Pet Owner Worksheet for Preparing Visit with
Accredited Veterinarian to Complete Health Certificate
Please note that preparing for travel to some countries can take several months.
1. List the destination country you are traveling to with your pet.
____________________________________________________________________________
2. Who is accompanying your pet while traveling?
a. The owner
b. A person authorized by the owner
c. No one
d. A pet transport company is transporting the pet
3. List the address(s) and phone number(s) in the destination country where your pet will stay
during the visit.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
4. How is your pet leaving the United States?
a. Air – Direct Flight
b. Air – Layovers in another country. List the country or countries your pet will land in
before the destination country is reached:
______________________________________________________________________
c. Car
d. Train
e. Boat – Direct
f. Boat – Cruise ship – List all countries the cruise is stopping at:
_______________________________________________________________________
Complete this worksheet BEFORE meeting with the USDA
Accredited Veterinarian who needs this information to complete
your international health certificate.
5. What date is your pet leaving the United States and from where (last air or seaport in the U.S.)?
______________________________________________________________________________
6. Provide the date that you and your pet arrive in the destination country?
a. You: __________________
b. Your pet: _______________
7. How many pets are traveling? ______________________________
8. How old will the pet be at the date of travel? _______________________________
9. What type of pet will be traveling?
a. Dog
b. Cat
c. Ferret
d. Bird (other than: chickens, doves, ducks, geese, grouse, guinea fowl, partridges, pea
fowl, pheasants, pigeons, quail, swans, and turkeys)
e. Rodent
f. Hedgehog/tenrec
g. Rabbit
h. Reptile
i. Amphibian
10. Does your pet have a microchip?
a. Yes, implanted on: _______________________________
b. Yes, but I don’t know when it was implanted.
c. I have more than one pet but not all of them have microchips.
d. No.
e. I don’t know.
11. When was your pet’s last rabies vaccination?
a. The veterinarian issuing my international health certificate administered my pet’s last
rabies vaccination. Date: ______________
b. A veterinarian other than the veterinarian issuing my international health certificate
administered my pet’s last rabies vaccination. I will need to bring the last valid rabies
certificate to my appointment. Date: ______________
c. I don’t know.
d. My pet isn’t vaccinated for rabies.
12. Does your destination country require an import permit?
a. Yes.
b. No.
c. I don’t know.
13. Did your airline or cruise ship give you any additional travel requirements for your pet?
a. Yes, I will give this to the veterinarian issuing my international health certificate.
b. No.
