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Preparing for Your Certificate of Veterinary Inspection (CVI) and/or Coggins (EIA) Appointment
Consignor/Owner - Contact Person at Origin
(Required)
First
Last
(And/or) Business Name:
Consignor's Primary Phone Number
(Required)
Consignor's Email
(Required)
Consignor's Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
County
(Required)
County
Is Horse changing ownership?
(Required)
Yes, the consignor and consignee are different
No, The consignor and consignee are the same
Consignee/ Recipient
(Required)
First
Last
(and/or) Consignee's Business Name:
Consignee's Primary Phone Number
(Required)
Consignee's Email
(Required)
Consignee's Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
County
(Required)
County
Movement
Origin
Different From Consignor / Owner
Name
(Required)
First
Last
(and/or) Business Name:
Phone
(Required)
Email
(Required)
Location
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
County
(Required)
Destination
Different From Consignee / recipient
Name
(Required)
First
Last
(and/or) Business Name:
Phone
(Required)
Email
(Required)
Location
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
County
(Required)
Transport Date
(Required)
MM slash DD slash YYYY
Carrier Type
(Required)
Truck / Trailer
Air
Air / Car
Air Cargo
Air / Ferry
Air / Trailer
Automobile
Climate Controlled Truck
Ferry / Car
Rail
Walk / Herd
Water
Carrier
(Required)
Consignor / Owner
Consignee / Recipient
Other
Carrier - Transporter
(Required)
Name
Last
Address of Carrier
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
County
(Required)
County
Carrier's Phone
(Required)
Can this phone receive text messages?
(Required)
Yes
No
Carrier's Email
(Required)
Inspection Date
(Required)
MM slash DD slash YYYY
Purpose of Movement
(Required)
Adoption
Backgrounding
Breeding
Circus
Feeding
Grazing
Interstate
Intrastate
Medical Treatment
Menagerie
Owner Relocation
Pet
Pleasure
Production
Race
Recreation
Rodeo
Sale
Show / Exhibition
Slaughter
Sporting
Training
Transit
Horse Information
Horse's Show Name
i.e. Registered Name
Horse's Common Name
(Required)
i.e. Barn Name
Horse's Date of Birth
(Required)
MM slash DD slash YYYY
Breed
(Required)
Sex
(Required)
Mare
Gelding
Stallion
Color
(Required)
Markings
Head
No Markings
Star
Star Snip
Star Strip Snip
Stripe
Blaze
Snip
Bald Face
Neck and Body
No Markings
Left Forelimb
Stocking
Heel
High Stocking
Pastern
Sock
Coronet
No Marking
Right Forelimb
Stocking
Heel
High Stocking
Pastern
Sock
Coronet
No Marking
Left Hindlimb
Stocking
Heel
High Stocking
Pastern
Sock
Coronet
No Marking
Right Hindlimb
Stocking
Heel
High Stocking
Pastern
Sock
Coronet
No Marking
Other markings
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