Form FDACS-09085 "Official Certificate of Veterinary Inspection for Intrastate Sale of a Dog or Cat" - Florida

Form FDACS-09085 is a Florida Department of Agriculture and Consumer Services form also known as the "Official Certificate Of Veterinary Inspection For Intrastate Sale Of A Dog Or Cat". The latest edition of the form was released in January 1, 2018 and is available for digital filing.

Download a fillable PDF version of the Form FDACS-09085 down below or find it on Florida Department of Agriculture and Consumer Services Forms website.

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Download Form FDACS-09085 "Official Certificate of Veterinary Inspection for Intrastate Sale of a Dog or Cat" - Florida

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Florida Department of Agriculture and Consumer Services
Division of Animal Industry
Bureau of Animal Disease Control
EXPIRES 30 DAYS
ADAM H. PUTNAM
OFFICIAL CERTIFICATE OF VETERINARY INSPECTION
FROM DATE OF
COMMISSIONER
FOR INTRASTATE SALE OF A DOG OR CAT
ISSUANCE
Pursuant to Section 585.14, 585.145 and 828.29, F.S.,
Rule 5C-27.001 F.A.C.
Section 828.29, Florida Statutes, provides that each dog or cat offered for sale within the state must be accompanied by a current Official Certificate
of Veterinary Inspection (OCVI), issued by a veterinarian licensed by the state and accredited by the United States Department of Agriculture.
SELLER
PURCHASER
Name
Email
Name
Email
Address
Address
Purchase Date:
City
State
Zip Code
City
State
Zip Code
Breeder Name and Address (if different from seller)
ANIMAL IDENTIFICATION
Optional
Species:
Sex:
or
Breed(s):
Color(s):
Tattoo:
Age
Birth Date:
Dog
Male
Microchip:
Cat
Female
HEALTH RECORD INFORMATION
IMMUNIZATIONS
VACCINE
MANUF
TYPE
LOT #
EXP
DATE OF
DATE OF
VACCINE
MANUF
TYPE
LOT #
EXP
DATE OF
DATE OF
DATE
ADMIN
ADMIN
DATE
ADMIN
ADMIN
Canine Distemper
Bordetella
Hepatitis
Rabies
Parainfluenza
Panleukopenia
Feline Viral
Leptospirosis
Rhinotracheitis
Canine Parvo
Calicivirus
DIAGNOSTIC TEST
TEST TYPE
MANUFACTURER
DATE OF NEGATIVE TEST
Canine Heartworm
Feline Leukemia
Fecal Test
Other Test
ANTHELMINTIC
TYPE
MANUFACTURER
DATE ADMINISTERED
Broad Spectrum
Other Anthelmintic
OTHER INFORMATION/COMMENTS:
ISSUING VETRINARIAN CERTIFICATION: I hereby certify that the described animal was examined by me on the shown date; that the vaccines, anthelmintic, and
diagnostic tests herein were administered by me, or under my direction. Said animal is found to be healthy and to the best of my knowledge exhibits no sign of
contagious or infectious disease, has no evidence of internal or external parasites, including coccidiosis and ear mites. To the best of my knowledge this animal has not
been exposed to rabies, nor did the animal originate from and area under a quarantine for rabies.
Signature:
Printed Name:
Email:
Telephone:
Exam Date:
Address
City:
State:
Zip Code:
Clinic/Hospital Name:
FL License No.
Accreditation no.
Questions: State Veterinarian’s Office: Division of Animal Industry, 407 S. Calhoun Street, Tallahassee, FL 32399-0800 Phone: (850) 410-0900 or
www.FreshFromFlorida.com/AI
Distribution: One Copy – Purchaser, One Copy – Seller, One Copy – Examining Veterinarian
Retention: The examining veterinarian must retain one copy of the official certificate of veterinary inspection on file for at least 1 year after the date of examination. The seller must retain one
copy of the official certificate of veterinary inspection on record for at least 1 year after the date of sale.
FDACS-09085 Rev. 01/18
Florida Department of Agriculture and Consumer Services
Division of Animal Industry
Bureau of Animal Disease Control
EXPIRES 30 DAYS
ADAM H. PUTNAM
OFFICIAL CERTIFICATE OF VETERINARY INSPECTION
FROM DATE OF
COMMISSIONER
FOR INTRASTATE SALE OF A DOG OR CAT
ISSUANCE
Pursuant to Section 585.14, 585.145 and 828.29, F.S.,
Rule 5C-27.001 F.A.C.
Section 828.29, Florida Statutes, provides that each dog or cat offered for sale within the state must be accompanied by a current Official Certificate
of Veterinary Inspection (OCVI), issued by a veterinarian licensed by the state and accredited by the United States Department of Agriculture.
SELLER
PURCHASER
Name
Email
Name
Email
Address
Address
Purchase Date:
City
State
Zip Code
City
State
Zip Code
Breeder Name and Address (if different from seller)
ANIMAL IDENTIFICATION
Optional
Species:
Sex:
or
Breed(s):
Color(s):
Tattoo:
Age
Birth Date:
Dog
Male
Microchip:
Cat
Female
HEALTH RECORD INFORMATION
IMMUNIZATIONS
VACCINE
MANUF
TYPE
LOT #
EXP
DATE OF
DATE OF
VACCINE
MANUF
TYPE
LOT #
EXP
DATE OF
DATE OF
DATE
ADMIN
ADMIN
DATE
ADMIN
ADMIN
Canine Distemper
Bordetella
Hepatitis
Rabies
Parainfluenza
Panleukopenia
Feline Viral
Leptospirosis
Rhinotracheitis
Canine Parvo
Calicivirus
DIAGNOSTIC TEST
TEST TYPE
MANUFACTURER
DATE OF NEGATIVE TEST
Canine Heartworm
Feline Leukemia
Fecal Test
Other Test
ANTHELMINTIC
TYPE
MANUFACTURER
DATE ADMINISTERED
Broad Spectrum
Other Anthelmintic
OTHER INFORMATION/COMMENTS:
ISSUING VETRINARIAN CERTIFICATION: I hereby certify that the described animal was examined by me on the shown date; that the vaccines, anthelmintic, and
diagnostic tests herein were administered by me, or under my direction. Said animal is found to be healthy and to the best of my knowledge exhibits no sign of
contagious or infectious disease, has no evidence of internal or external parasites, including coccidiosis and ear mites. To the best of my knowledge this animal has not
been exposed to rabies, nor did the animal originate from and area under a quarantine for rabies.
Signature:
Printed Name:
Email:
Telephone:
Exam Date:
Address
City:
State:
Zip Code:
Clinic/Hospital Name:
FL License No.
Accreditation no.
Questions: State Veterinarian’s Office: Division of Animal Industry, 407 S. Calhoun Street, Tallahassee, FL 32399-0800 Phone: (850) 410-0900 or
www.FreshFromFlorida.com/AI
Distribution: One Copy – Purchaser, One Copy – Seller, One Copy – Examining Veterinarian
Retention: The examining veterinarian must retain one copy of the official certificate of veterinary inspection on file for at least 1 year after the date of examination. The seller must retain one
copy of the official certificate of veterinary inspection on record for at least 1 year after the date of sale.
FDACS-09085 Rev. 01/18
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