Dog Import Permit

Attachment L_Dog Import Permit.docx

Importation Regulations (42 CFR 71 Subpart F)

Dog Import Permit

OMB: 0920-1383

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U.S. DEPARTMENT OF HEALTH AND HUMAN
SERVICES
PUBLIC HEALTH SERVICE
Centers for Disease Control and Prevention
Division of Global Migration and Quarantine, MS V18-2
Atlanta, Georgia 30329
E-mail: [email protected]




Permit to Conditionally Import a Dog into the United States - Multi-Entry
In accordance with 42 CFR Section 71.51 of the Public Health Service Foreign Quarantine Regulations, permission is granted to import the dog below into the United States.

PHS Permit Number

5309-21-329-1001 If QR code not visible, see email attachment.

Permit valid:

11/25/2021 to 05/24/2022

Name of pet: Wily
Date of Birth:01/01/2019

Sex: Female Neutered

Color: White and Brown

Rabies Vaccination: 06/29/2021

Titer date: 08/01/2021

Microchip Number:123456789

Country of Origin: El Salvador


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorPieracci, Emily (CDC/DDID/NCEZID/DGMQ)
File Modified0000-00-00
File Created2022-05-17

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