International Health Certificate Exam Information Form

Information form for livestock exhibition healt certificates for out of state movement. All informaton listed below is required prior to issuing health certificates.

Name (First, Last)

Address (Physical address where animal(s) are housed)

State

City

Zip Code

Phone Number

Email Address

example@example.com

Owner Premis Identification Number

Animal Name

Species

Breed

Sex

Age/Date of Birth

Date

Official Identification Tag number and location

Other Tag/Ear Notch/Brand identification and locations

Initial Date of Travel

Date

If someone other than the listed owner will be transporting include Name, Address, and Phone number.

***Please note that based on animal age and destination lab testing may be required for show entry. We will verify Florida Department of Agriculture rules as well as the rules of the destination state regarding animal movement. You are responsible for providing individual show rules for review as they may have requirements exceding state laws, please upload below. For some out of state travel, especially where testing is required multiple visits may be required.***

File Upload

After your information is submitted to Midway Veterinary Hospital, we will review it and get back to you as soon as we are able, depending on destination of travel and completeness of information provided the review process will take between 24 and 48 business hours. We appreciate your patience.