Health Certificate Request
Please note that only horses for the same owner can be on the same health certificate. Each owner will need to request their own health certificate for their horse(s).
Date requested
*
Horses owner
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
Date leaving
*
Horse's name
*
Registered name
Barn name
Horses temperature
*
Coggins Upload
*
Browse Files
Drag and drop files here
Choose a file
A current Coggins is required for a Health Certificate to be processed. If you have one that was pulled someplace other than 3H Equine Hospital please upload it here.
Cancel
of
Do you wish to add more horses? if so, can you type the name of the horse below and upload the Coggins.
*
Full address of place of departure
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Full address of destination
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Purpose of travel
*
Name of shipper
*
First Name
Last Name
Address of shipper
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone number of the shipper
*
Please enter a valid phone number.
For international travel please type the port of entry below
Submit
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