Full Name of Person Traveling With Pet * First Name Last Name Pet's Name * Pet's Date of Birth * MM DD YYYY Species * Dog Cat Breed * If it's a cat and you're not sure, you can write Domestic Short Hair Sex of Pet Traveling * Intact Female Spayed Female Intact Male Neutered Male Microchip Number of Pet Traveling * Date of Microchip Implantation * Countries require the date of your pet's microchip implantation to ensure it was placed before their rabies vaccination. MM DD YYYY Country of Destination * Date of Travel * MM DD YYYY Type of Admission * Permanent Import Re-Entry Temporary Admission Transit Return Date to United States MM DD YYYY Full Address in USA * Address in Country of Destination * United States Port of Departure * airport, etc. Names of Flea, Tick Prevention and Last Date of Application * Name of Heartworm Prevention and Last Day of Application * Acknowledgement * I acknowledge that I am required to purchase an overnight FEDEX label with my address as both the sender and receiver, and that I will email this FEDEX Overnight label to frontdesk@englewoodvet.com in PDF format. YES, I DO ACKNOWLEDGE No, I do not acknowlege Thank you!
