Pet Owner Worksheet for Preparing Visit with Accredited Veterinarian to Complete Health Certificate

Please note that preparing for travel to some countries can take several months.

Complete this worksheet BEFORE meeting with the USDA Accredited Veterinarian who needs this information to complete your international health certificate.

Your Name

Your Email Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

List the destination country you are traveling to with your pet.

Who is accompanying your pet while traveling?

The owner

A person authorized by the owner

No one

A pet transport company is transporting the pet

List the address(s) and phone number(s) in the destination country where your pet will stay during the visit.

How is your pet leaving the United States?

Air – Direct Flight

Air – Layovers in another country. List the country or countries your pet will land in before the destination country is reached (enter below)

Car

Train

Boat – Direct

Boat – Cruise ship – List all countries the cruise is stopping at (please list these below)

Please use this text box to enter the country or countries your pet will land/stop at before the destination country:

Airline

Name of Airline

Is your pet travelling in:

Cargo

Cabin

Does airline require a Letter of Acclimation?

Yes

Time of departure:

What date is your pet leaving the United States and from where (last air or seaport in the U.S.)?

Provide the date that you and your pet arrive in the destination country.

You:

Your pet:

How many pets are traveling?

How old will the pet be at the date of travel?

What type of pet will be traveling?

Dog

Cat

Ferret

Bird (other than: chickens, doves, ducks, geese, grouse, guinea fowl, partridges, pea fowl, pheasants, pigeons, quail, swans, and turkeys)

Rodent

Hedgehog/tenrec

Rabbit

Reptile

Amphibian

Does your pet have a microchip?

Yes, implanted on (list date below)

Yes, but I don’t know when it was implanted.

I have more than one pet but not all of them have microchips.

I don't know

Other…

Enter microchip implant date:

When was your pet’s last rabies vaccination?

The veterinarian issuing my international health certificate administered my pet’s last rabies vaccination (please enter date below)

A veterinarian other than the veterinarian issuing my international health certificate administered my pet’s last rabies vaccination. I will need to bring the last valid rabies certificate to my appointment (please enter date below)

I don't know

My pet isn’t vaccinated for rabies.

Enter vaccination date:

Does your destination country require an import permit?

Yes

I don't know

Did your airline or cruise ship give you any additional travel requirements for your pet?

Yes, I will give this to the veterinarian issuing my international health certificate.

Will your pet(s) be returning to Hawaii?

Yes

Any questions or concerns about your pet(s) travelling?

Health Certificate Preparation Form

How Are We Doing?

How Are We Doing?

Get In Touch