USDA PRE-TRAVEL INFORMATION

USDA PRE-TRAVEL INFORMATION
DATE OF SCHEDULED APPOINTMENT FOR HEALTH CERTIFICATE*

MonthDayYear
Date
Country Traveling to*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Departure Date from USA*

MonthDayYear
Date
Time of Departure from USA*

Hour Minutes

AM/PM Option
Arrival Date in Destination Country*

MonthDayYear
Date
Time of Arrival in Destination Country*

Hour Minutes

AM/PM Option
Do you plan on returning to the USA?*

YesNo
When do you estimate that you will be returning?

MonthDayYear
Date
Name of person traveling with pet (as it appears on passport)*

First NameMiddle NameLast Name
Address in USA*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Address in Destination Country*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Port of Embarkation/Border Crossing
Airport leaving from in USA*
Will your pet be traveling in cabin or cargo?*

CabinCargo
Will your pet be requiring anti-anxiety medication for the flight?*

YesNo
Pet Information
Pet Name*
Microchip Number
Date Microchip Implanted

MonthDayYear
Date
Breed*
Date of Birth*

MonthDayYear
Date
Color*
Species*
Sex*
ALL SUBMISSIONS TO THE USDA ARE COMPLETED DIGITALLY. WE MUST RECEIVE YOUR COMPLETED TRAVEL INFORMATION AND RABIES CERTIFICATES AT LEAST 24 HOURS PRIOR TO YOUR APPOINTMENT. FAILURE TO DO SO MAY RESULT IN THE CANCELLATION OF YOUR APPOINTMENT:
• RABIES CERTIFICATE(s) MUST INCLUDE: Signature of veterinarian, microchip number, the vaccine
manufacturer, product name, serial or lot number, Lot/serial expiration, date administered, and date vaccine
expires. If your pet’s rabies vaccine occurred more than one year ago, please send the last TWO rabies vaccine certificates.

ADDITIONAL DOCUMENTS (COUNTRY DEPENDENT) THAT MAY BE REQUIRED:
• FAVN RABIES TITER REPORT
• FEDEX LABEL (PRIORITY OVERNIGHT) FOR THE DELIVERY OF YOUR OFFICIAL DOCUMENTS
• SUPPORTING DOCUMENTS (IMPORT PERMITS, ETC.)

We strongly encourage you to email us (info@UAHNYC.com) copies of your travel documentation (rabies certificates, etc.) so that we can confirm that the necessary requirements of your destination country will be met. The accuracy and timing of your paperwork, as well as any required treatments, vaccines, and/or tests, are crucial to the USDA’s official endorsement approvals. We will not alter or correct inaccurate documentation from another facility and we are not responsible for inaccurate, missing, or incomplete documentation.
I have read and understand the information outlined above. All travel information that I have submitted is correct.*

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USDA PRE-TRAVEL INFORMATION

Pet Information