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Preparing for Your Certificate of Veterinary Inspection (CVI) Appointment
Consignor/Owner - Contact Person at Origin
(Required)
First
Last
(And/or) Business Name:
Consignor's Primary Phone Number
(Required)
Can this phone receive text messages?
(Required)
Yes
No
Consignor's Email
(Required)
Physical Address of Animals
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
County
Consigner's Address (if different)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Consignee/ Recipient - Contact Person at Destination
(Required)
First
Last
(and/or) Consignee's Business Name:
Consignee's Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Consignee's Primary Phone Number
(Required)
Can this phone receive text messages?
(Required)
Yes
No
Consignee's Email
(Required)
Transport Date
(Required)
MM slash DD slash YYYY
Carrier Type
(Required)
Truck / Trailer
Air
Air / Car
Air Cargo
Air / Ferry
Air / Trailer
Automobile
Climate Controlled Truck
Ferry / Car
Rail
Walk / Herd
Water
Carrier
(Required)
Consignor / Owner
Consignee / Recipient
Other
Carrier - Transporter
(Required)
Name
Last
Address of Carrier
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Carrier's Phone
(Required)
Can this phone receive text messages?
(Required)
Yes
No
Carrier's Email
(Required)
Inspection Date
(Required)
MM slash DD slash YYYY
Purpose of Movement
(Required)
Adoption
Backgrounding
Breeding
Circus
Feeding
Grazing
Interstate
Intrastate
Medical Treatment
Menagerie
Owner Relocation
Pet
Pleasure
Production
Race
Recreation
Rodeo
Sale
Show / Exhibition
Slaughter
Sporting
Training
Transit
Horse Information
Horse's Show Name
i.e. Registered Name
Horse's Common Name
(Required)
i.e. Barn Name
Age in Years (Estimated)
(Required)
Breed
(Required)
Sex
(Required)
Mare
Gelding
Stallion
Color
(Required)
Markings
Head
No Markings
Star
Star Snip
Star Strip Snip
Stripe
Blaze
Snip
Bald Face
Neck and Body
No Markings
Left Forelimb
Stocking
Heel
High Stocking
Pastern
Sock
Coronet
No Marking
Right Forelimb
Stocking
Heel
High Stocking
Pastern
Sock
Coronet
No Marking
Left Hindlimb
Stocking
Heel
High Stocking
Pastern
Sock
Coronet
No Marking
Right Hindlimb
Stocking
Heel
High Stocking
Pastern
Sock
Coronet
No Marking
Other markings
Name of Stable (If Boarded)
Stable Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Submit Form
Please upload any medical records, medical imaging, pictures, videos or other relevant information here
Accepted file types: jpg, gif, png, pdf, mp4, mov, Max. file size: 32 MB.
Payment Policy: In order to keep costs low for all clients, please note that payment is due at the time of service. We accept cash, check, debit , and all major credit cards. (Credit cards subject to 3% processing fee) Please be prepared to pay your balance in full before departure. Thanks! ~The CEC Team
By checking this box, I authorize my horse to be photographed/ videoed by CEC staff for educational and promotional purposes. Names will be kept anonymous, but images may be posted in a public forum
Signature
(Required)
Name
This field is for validation purposes and should be left unchanged.
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