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Requestor
Sending Org.
Receiving Org.
Acceptance
First Name
*
Last Name
*
Primary Email
*
Cell Phone
*
I am the
*
Sender
Receiver
Coordinator
Requested date for this transport:
Specific date
ASAP-Emergency
Next Available Weekend
* Mandatory field
Name
*
Address
City
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
Zip
Phone Number
*
Fax
Website
http://www.
501(c)3 Tax-Exempt Information:
Not Tax Exempt
501(c)3
Tax ID (EIN) #
*
Contact name
*
Phone
*
Fax
Email address
*
The Person Who Will Be Bringing the Animal(s) to the Airport:
Contact Name
*
Contact Email
*
Cell Phone
*
Alternate Phone
* Mandatory field
Organization Name
*
Address
City
*
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
Zip
*
Phone Number
*
Fax
Website
http://www.
501(c)3 Tax-Exempt:
Not Tax Exempt
501(c)3
Tax ID (EIN) #
*
Contact name
*
Phone
*
Fax
E-mail address
*
The person who will be picking up the animal(s) at the airport:
Contact Name
*
Contact Email
*
Cell Phone
*
Alternate Phone
* Mandatory field
By submitting your transport request, you accept the following responsibilities:
- Ensure on-time arrival of the animal(s) at the originating airport by the sender and on-time pick-up at the destination airport by the receiver. Any required ground transportation is the responsibility of the sending and receiving parties. ARF volunteer pilots transport animals from airport to airport only - Provide the animal(s) with a collar, leash and a size-appropriate, airline-approved style crate. Exact crate dimensions must be provided on this form for the transport to be considered as not all crates can fit in all planes - Provide a valid health certificate and proof of rabies vaccination for each animal(s) being transported, and that all other state import requirements will be followed - Prepare the animal(s) for the flight as follows: 1) Animals over 3 months old must receive no food and limited water within 8 hours before flight, 2) Must have been walked and allowed to urinate/defecate prior to the flight. Animals may not be sedated - Seek ground transportation options, which are less impacted by weather and therefore more reliable, and notify ARF immediately if ARF is no longer needed for transport - For longer transports, establish "standby foster" arrangements at intermediate locations along the transport route in the event the transport must be aborted due to weather, mechanical or other unknown events All necessary paperwork for the animal(s) as well as the crate must be provided to the pilot upon departure of the flight or the flight will be canceled. The safety and well-being of the animal during the transport is our top concern.
I have read and accept the Requester Responsibilities on Acceptance
E-signature
* Mandatory field