How many puppy/kittens are you bringing in?(Required)

Pet/Pets Name or(Required)

Pet Parent Name(Required)

First Last

Date of birth of puppy/kittens?( Health Certificates cannot be done younger than 8 weeks of age)(Required)

How many are for sale certificates?(Required)

How many are traveling certificates?(Required)

Is any puppy/kitten traveling on a plane?

Yes

This is different than a normal health certificate). We do not do any international certificates. Owner/Seller will need to call Air Animal or find a veterinarian that can/will do international certificates.

Traveling with Seller, Purchaser, or Transporter?

Yes

If with Purchaser or Transporter, need the following information: See below

Name/Company:

Address to where pet is going

Street Address Address Line 2 City State ZIP Code

Phone

Date of Flight

Which airline?

( It is the owner’s/seller’s responsibility to know what is needed for the airline to allow pet/s to travel onboard. Most travel certificates need to be done within 10 days of the flight. If seller doesn’t have the above information at the time of making the appointment, please make sure to have it when arriving at the clinic)

Pet flying in cabin with traveler or in cargo?

Please note that any animal who has any positive test result CANNOT receive a certificate until results are negative. Additional costs may occur for recheck appointments/tests.

Include any other questions or concerns that you may need us to address.

Signature