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International Health Certificate Form

"*" indicates required fields

Client Information

Owner’s Name:*
Co-owner’s Name:
Address*
Are you a current client of Animal Health Group?*

Pet Information

Species?*
Sex*
Neutered*
Microchipped*

Travel Information

Name of person traveling with pet (usually the owner):*
Address of departure*
Name of person receiving the pet*
Destination address*
Is the travel*

Mailing Address for shipping label for return of certificate from USDA

Name*
Address*
Are you working with a pet relocation company?*

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