CDC Dog Import Form

FORM APPROVED
OMB NO. 0920-1383
EXP DATE
4/30/2027

CDC Dog Import Form
Guidance for completing this application is available
at https://www.cdc.gov/importation/forms.html
If you experience difficulty while completing this form, please contact
us at [email protected] for alternative application
methods.

This form does not replace either the required vaccination form or the reservation at a CDC-registered animal care
facility required for foreign-vaccinated dogs from high-risk countries for dog rabies.
Fill out one form for each dog you are importing.

Required *
New Import Application

Make changes to an existing import form

Section A - Person Importing the Animal
First Name *

Last Name *

Middle Name/Initial

The person listed above is the: *
Owner

Consignor (shipper)

Flight Parent

Email *

Other

Confirm Email *

*You will be sent a receipt at the email address you provide. You must present the receipt to the airline (if
dog is traveling by air) and to U.S. Customs and Border Protection on arrival in the United States. Please
check that your email address is correct.

Physical address where dog will be located in the United States (cannot be PO box)
Consignee/Recipient of dog *

Street Address (No P.O. Box) *

Phone Number *

City *

State *

Zip Code *

Email Address *

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Animal Importation Form

Section B - Animal Information
Animal Name *

Microchip (15 characters max) *

Sex *
Male

Breed *

Color/Markings *

Female

Age - Year *

Month *

Attach a photo (1 mb max) of your dog taken no more than 90 days before travel (dogs under 1 year of age
should have photo taken no more than 15 days before travel). Photo must be of face and body (see example
below).
Upload a photo of dog (Accepting .jpg, .jpeg, or .png image type) *

No files uploaded

Limit to 1 photo and 1 mb max
Importation Purpose *
Commercial (rescue, resale or adoption)
Government-owned animal
Education, Exhibition, or Research
Personal Pet (this includes emotional support animals)
Service Animal

Section C - Travel Information
Please verify using the link High-Risk Countries for Dog Rabies. Has the dog been
in any of the high-risk countries in the past six months?

Required *
Yes

No

Section D - Signature
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Animal Importation Form

I certify that the information given in this application is complete and true to the best of my knowledge.

I understand that any false statement made in connection with the application may subject me to criminal
penalties under 18 U.S.C. § 1001.

I acknowledge that additional requirements for entry must be met and completion of this form alone is not
adequate for this dog to enter the United States.

I will comply with all applicable CDC import regulations and requirements.

I understand that I may be convicted of a crime if I don’t comply with these import requirements. I could be
sentenced to 1 year in jail and/ or a maximum fine of $100,000 if the violation doesn’t result in a death or a
maximum fine of $250,000 if the violation does result in a death. Violations by an organization are punishable
by a maximum fine of $200,000 per violation (if no death) and $500,000. These penalties are provided for
under 42 U.S.C. §264 and 42 U.S.C. §271 (as enhanced by 18 U.S.C. §§ 3559 & 3571).

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree
to the above Terms of Acceptance *
Legal Signature: Typed First, Middle Initial and Last Name *

Signed Date *

Public reporting burden of this collection of information is estimated to average 7 minutes per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may
not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to
CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA 0920-1383

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