Health Certificate Information

Health Certificate Information

For All Pets Requiring Travel Arrangements
Owner Name*

First NameLast Name
Owner Phone Number*
Please enter a valid phone number.
Owner Email Address*
example@example.com
Departure Airport
Estimated Departure Date

MonthDayYear
Date
Arrival Airport
Pet traveling arrangements:

Pet traveling on same airplanePet shipping separately
Owner ID Information*
Please add information for all pets you are traveling with:*
Upload vaccination records for all pets if not current with us:

Cancelof
Upload any rabies titer information:

Cancelof
Pet's Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Destination Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Person Responsible for Pet at Destination:*
AUTHORIZATION*

I, the owner, understand that each destination country has different requirements for my pet’s entry and I am responsible for supplying the list of requirements that need to be met for traveling. Lone Tree Animal Care cannot assume responsibility for ensuring that all the requirements are met for my particular situation and cannot be held responsible for quarantine, denial of entry, or costs incurred due to unfulfilled requirements for my pet.I, the owner, am responsible for reviewing airline requirements for pet travel and notifying Lone Tree Animal Care if there are additional requirements that need to be met. This includes: Travel carrier requirements, Location of pet in plane, Sedation policy, and Health certificate/vaccine/parasite control requirementsI, the owner, have reviewed and understand the requirements needed for my pet to travel internationally or to Hawaii. I understand that I am responsible for all costs associated with requirements needed per the USDA and airline or sea travel and will pay for services promptly upon completion. I understand that I am responsible for all travel documents that are needed. I also understand that Lone Tree Animal Care will do their best to obtain the necessary documentation however, they are not liable for any quarantine, denial of entry, or costs incurred due to unfulfilled requirements for my pet.
Signature*

Powered by Jotform SignClear
Signature Date*

MonthDayYear
Date
Should be Empty: