE 8:00 AM
- Flights that arrive on Saturday or Sunday
- Flights that arrive on a State or Federal Holiday, in addition to New Years Eve, Easter Sunday, and Christmas Eve.
I understand that KNSAC will not confirm my appointment with the AQS until I have paid my invoice in full. Submitting this form does not guarantee a Neighborhood Island Inspection Permit (NIIP) will be issued from the AQS.
I agree it is solely my responsibility to confirm all requirements, set forth by the Animal Quarantine Station, have been met to allow my pet to be released on Kauai by Kauai North Shore Animal Clinic.
I have followed all of the requirements on Checklist 2 provided by the Hawaii Department Of Agriculture. THIS INCLUDES: Having an up to date FAVN result for my pet(s), submitting the AQS-279 form, submitting the 2 most recent Rabies Certificates, and sending payment via mail to the HDOA for their fees.

Flight Change Acknowledgment*

I understand that if my pet’s arrival time differs by more than 2 hours from my scheduled Direct Release booking, I am required to submit a Flight Change Form (available under the Direct Release drop-down menu).Flight changes must be submitted only via this form—changes made by phone, email, or text will not be accepted.I also understand that if I fail to update KNSAC of travel changes or do not arrive as scheduled, I will forfeit all booking fees and my pet may not be eligible for Direct Release.

REFUND POLICY:

I understand cancellations prior to two weeks before arrival will receive a full refund less $150 processing fee.
I understand cancellations within two weeks of arrival will recive a 50% refund.
Cancellations less than 48 hours or less prior to arrival are not refundable. A 50% credit may be applied to a future booking.

By signing below I agree the information I have provided above is correct. I understand all requirements for entry and associated fees and policies.

Please Read: Important Information About Veterinary Care on Kaua‘i:

There are no 24/7 veterinary hospitals on Kaua‘i, and emergency care across the island is extremely limited. Emergency services are not guaranteed—even for established clients.
Kaua‘i North Shore Animal Clinic is not a 24-hour facility, but we are open Thursday through Sunday, including Sundays when all other clinics are closed. We offer extended weekend availability to help bridge the gap in care and support the island’s veterinary needs.
If your pet experiences a true emergency, the nearest 24/7 emergency hospital is VERC (Veterinary Emergency + Referral Center) on Oʻahu.
If your pet experiences a daytime emergency on a day we are closed (Monday–Wednesday), werecommend first contacting another local clinic that is open. If no in-person care is available, you may use VetTriage, a 24/7 video telehealth service that can assess your pet’s condition and guide next steps. Please note that in-person emergency care is not guaranteed—even after a VetTriage consultation.

If you’re relocating to Kaua‘i with pets, we strongly encourage you to plan ahead and understand the limitations of veterinary care on a small island. Our team is here to support you within the resources available locally.

Signature*

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