Pet Owner Worksheet Interstate Health Certificate

Pet Owner Worksheet Interstate Health Certificate

Please note that preparing for travel can take several weeks**

This worksheet must be completed and returned to customercare@indiantrailah.com BEFORE scheduling with the USDA Accredited Veterinarian for the interstate health certificate. It is still your responsibility to check the USDA APHIS Pet Travel website to ensure you have the necessary documentation, vaccination(s), pre-travel bloodwork, and pre-travel treatments AND that you are aware of the timeline required for various steps in this process. Specific requirements and timelines for various states can be found at the following link:

https://www.aphis.usda.gov/aphis/pet-travel
PLEASE FILL OUT THE BELOW QUESTIONS:
Name
Address
Phone
Email
example@example.com
2. Who is accompanying your pet while traveling?

The owner (also complete #3 below)A person authorized by the owner (also complete #3 below)No one (skip to #4)A pet transport company is transporting the pet (also complete #3 below)
3. List the name, address, phone number and e-mail address of the person accompanying the pet.
Name
Address
Phone
Email
example@example.com
4. List the name, address, phone number and e-mail address of the person responsible for the pet at their final destination.
Name
Address
Phone
Email
example@example.com
5. What is the purpose of travel? (adoption, sale, pleasure, etc.)
6. What is the date of travel?

MonthDayYear
Date
7. What is the method of travel?

Air CabinAir CargoAutomobileTruck/trailerRailWater
8. Does your pet have a microchip?

Yes and I know the dateYes, but don't know when it was implantedI have more than one pet but not all of them have microchipsNoI don't know
If you know the date of your pet's microchip implant, please put date below:
9. When was your pet's last Rabies vaccination?

The veterinarian issuing my international health certificate administered my pet's last Rabies vaccination (enter date below)A veterinarian other than the one issuing my health certificate administered my pet's last Rabies vaccination. I will need to bring the last valid Rabies certificate to my appointment. (enter date below)My pet isn't vaccinated for Rabies
Enter the date the veterinarian issuing the certificate last administered your pet's Rabies vaccination:
Enter the date another veterinarian issued your pet's last Rabies certificate:
PLEASE NOTE: If you are traveling to a state that requires a rabies titer (like Hawaii), keep in mind that results for this test takes a MINIMUM of 1 month.
10. Did your airline give you any additional travel requirements for your pet?

Yes - send these to customercare@indiantrailah.com via email AND bring a copy of any paperwork needed to your appointmentNo
I understand that Indian Trail Animal Hospital takes guidance for health certificates and requirements for travel from the United States Department of Agriculture Animal and Plant Health Inspection Service (USDA APHIS). They make every effort to provide the appropriate requirements and timelines for my pet's health certificate, but I understand that it is ultimately my responsibility as the pet owner to know what is required and when for my pet to travel.*
Please initial
I understand that airline requirements may be different than government requirements for pet travel. I understand that it is my responsibility as the pet owner to check the requirements/policies for the particular airline I may be traveling with. I will not hold Indian Trail Animal Hospital liable for any airline requirements/policies that were not met with my pet. Any additional costs or delays in travel that may arise due to not meeting airline requirements/policies are my responsibility as the pet owner.*
Please initial
I understand that I am ultimately responsible for ensuring that requirements are completed in a timely manner and all proper forms are completed.*
Please initial
Should be Empty:

PLEASE FILL OUT THE BELOW QUESTIONS: