Health Certificate Request

Please fill in the following information for the office to issue your 30 day health certificate. Please note that a current Coggins test is required for health certificate. If your horse does not have a current Coggins, please call the office to schedule: 803-648-0430

Owner's Name:
Owner's Name
Field is required!
Field is required!
Owner's Mailing Address:
Owner Address
Field is required!
Field is required!
City
Field is required!
Field is required!
  • - Select a State -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • 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
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- Select a State -
Field is required!
Field is required!
Zipcode
Field is required!
Field is required!
Stable Address:
Please provide the address where the horse is currently stabled:
Street Address
Field is required!
Field is required!
City
Field is required!
Field is required!
  • - Select a State -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • 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
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- Select a State -
Field is required!
Field is required!
Zipcode
Field is required!
Field is required!
County:
County
Field is required!
Field is required!
Destination Name:
Please provide information for location horse will be shipping to:
Destination Owner/Farm Name:
Field is required!
Field is required!
Destination Address:
Destination Street Address
Field is required!
Field is required!
City
Field is required!
Field is required!
  • - Select a State -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • 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
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- Select a State -
Field is required!
Field is required!
Zipcode
Field is required!
Field is required!
County:
County
Field is required!
Field is required!
Horse Name:
Horse Name
Field is required!
Field is required!
Horse Temperature:
Horse Temperature
Field is required!
Field is required!
Anticipated Travel Date:
Anticipated Travel Date:
Field is required!
Field is required!
Coggins:
Please upload a copy of your horse's current Coggins certificate
Upload your coggins...
Field is required!
Field is required!