Request For Transport
Requested date of transport. Please allow at least 10 days.
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Animal Name(s)
Name 1
Name 2
Name 3
Animal Age(s)
*
Name 1 Picture
*
Name 2 Picture
Browse Files
Cancel
of
Name 3 Picture
Browse Files
Cancel
of
Animal Weight(s)
*
Animal Gender(s)
*
Species
*
Dog
Cat
Primary Breed
*
Secondary Breed
Came from:
*
Shelter
Surrender
Rescue Transfer
Other
Barrier Aggressive?
*
Yes
No
Unknown
Crates Well?
*
Yes
No
Unknown
Flight Risk?
*
Yes
No
Unknown
Is this a litter?
*
Yes
No
Unknown
Heartworm Test Results
*
Positive
Negative
Not tested
Rabies Vaccination
*
-
Month
-
Day
Year
Date
DHLPPC Vaccination
*
-
Month
-
Day
Year
Date
Bordetella Vaccination
*
-
Month
-
Day
Year
Date
FELV/FIV Test Results
*
Positive
Negative
Unknown
FVRCP Vaccination
*
-
Month
-
Day
Year
Date
Dewormer
*
-
Month
-
Day
Year
Date
Microchipped?
*
Yes
No
Unknown
Health Certificate Issue Date
*
-
Month
-
Day
Year
Date
Will medication be required to be given while on transport?
*
Yes
No
If yes, name of animal receiving the medication.
Name of medication and what is it treating
Dosage of medication, include frequency given
Is this medication administered
by pill
by injection
oral liquid
Starting Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pickup Phone Number
*
-
Area Code
Phone Number
Ending Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Drop Off Phone Number
*
-
Area Code
Phone Number
Name of person at drop off location
*
First Name
Last Name
Sending Rescue/Shelter
*
Sending Rescue/Shelter Email
*
example@example.com
Receiving Rescue/Shelter
*
Receiving Rescue/Shelter Email
*
example@example.com
If crate(s) are being supplied the full dimensions are required. Please be aware that crates on transport are limited to 2 per transport and no larger than 28"Lx20Wx18H.
*
I understand ALL dog transports are required to have a collar, leash, and a separate slip lead or similar and these items are to be provided by rescue for the duration of the transport. Even if animals are to be crated during transport, it is our policy to allow them out of the crate to stretch after a certain amount of time on the road. The crate needs to be sanitized, and the animals need to properly stretch and release anxiety. If you require an animal to remain in a crate for the entire duration we will not be able to approve your request for transport.
*
Yes
No
Not Applicable
I understand ALL cat transports are required to have a carrier and litterpan inside carrier supplied by rescue for the duration of the transport.
*
Yes
No
Not Applicable
I understand I must submit vetting proof along with a valid Health Certificate before my transport will be allowed to leave the morning of departure. The name, phone number and email address are required of the person responsible for submitting paperwork:
*
I understand that puppies under 16 weeks require no contact with the ground, and a special X-Pen playpen is required to travel on transport. If I do not have this special playpen I understand I will pay a $50 deposit for one to be shipped to the sending location and when the transport is complete, it will be shipped back to Rescue Transport USA within 21 days otherwise the deposit is forfeited so Rescue Transport USA can purchase a replacement.
*
Yes
No
Special Instructions for transport?
Submit
Should be Empty: