Health Certificate Request Form

Health Certificate Request Form

Filling out this form will help advise us on timelines, necessary treatments, testing, vaccines, so we can prepare the health certificate and, if required, submit it for state veterinarian endorsement.
Client/Pet Owner
Name

First NameLast Name
Email
example@example.com
Confirm Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Originating From
From City
From State
From Country
Traveling To
Traveling to City
Traveling to Country
Ideal Traveling Date (best guess – can change later)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Pet Details
Total Number of Pets Traveling
Pet Information
Other Info
Will the client/pet owner travel within 5 days of their pet(s)?
Will a family member or friend travel within 5 days of the above listed pet(s)?
Please fill out their contact information below:
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Unfortunately, we do not coordinate services for pet(s) traveling solo. Please fill out the "Request a Quote" form on the Feathers and Fur Express website and the company will contact you directly regarding the destination country's requirements and pricing for services.
Is the client/pet owner an active or retired military member? Is the client/pet owner moving on military orders?
Why is/are their pet(s) traveling?
What other reason is/are their pet(s) traveling?
Comments
Should be Empty:

Health Certificate Request Form

Client/Pet Owner

Originating From

Traveling To

Pet Details

Other Info