International Travel Questionnaire

Local contact information for person traveling with or shipping pet

First Name *

Last Name *

Address Line 1 *

Address Line 2 *

Phone *

Email *

Is this the same address at which the pet currently resides?

Pet's Primary Address

Pet's Primary Address - line 2

Traveling pet's name (one form per pet, please) *

Breed *

Age *

Gender *

Is pet microchipped? *

Please provide microchip number *

Do you have a copy of your pet's current rabies certificates with vaccination expiration date? *

Purpose of travel * Purpose of travel

Mode of travel * Mode of travel

What is your anticipated departure date? *

Is this a firm or flexible departure date? *

Is it a one-way trip? *

If no, how long do you anticipate your pet being away? *

Which country are you traveling to? *

If your pet is not traveling with you, who will be traveling with or receiving the pet?

Destination Address *

Destination Address - line 2 *

Destination Phone *

Do you know if your final destination country or port of entry (i.e. arrival airport where you will need to clear customs) has supplemental health certificate forms that we need to assist you in completing prior to travel? *

Have you checked the USDA-APHIS's international pet travel website to ensure your pet meets the travel/entry requirements? *

Are there any other anticipated ports of entry or 'layovers' prior to arrival at your final destination country? *

If traveling to Europe does your pet have an EU passport? *

Have you contacted the airline or carrier (boat, train, etc.) to see if they have required supplemental forms that Ohana Pet Hospital will need to complete prior to travel? *

Have you reviewed the carrier's pet travel policies? *

Which airline are you flying? *

Has your pet ever flown before? *

Where have they traveled on the airplane? *

Are you aware of any medical or behavioral issues regarding your pet that we should be aware of? *

Please explain

Do you anticipate that your pet will need some type of travel-anxiety medicine prescribed? *

Do you anticipate that your pet will be traveling as an emotional support pet? *

Have you traveled with this pet in this capacity prior? *

Do you have official documentation from a physician to support this? *

Is your pet traveling with you, alone, or with someone else? *

Please provide contact information of person traveling with or picking up your pet at destination *

Phone of contact person *

Email of contact person *

Address line 1 for contact person *

Address line 2 for contact person *

805.658.7387

805.933.1341

International Travel Questionnaire

Local contact information for person traveling with or shipping pet

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