Animal Health Certificate Information

We require you to complete the following information and return it to Orchard House Veterinary Centres AT LEAST 7 days prior to your appointment.

Please ensure you read and tick the declaration at the end.

- Step 1 of 5

Title *

Your name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Telephone number *

Mobile preferred

Email *

Travel information

Point of entry into the EU *

The EU member statement which you are entering FIRST. This may NOT be your end destination

Date of travel

Please use the following format: DD/MM/YYYY

Pet details

How many pets are travelling? (maximum of 5)

Name of pet *

Species *

Sex *

Neutered *

Colour *

Breed *

Microchip number *

Date of birth *

Please use the following format: DD/MM/YYYY

Name of pet *

Species *

Sex *

Neutered *

Colour *

Breed *

Microchip number *

Date of birth *

Please use the following format: DD/MM/YYYY

Name of pet *

Species *

Sex *

Neutered *

Colour *

Breed *

Microchip number *

Date of birth *

Please use the following format: DD/MM/YYYY

Name of pet *

Species *

Sex *

Neutered *

Colour *

Breed *

Microchip number *

Date of birth *

Please use the following format: DD/MM/YYYY

Name of pet *

Species *

Sex *

Neutered *

Colour *

Breed *

Microchip number *

Date of birth *

Please use the following format: DD/MM/YYYY

Location and date of last rabies vaccination

Name of pet *

Date of last rabies vaccination *

Please use the following format: DD/MM/YYYY

Location of last rabies vaccination *

Name of pet *

Date of last rabies vaccination *

Please use the following format: DD/MM/YYYY

Location of last rabies vaccination *

Name of pet *

Date of last rabies vaccination *

Please use the following format: DD/MM/YYYY

Location of last rabies vaccination *

Name of pet *

Date of last rabies vaccination *

Please use the following format: DD/MM/YYYY

Location of last rabies vaccination *

Name of pet *

Date of last rabies vaccination (copy) *

Please use the following format: DD/MM/YYYY

Location of last rabies vaccination *

Are you travelling with a DOG to?: *

Northern Ireland
Republic Of Ireland
Malta
Norway
Finland
None of the above

If you are travelling to one of the above countries your dog needs tapeworm treatment no less than 24 hours and no more than 120 hours before its arrival in that country. This has to be administered by a Veterinary Surgeon and entered into the AHC. We will need to incorporate this into the timings for completing your AHC.

Please note your dog will also need tapeworm treatment administered by a Veterinary Surgeon no less than 24 hours and no more than 120 hours before its arrival back into Great Britain. Therefore you will need to take your pet and animal health certificate to a vet in the EU to have this treatment administered.

If you are leaving Great Britain on a short trip and returning within 120 hours this tapeworm treatment will need to be administered before leaving Great Britain.

Other

Who will be travelling with your pet? *

Owner
Person who has authorisation in writing from the owner to travel with the pet
Designated carrier contracted by the owner to travel with the pet

Please select one and provide further details if necessary.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Telephone number *

Mobile preferred

Phone *

If you are not travelling with your pet please confirm that you will arrive within 5 days of their movement: *

I hereby confirm

Please note

The person named on the certificate as travelling with your pet must be present at the AHC appointment to sign the declaration.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Telephone number *

Mobile preferred

If you are not travelling with your pet please confirm that you will arrive within 5 days of their movement: *

I hereby confirm

Please note

The person named on the certificate as travelling with your pet must be present at the AHC appointment to sign the declaration.

Please confirm the travel to the EU/NI is non-commercial (e.g. you are not selling or transferring ownership of this pet/s) *

I confirm

Documentation

If possible please can you scan and attach (below) copies of the following or drop a copy into the practice. Please can you also bring them to your appointment:

- Proof of microchipping date and microchip number
- Proof of rabies vaccination

Proof of microchipping date and microchip number

Click or drag a file to this area to upload.

Please upload your file. Maximum size 10mb.

Proof of rabies vaccination

Click or drag a file to this area to upload.

Please upload your file. Maximum size 10mb.

If you have a pet passport that was issued prior to 31/12/2020 this will suffice for the above evidence. Otherwise a microchipping certificate and rabies vaccination card will be required. You will need to keep this documentation with you when you travel to show at the traveller's point of entry along with the AHC.

Declaration

I declare that the information entered above is accurate and correct. By submitting this form, I agree that ORCHARD HOUSE VETERINARY CENTRES will use this information to complete an animal health certificate (AHC) and any errors or omissions in the information I have provided may invalidate the animal health certificate. Any invalidation of the animal health certificate caused by errors or omissions in this form is entirely at my own risk.

Signature *

Date *

Please use the following format: DD/MM/YYYY

Animal Health Certificate Information

We require you to complete the following information and return it to Orchard House Veterinary Centres AT LEAST 7 days prior to your appointment.

Travel information

Pet details

Location and date of last rabies vaccination

Other

Please note

Please note

Documentation

Declaration

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