Pet Travel Information Form

Pet Travel Information Form
Thank you for providing the necessary details for your pet's travel arrangements. Please complete the following information accurately to ensure a smooth process.
Traveler's Information:
Owner's Full Name:

First NameLast Name
Date of Travel:

MonthDayYear
Date
Arrival Date:

MonthDayYear
Date
Current Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Person Receiving Pet at Final Destination
Final Destination Address:
Destination Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Pet Information:
Number of Canines:
Number of Felines:
Is the pet traveling with the owner, or separately?
If traveling separately, please list the owner's arrival date below:
Mode of Transport for the Pet
Airline Name:
Place of Flight Departure:
Place of Flight Arrival:
Purpose of Travel:
Is the pet returning to the United States?
Are you transiting through any other countries before reaching the final destination?
If yes, please list the countries below:
If yes, is this just a layover, or are you stopping and spending time in that country?
If this is just a layover, how long is the layover?
If you are stopping and spending time in that country, how long will you be spending there?
If applicable, what address would you like the USDA to send the Health Certificate to?:
Do you want a signature required, or signature waived for the delivery of the certificate?
In addition to this form, please provide copies of the following:
- Complete veterinary records for all pets traveling
- The last two (2) rabies vaccination certificates
- Microchipping information (if applicable)
For any questions, or further assistance, please contact us at 518-279-0700. Thank you for ensuring your pet's travel documentation is in order. We look forward to helping you with your travel!

The Team at Brunswick Veterinary Hospital
Should be Empty:

Pet Travel Information Form

Thank you for providing the necessary details for your pet's travel arrangements. Please complete the following information accurately to ensure a smooth process.

Traveler's Information:

Pet Information: