Preparing for Your Certificate of Veterinary Inspection (CVI) Appointment

Consignor/Owner - Contact Person at Origin(Required)

First Last

(And/or) Business Name:

Physical Address of Animals(Required)

Street Address City State ZIP Code

County

Consigner's Address (if different)

Street Address City State ZIP Code

Consignee/ Recipient - Contact Person at Destination(Required)

Consignee's Address (if different)(Required)

Street Address City State ZIP Code

Email(Required)

Primary Phone Number(Required)

Can you receive texts on this phone?(Required)

Yes

Carrier - Transporter(Required)

Name

Address of Carrier(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Carrier's Phone(Required)

Carrier's Email(Required)

Transport Method(Required)

Purpose of Movement(Required)

Shipment Date(Required)

Horse Information

Horse's Show Name

i.e. Registered Name

Breed(Required)

Age in Years (Estimated)(Required)

Sex(Required)

Mare

Gelding

Stallion

Color(Required)

Tattoo (if applicable)

Markings

Name of Stable (If Boarded)

Stable Address

Street Address City State ZIP Code

Is horse insured?(Required)

Yes

Known Allergies(Required)

Significant History

(serious illness, lameness, colic, etc.)

Trainer Name (If Applicable)

First Last

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 seen in a public environment.

Signature(Required)

This field is for validation purposes and should be left unchanged.

Preparing for Your Certificate of Veterinary Inspection (CVI) Appointment

Horse Information

Submit Form

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