Animal Health Certificate Request Form

Please find below animal health certificate questionnaire that we kindly ask you to fill out and submit to us prior to your appointment. We also ask that you please scan and email copies of your rabies vaccination and send them to the practice at least 48 hours before your scheduled appointment so that they can be attached to the certificate ahead of time. Please bring the original rabies certificates or pet passport with rabies vaccination proof with you at the time of your appointment in case we need to make additional copies. This ensures that the process goes smoothly. Please note Animal Health Certificate appointments need to be within 10 days of travel.

Village Vet practice*

Title*

Name*

First Last

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

Phone*

Email*

If you have several pets, please only fill out the Animal Health Certificate request form for one pet at a time.

Pet Name

Pet Species*

Please specify

Breed*

Sex*

Date of Rabies vaccination

Brand of Rabies vaccination

Rabies vaccination batch number

Rabies vaccination expiry

Please note if your animal does not have an up-to-date Rabies vaccination you will need to wait 21 days after the vaccination to receive your Animal health certificate.

Neutered*

Yes
No

Microchip Number*

Date Microchipped

Pet's Date of Birth

Who will be travelling with the pet? Please fill out one of the following 3 options and provide further details if appropriate:

1. Full name of the person travelling with the pet

2. Name of the person who has authorisation in writing from the owner to travel with the pet

Address

Phone Number

3. Designated carrier contracted by the owner to travel with the pet

Address

Phone Number

Point of entry into the EU (this includes Northern Ireland)*

Final destination

Length of Stay in EU if known:

Method of travel:

Airline (if travelling by plane):

Travel date*

Tapeworm treatment is required when travelling with dogs (not cats or ferrets) from Great Britain to EU listed tapeworm free countries including Northern Ireland, Malta, Ireland, and Finland. These dogs must be treated for tapeworm by a veterinary surgeon not more than 120 hours (5 days) and not less than 24 hours before the time of entry into one of these countries and the treatment certified in the relevant section of the AHC. Please select one of the following options to confirm whether your dog will need tapeworm treatment:

I am entering the EU via Northern Ireland, Malta, Ireland or Finland*

Yes
No

NB before returning to Great Britain dogs must be treated for tapeworm not less than 24 hours, not more than 120 hours (5 days) before time of entry except for return from Northern Ireland, Finland, Ireland, or Malta. This must be done by an EU vet who must also certify this in the relevant section of the AHC. If you are leaving Great Britain on a short trip returning within 120 hours (5 days) you must have this treatment done by a veterinary surgeon before leaving.

I am returning from the EU within 5 days*

Yes
No

I declare that the information entered above is accurate and correct and can be used by Official Veterinarian to complete an Animal Health Certificate (AHC).*

Yes

Village Vet is part of Linnaeus Veterinary Limited. We will not share this information with other companies for their marketing purposes. For more details on how we use your information please see our privacy policy. The personal data submitted via this form will be retained only for the purpose of responding to your question or concern, and will not be used for marketing purposes. You must be 16 years old or older to submit a form. We may use your information to send you reminders about products and services you have already purchased from us by SMS, email or post. These may be sent when your pet is due for a vaccination, flea or worming treatment or when your pet is due for a check-up recommended by your vet.

If you would not like to receive these reminders please tick here

Today's date*

Once you receive your Animal health certificate you have 10 days to travel and 4 Months to return.

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Email

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Animal Health Certificate Request Form

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Animal Health Certificate Request Form

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