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Health Certificate Form

Primary Owner Information - Legal Owner of Pet Required

You must be at least 18 years old to travel unaccompanied with a pet.

State Issued
Home Address:
Destination Address:
Owner Group:
Pet Information
Species:
Gender:
Microchipped?

Please fill out this section if your pet is traveling with someone else or will be picked up at the airport by someone other than you:

Is someone other than you picking your pet up from the airport?
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