Application Form for EU Pet Passport

EU Pet Passport Applications

1. Please note that applications for EU Pet Passports are processed in order of receipt.  However if you need the Pet Passport urgently you must indicate the date of travel on the application form and every effort will be made to accommodate you. In any event you must give at least 10 working days notice.

2. Please note that all pet passports are issued by registered post directly to your vet.

For Official use only Entered:
Passport No. Checked:
IEA Issued:

 

 

APPLICATION FORM FOR AN EU PET PASSPORT
(PETS PREPARED IN IRELAND ONLY)
                                          (You should bring this application form to your vet for completion)
                     ALL INFORMATION MUST BE LEGIBLE AND COMPLETED IN BLOCK CAPITALS.

 

SECTION 1: OWNER DETAILS

Christian Name:_______________________________Surname:_____________________________________________

Address:__________________________________________________________________________________________

__________________________________________Telephone_______________________________________________

**Intended Date of Travel Abroad:**_______________________________ (Enter “None” if not travelling)

SECTION 2: DESCRIPTION OF PET                                                 Please circle as appropriate 

Name:  ________________________________________________       Species: Dog / Cat / Ferret

Breed:  ________________________________________________       Sex: Male / Female

Date of Birth: _____/____/______                                                       Photograph attached: Yes / No

Coat colour and type:_____________________________________

OPTIONAL PHOTOGRAPH

If included, please enclose a clear photograph featuring the pet only.

Write the microchip number or name of pet on the back and attach

using a paperclip. Do not staple or glue the photograph to this

application form.

SECTION 3: IDENTIFICATION OF ANIMAL

Microchip Number:_____________________________________________________________________

Date of microchipping: __________________________________________________________________

Location of microchip: (e.g. neck, shoulder, etc.)_______________________________________________

SECTION 4: VETERINARY PRACTITIONER DETAILS

Veterinary Practitioner name:_____________________________________________________________

Name of Practice:_______________________________________________________________________

Address of practice:_____________________________________________________________________

Telephone No(s):_______________________________________________________________________

SECTION 5: DECLARATION BY VETERINARY PRACTITIONE

I hereby declare that the particulars stated on this form are true and correct to the best of my knowledge.

Signature:____________________________________________________ Date:_____/_____/________

Completed application forms should be sent to: The Department of Agriculture and Food, Special Projects Unit, Floor 4 Centre, Agriculture House, Kildare Street, Dublin 2.

All pet passports are issued by registered post directly to your Veterinary Practitioner.

Application form.pdf [255K]  Application form.doc [174K]