Health Certificate Form

Please fill this form out completely. This is not a Health Certificate. Missing information may cause delays or deny the ability to give you a Health Certificate for your pet's travel.

Information for Certificate Of Movement of Small Animal
Owner's Name
First Last
Phone
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Current Owner or New Owner
First Last
Destination Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

cannot be the same as above
Date of Travel?
Reason for Travel?
Pet Travelling Alone?
- Yes
- No
Animal Description
- Canine
- Feline
- Other
If other, please list species
Animal's Name
Breed
Color
Sex
Sex
- Male
- Female
Age/Months of Age
Microchip Number
Identifying Markings
*Be prepared. Know exactly what you will need for your pet to travel and any timelines associated.
1. https://www.aphis.usda.gov/aphis/home/ - This is for general inquiries about traveling with your pet. Once you are on the site you can click PET TRAVEL. This will take you to a link where you can enter your destination and it will give you the requirements.

Health Certificate Form

Information for Certificate Of Movement of Small Animal