5500 Rome-Taberg Rd., Rome, New York 13440 | 315-337-4160

HEATH CERTIFICATE INFORMATION NEEDED FOR TRAVEL

The following information is what we need to complete a Health Certificate for travel within the United States. For travel internationally, additional information or tests may be necessary.

Origin of animals

Owner’s full name, street address, city, state, zip code, phone number and email address

Consignor, Present owner of animals

Full name, street address, city, state, zip code, phone number and email address

Destination of animals

Recipients’ full name, street address, city, state, zip code, phone number and email address

Consignee, New owner of animals

Full name, street address, city, state, zip code, phone number and email address

Transport Carrier

Name, address, phone number and email

Species of animals and the number in shipment
Purpose of movement

Sale, owner relocating, Pleasure/Vacationing

Carrier type Air Cabin. Air Cargo
Date of Departure
Pet’s name, date of birth/age, color, breed, sex, neutered or spayed, microchip number
Current Vaccine Information (type, date administered, serial and lot numbers)