Type of Animal Shipped Dog Cat Nonhuman Primate Ferret Rodent Other Type of Animal (other)* Total Number of AnimalsName, Address and Telephone Number of Owner (Consignor)Name, Address and Telephone Number of Owner (Consignee)Animal IdentificationName or Tatoo # or other IDBreedAgeSexColor Distinctive Marks or Microchip Rabies Vaccination* 1 Year 2 Years 3 Years Rabies VaccinationsVaccination DateProduct Other Vaccinations, Treatment, and/or tests and resultsDateProduct Type and/or Results Remarks or Additional Certification Statements