Pet Travel Health Certificate
Owner Information
Name
Address
Phone Number
Pet Information
Name
Species/Breed
Age
Sex
Colour/Markings
Microchip Number
Vaccination & Health Information
Rabies Vaccination Date
Rabies Vaccination Expiry
Other Vaccinations
General Health Status
Treatment (Parasites, etc.)
Examination & Certification
Examination Date
Fitness for Travel
Remarks
Veterinarian Signature
Date