0920-1383 CDC - Dog Import Form_REV 29JAN2026

[NCEZID] Importation Regulations (42 CFR 71 Subpart F)

Attachment A - CDC Dog Import Form_HR_REV 29JAN2026

CDC Dog Import Form

OMB: 0920-1383

Document [pdf]
Download: pdf | pdf
Dog Import Form

FORM APPROVED
OMB NO. 0920-1383
EXP DATE 6/30/2027

 

Fill out one form for each dog you are bringing into the United States. This form may be filled out by the importer
or someone else acting on behalf of the importer. Required fields indicated by a red asterisk (*)
 

This form has been updated to accommodate a screen reader or other assistive technology. If you are having
difficulty completing this form due to a disability, you or someone acting on your behalf, may contact CDCINFO at https://wwwn.cdc.gov/dcs/ContactUs/Form or by calling 800-232-4636 (TTY 888-232-6348) for
assistance.
 
Has the dog been in a country that is considered a high-risk country for dog rabies in the last six months? *
Yes

No

Please verify using the link High-Risk Countries for Dog Rabies.

Section A - Person Importing the Animal
First Name *

Middle Name/Initial

Last Name *

The person listed above is the: *
Owner

Consignor (shipper)

Identification Type *

Flight Parent

Other

Date of Birth (mm/dd/yyyy) *

Passport Number
Drivers License Number
Air Waybill/Bill of lading number
Email *

Confirm Email *

Phone Number *

*You will be sent a receipt at the email address you provide. You must present the receipt to U.S Customs and
Border Protection and to the airline if your dog is traveling by air.

Consignee/Recipient of dog/Additional Owner (if different from
above)

Email Address

Identification Type
Passport Number
Drivers License Number

Physical address where dog will be located in the United States (cannot be PO box)
Street Address (No P.O. Box) *

City *

U.S. State (e.g. GA) *

Zip Code *

Please select

Section B - Animal Information
Animal Name *

Age - Year(s) *
Please se

Dog Breed *

Age - Month(s)
*
Please se

Sex *
Please select

Color/Markings *

Please select
Importation Purpose *
Personal Pet (this includes emotional support animals)
Commercial (rescue, resale, adoption, or other commercial purpose)
Service Animal
Government-owned animal
Education, Exhibition, or Research
Microchip number *

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).

Attach Image of Dog *

No files uploaded

Limit to 1 photo, maximum 1 MB. Accepting .jpg, .jpeg, or .png image type

Section C - Travel Information
Does the dog have either: 1. a valid Certification of U.S.-issued Rabies Vaccination form OR 2. a valid USDAendorsed export health certificate issued no later than July 31, 2025? *
Yes

No

Does the dog have a valid CDC Foreign Rabies Vaccination and Microchip Certification form issued outside the
United States? *
Yes

No

Does the dog have a reservation at a CDC-registered animal care facility? *
Yes

No

Travel Type *
Air
Country or Area of Departure *

Date of Arrival (mm/dd/yyyy) *

Please select
Select all countries and areas the dog has been in during the six months before arriving in the United States *
Please select
State and Port of Entry *
Please select

(where you enter the US)

Section D - Signature
The term "I" refers to the importer meaning the individual bringing the dog into the United States.

The information given in this application is complete and true to the best of my knowledge and belief.

I acknowledge there are additional requirements that must be met at the time of entry for dogs that have been in
high-risk countries six months prior to entering the United States.
 

I understand that CDC reserves the right to request additional documentation verifying this information upon
arrival in the United States.
 

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

I will comply with all applicable CDC import regulations and requirements.
Check one *
I am the importer. I understand that checking this box constitutes a legal signature confirming that I
acknowledge and agree to the above Terms of Acceptance.
This form was prepared by someone authorized to act on behalf of the importer. The information on this form
was provided by the importer. The importer acknowledges and agrees to the above Terms of Acceptance.
Please sign below as follows: [Your Name] on behalf of [Name of Importer].
Legal Signature: Typed First, Middle Initial and Last Name *

Signature Date (mm/dd/yyyy) *

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


File Typeapplication/pdf
File TitleAnimal Importation Form
File Modified2026-01-28
File Created2026-01-28

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