Health Certificate Information Form

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Please complete the form for all separate health certificate requests. All fields are required. Health certificates are digital and you have access 24/7 from completion until the date of expiration (30 days). Using the email address on your account, create an account with www.myvetlink.com if you have not done so previously.

PLEASE NOTE: a physical exam is required within 7 days of the date of transport in order to issue a health certificate. We cannot issue a certificate without a physical exam.

Horse Owner’s First & Last Name *

This is the owner as listed on the coggins.

Horse Owner’s Full Mailing Address *

Include street, city, state, and ZIP code.

Horse Owner’s County for Mailing Address *

The COUNTY where the owner's address is located.

Horse Owner’s Phone Number *

Horse Owner’s Email Address on File *

Please provide the personal email address we have on file for you that you used to register with myvetlink.com Do not use work email addresses.

Horse's Full Physical Address (Origin) *

If different from the owner's street address, please list below and include street, city, state, and ZIP code.

Same as Owner's Address

Other:

Horse’s County for Physical Address (Origin) *

The COUNTY where the horse's physical address is located.

Same as Owner's COUNTY

Other:

Name of the Horse's Destination *

Name of the person receiving the horse or the name of the location (i.e.show facility).

Phone Number of the Horse's Destination *

Phone number of the person or facility receiving the horse.

Full Address of the Horse's Destination *

Include street, city, state, and ZIP code.

County of the Horse's Destination *

The COUNTY where the destination address is located.

Name of Person or Company Transporting the Horse *

Same as Owner

Same as Origin

Same as Destination

Other:

Full Address of Person or Company Transporting the Horse *

If other than owner or destination contact, please include street, city, state, and ZIP code.

Same as Owner's Address

Same as Origin Address

Same as Destination Address

Other:

County of Address for Person or Company Transporting the Horse *

The COUNTY where the transporter's address is located.

Same as Owner's County

Same as Origin County

Same as Destination County

Other:

Transportation Type *

Truck/Trailer

Climate Controlled Truck

Other:

Date Horse is Being Transported *

The health certificate will be completed 1-3 days (Monday-Friday) prior to the scheduled departure. Please notify our office immediately should this date change. The health certificate is NON-REFUNDABLE once issued.

YYYY

Reason for Transport *

Owner Relocation

Sale (new owner in a different state)

Show/Exhibition

Training

Other:

Horse’s Name *

Must match the name listed on the coggins.

Does the Horse Have a Current Coggins? *

Coggins cannot be expired in order to complete the health certificate!

Yes

Additional Horses on the Same Certificate

All horses must be listed under the same owner with unexpired coggins completed by King Equine Vet Services in order to be included on a single certificate. Please list the name(s) of the horse(s) as listed on the coggins.

Did KEVS Complete the Coggins? *

If King Equine Vet Services did not complete the coggins, please complete the next section. If KEVS did complete the coggins, you may submit this form.

Yes

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