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International Travel Confirmation/FedEx Statement

Date:

Client Name:

Client Address:

Client Phone #:

Client Email:

Person Traveling with Pet:

Destination Address:

Flight Date:

PET INFORMATION**Ensure Name is As Written on Passport**

I hereby acknowledge that I (or a consignor on my behalf) have reviewed and confirmed the accuracy of the entirety of the information listed above. This information will be used to issue a health certificate to the country listed on the date noted above.

I, understand that the FedEx delivery time is not under the control of Court Square Animal Hospital. I acknowledge that unforeseen circumstances may delay my document or result in it not arriving on time, although I am paying for overnight shipping. I agree to wait until the hospital notifies me that the document has been delivered to their office and is ready for pick up.

Disclaimer:
Once endorsement materials or requests are submitted to the United States Department of Agriculture (USDA), the review and approval process is entirely under the USDA’s control. We cannot influence, expedite, or guarantee the outcome, timing, or decision of any USDA endorsement. All determinations are made solely at the discretion of the USDA.

International Travel Confirmation/FedEx Statement

Date:

Client Name:

Client Address:

Client Phone #:

Client Email:

Person Traveling with Pet:

Destination Address:

Flight Date:

Signature:

Date:

Staff/Witness Signature

Date: