Additional Pet Health Certificate 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/AIf Not Applicable Pet Name* First Breed*Sex* Female Male Spayed Female Neuter Male Birthdate* Date Format: MM slash DD slash YYYY Description, Color, And Unusual MarkingsDoes The Pet Have A Microchip* Yes No Microchip NumberRabies Vaccine Previously Given?* Yes No *If the Rabies vaccine was given at another Veterinary Clinic please attach the Vaccine records when submitting this formRabies Tag Number And Date If Already GivenAny Pertinent Information*Please Submit Previous Vaccine Records If Applicable* Drop files here or Pet NameBreedSex Female Male Spayed Female Neuter Male Birthdate Date Format: MM slash DD slash YYYY Description, Color, And Unusual MarkingsDoes The Pet Have A Microchip Yes No Microchip NumberRabies Vaccine Previously Given? Yes No Rabies Tag Number And Date If Already GivenDo We Need To Give Any Vaccines At The Time Of Exam Required For Health Certificate Yes No Any Pertinent InformationPet Name First BreedSex Female Male Spayed Femail Neuter Male Birthdate Date Format: MM slash DD slash YYYY Description, Color, And Unusual MarkingsDoes The Pet Have A Microchip Yes No Microchip NumberRabies Vaccine Previously Given? Yes No Rabies Tag Number And Date If Already GivenDo We Need To Give Any Vaccines At The Time Of Exam Required For Health Certificate Yes No Any Pertinent InformationPet Name First BreedSex Female Male Spayed Femail Neuter Male Birthdate Date Format: MM slash DD slash YYYY Description, Color, And Unusual MarkingsDoes The Pet Have A Microchip Yes No Microchip NumberRabies Vaccine Previously Given? Yes No Rabies Tag Number And Date If Already GivenDo We Need To Give Any Vaccines At Time Of Exam Required for Health Certificate? Yes No Any Pertinent InformationPet Name First BreedSex Female Male Spayed Femail Neuter Male Birthdate Date Format: MM slash DD slash YYYY Description, Color, And Unusual MarkingsDoes The Pet Have A Microchip Yes No Microchip NumberRabies Vaccine Previously Given? Yes No Rabies Tag Number And Date If Already GivenDo We Need To Give Any Vaccines At Time Of Exam Required for Health Certificate? Yes No Any Pertinent InformationPet Name First BreedSex Female Male Spayed Female Neuter Male Birthdate Date Format: MM slash DD slash YYYY Description, Color, And Unusual MarkingsDoes The Pet Have A Microchip Yes No Microchip NumberRabies Vaccine Previously Given? Yes No Rabies Tag Number And Date If Already GivenDo We Need To Give Any Vaccines At Time Of Exam Required for Health Certificate? Yes No Any Pertinent InformationPet Name First BreedSex Female Male Spayed Femail Neuter Male Birthdate Date Format: MM slash DD slash YYYY Description, Color, And Unusual MarkingsDoes The Pet Have A Microchip Yes No Microchip NumberRabies Vaccine Previously Given? Yes No Rabies Tag Number And Date If Already GivenDo We Need To Give Any Vaccines At Time Of Exam Required for Health Certificate? Yes No Any Pertinent InformationPet Name First BreedSex Female Male Spayed Femail Neuter Male Birthdate Date Format: MM slash DD slash YYYY Description, Color, And Unusual MarkingsDoes The Pet Have A Microchip Yes No Microchip NumberRabies Vaccine Previously Given? Yes No Rabies Tag Number And Date If Already GivenDo We Need To Give Any Vaccines At Time Of Exam Required for Health Certificate? Yes No Any Pertinent Information
