Application for Certificate of U.S. - Issued Rabies Vaccination form

Application for Certificate of U.S. - issued Rabies Vaccination form

* Required for all Dogs entering the U.S. with current rabies vaccinations administered within the United States. We recommend submitting this form at least 30 days prior to departing the U.S.A with your pet.*
Beginning August 1, 2024 the CDC will be requiring all dogs entering or returning to the United States to meet the following criteria prior to arrival at the port of entry.
- Be at least 6 month of age at the time of entry or return to the U.S.
- Have an International Organization for Standardization (ISO) compatible microchip
  - This must be implanted or confirmed by a USDA licensed veterinarian prior to any required rabies vaccination
- Appear healthy upon arrival
  - Dogs may not enter the U.S.A. if they are carrying a disease contagious to people
- Have a CDC Dog Import Form Receipt
- Have additional documentation which varies depending on where the dog has been in the 6 months before entering of returning to the U.S or if the dog has a current rabies vaccine administered in the U.S.
For more information on CDC Import requirements please visit the CDC website
Client Information and Travel Arrangements:
Name*

First NameLast Name
Is this the name of the person traveling with your pet(s)*

YesNo
Name of the person traveling with the pet(s)

First NameLast Name
U.S. Address (P.O. Boxes are not accepted)*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
(U.S. Phone Number)
Email Address*
example@example.com
Expected Departure Date*

MonthDayYear
When did you leave the U.S. or when will you be leaving the U.S.
Expected Return Date*

MonthDayYear
When will you be arriving at the U.S. Port of Entry
Destination Country*
What country will you be leaving when entering the U.S
Will you be visiting any other countries?
Please list any other countries you plan on visiting with your pet during this trip
Port of Entry*
Enter your intended port of entry when arriving to the U.S
Means of travel*
Which Airline will your pet be flying with?
Does your airline have any of its own specific requirements?
Any forms required by your airline that will need to be filled out or signed by the doctor may be submitted with this application.
International Address (This will be required before a certificate can be issued)

Street Address

Street Address Line 2

CityState

Zip CodeCountry
International Phone Number*
Please enter the phone number you can be reached at in your destination country (this can be the same as your US phone number

Patient Information
Name*
Species*
Breed*
Color*
Date of Birth*

MonthDayYear
If date of birth is unknown please enter an estimated date of birth.
Microchip number*
Please enter N/A or Unknown if your pet does not have a microchip or you do not know your pet's microchip number
Has your pet received any vaccinations, testing or preparation for travel at another veterinary facility?*

YesNo
Please list the name of any veterinary facility that our pet received vaccinations, testing or preparation for travel.
Patient documents

Please upload any medical records, vaccine certificates, test results or other documents that may be useful to prepare your pets health certificate
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Would you like to add another pet to this application?*

YesNo
Name
Species
Breed
Color
Date of Birth

MonthDayYear
If date of birth is unknown please enter an estimated date of birth.
Microchip number
An ISO - microchip is required for most countries, please enter N/A or Unknown if your pet does not have a microchip or you do not know your pet's microchip number
Has your pet received any vaccinations, testing or preparation for travel at another veterinary facility?*

YesNo
Please list the name of any veterinary facility that our pet received vaccinations, testing or preparation for travel.
Patient documents

Please upload any medical records, vaccine certificates, test results or other documents that may be useful to prepare your pets health certificate
Cancelof
***You must include your pet's vaccination history and signed Rabies certificate(s) with this application if the vaccines were NOT administered by Issaquah Veterinary Hospital***
After your application is submitted to Issaquah Veterinary Hospital, we will review it and get back to you as soon as we are able. We appreciate your patience.
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Application for Certificate of U.S. - issued Rabies Vaccination form

Client Information and Travel Arrangements:

Patient Information