Travel Certificate Information Form

Travel Certificate Information Form

For country of destination Travel Requirements Contact USDA @ 1 844 820-2234 Information can also be found https://www.aphis.usda.gov/aphis/pet-travel
Departure date

MonthDayYear
Date
Departure airport
Airline
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
USA Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Destination information
Owners Name or Recipient Name at the Destination Country

First NameLast Name
Destination Contact Phone Number
Please enter a valid phone number.
Destination Country Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
PLEASE UPLOAD ALL PREVIOUS VACCINE RECORDS AND MEDICAL HISTORY FOR TRAVELING PATIENT

Cancelof
Should be Empty:

Destination information