ADDITIONAL PETS HEALTH CERTIFICATE FORM **You may submit up to 8 addt’l pets. Please use upload link at bottom of page to upload Rabies and Vaccine Information Health Certificate Additional Pets Complete All Fields 2-7 days in advance of traveling. Name of Consignor or Rescue Group (Person or Rescue Group Transporting Pet)* If pet is under a Rescue Group List Name of Rescue Group Transporting Pet If Not Applicable Type N/A If Not Applicable Means of Transportation ie: Air, Rail, Ship, Auto ect Pet Name* First Breed* Sex* Female Male Spayed Female Neuter Male Birthdate* MM slash DD slash YYYY Description, Color, And Unusual Markings Does The Pet Have A Microchip* Yes No Microchip Number Rabies Vaccine Previously Given?* Yes No *If the Rabies vaccine was given at another Veterinary Clinic please attach the Vaccine records when submitting this form - WE MUST HAVE A CERTIFICATE WITH LOT #, BRAND AND MANUFACTURER!Rabies Tag Number And Date If Already Given Any Pertinent InformationPet Name Breed Sex Female Male Spayed Female Neuter Male Birthdate MM slash DD slash YYYY Description, Color, And Unusual Markings Does The Pet Have A Microchip Yes No Microchip Number Rabies Vaccine Previously Given? Yes No Rabies Tag Number And Date If Already Given Do We Need To Give Any Vaccines At The Time Of Exam Required For Health Certificate Yes No Any Pertinent Information Pet Name First Breed Sex Female Male Spayed Femail Neuter Male Birthdate MM slash DD slash YYYY Description, Color, And Unusual Markings Does The Pet Have A Microchip Yes No Microchip Number Rabies Vaccine Previously Given? Yes No Rabies Tag Number And Date If Already Given Do We Need To Give Any Vaccines At The Time Of Exam Required For Health Certificate Yes No Any Pertinent InformationPet Name First Breed Sex Female Male Spayed Femail Neuter Male Birthdate MM slash DD slash YYYY Description, Color, And Unusual Markings Does The Pet Have A Microchip Yes No Microchip Number Rabies Vaccine Previously Given? Yes No Rabies Tag Number And Date If Already Given Do We Need To Give Any Vaccines At Time Of Exam Required for Health Certificate? Yes No Any Pertinent InformationPet Name First Breed Sex Female Male Spayed Femail Neuter Male Birthdate MM slash DD slash YYYY Description, Color, And Unusual Markings Does The Pet Have A Microchip Yes No Microchip Number Rabies Vaccine Previously Given? Yes No Rabies Tag Number And Date If Already Given Do We Need To Give Any Vaccines At Time Of Exam Required for Health Certificate? Yes No Any Pertinent InformationPet Name First Breed Sex Female Male Spayed Female Neuter Male Birthdate MM slash DD slash YYYY Description, Color, And Unusual Markings Does The Pet Have A Microchip Yes No Microchip Number Rabies Vaccine Previously Given? Yes No Rabies Tag Number And Date If Already Given Do We Need To Give Any Vaccines At Time Of Exam Required for Health Certificate? Yes No Any Pertinent InformationPet Name First Breed Sex Female Male Spayed Femail Neuter Male Birthdate MM slash DD slash YYYY Description, Color, And Unusual Markings Does The Pet Have A Microchip Yes No Microchip Number Rabies Vaccine Previously Given? Yes No Rabies Tag Number And Date If Already Given Do We Need To Give Any Vaccines At Time Of Exam Required for Health Certificate? Yes No Any Pertinent InformationPet Name First Breed Sex Female Male Spayed Femail Neuter Male Birthdate MM slash DD slash YYYY Description, Color, And Unusual Markings Does The Pet Have A Microchip Yes No Microchip Number Rabies Vaccine Previously Given? Yes No Rabies Tag Number And Date If Already Given Do We Need To Give Any Vaccines At Time Of Exam Required for Health Certificate? Yes No Any Pertinent Information*Please Submit Previous Vaccine Records If Applicable* Drop files here or Select files Max. file size: 1,000 MB. CommentsThis field is for validation purposes and should be left unchanged.
