Please complete this form in full to ensure a smooth certification process for your pet’s travel. If your pet has received care at another clinic, kindly upload their medical records.

Client Information

Full Name

First

Last

Phone Number

Email Address

Home Address (Physical Address)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Pet Information

Pet Name

Species

Dog

Cat

If other, please specify

Breed

Color

Date Of Birth

Microchip Number (if applicable)

Upload Medical Records (if applicable)

One file only.
50 MB limit.
Allowed types: pdf, doc, docx, jpg, jpeg, png.

Travel Details

Date of Travel

Is the Pet Relocating?

Yes

Return Date

Mode of Travel

Flying

Driving

Travel Destination(s)

Primary Destination (Physical Address)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Additional Countries (if applicable)

Pet Travel Accommodations

Who is the pet traveling with?

Owner

Another Person

Airline (as cargo)

Please specify

If traveling alone, specify exact travel dates for a Commercial Certificate

Additional Pet(s) Traveling?

Yes

If yes, list name(s), color, breed(s), and age(s)

Which location is most convenient for you?

East Wenatchee

Leavenworth

Wenatchee

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Health/Travel Certificates Form