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5/2/2024 4:10 PM
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SAMPLE ONLY NOTE: For Use by Applicants to see just what information is required. All requests for transport must be on-line. For use on Operation Roger Truckers Pet Transport Website Only (All Operation Roger forms are understood to be copywrited)
PET TRANSPORT APPLICATION Today's Date: Address: Home Phone: Work Phone: Cell Phone: Alternate Email:
OPERATION ROGER TRUCKERS PET TRANSPORT PET TRANSPORT APPLICATION
IMPORTANT: The Applicant MUST access this Application through the Requirements Page only.
NOTE 1: If this form is not filled out completely, the system may not recognize it. It will go immediately into the Incomplete section. Operation Roger will NOT know it is there. If you have not heard from us in 3-4 days (allowing for weekends and days closed) with either an approval letter or an email requesting more information, email us at support@operationroger.org.
NOTE 2: If you are filling out this application via your phone or tablet, it may not go through properly and will go to the Incomplete section. Again, we will not know it is there.
I acknowledge I have read and understand the above by checking the box below. OK
2PT2-1 DATE OF APPLICATION 2PT2-2 HOW DID YOU LEARN ABOUT OPERATION ROGER 2PT2-3 APPLICANT STATUS 2PT3-1 PET NAME Dog Cat Chinchilla Ferret Gerbil Guinea Pig Hampster Hedgehog Lizard Mice Rabbit Rat Snake Spider Tortotise Turtle SPECIES-Other (Explain) 2PT3-4 AGE NUMBER (Insert a number) AGE CATEGORY Years Months Weeks 2PT3-5 GENDER Male Female Unknown 2PT3-6 ALTERED Yes No-to be altered by Shipper No-to be altered by Receiver No-too young (pups young as 6-8 weeks can be altered) No-too ill No-too old No-Shipper does not want to alter No-Receiver does not want to alter 2PT3-7 WEIGHT Insert the weight of the pet below: Choose one of the following: Ounces Pounds 2PT3-7 PUPPY/KITTY RULE Applicant/Shipper/Receiver acknowledges: 1) Pets less than two (2) months (8 weeks) are not transportable across state lines without their mother per the way Operation Roger understands the USDA regulations. 2) Operation Roger's Policy: Puppies/Kittens 8-12 weeks coming directly from a shelter will not be transported except for the following: Must be observed for Parvo &/or Distemper in a Foster/Rescue/Separate containment at Shelter for two (2) weeks minimum. 3) Puppies should have had the second of two (2) puppy shots preferably two (2) weeks prior to transport. Kittens, their respective feline shots. 4) Each pet is to have been wormed during this same time frame and be worm free. 5) As commercial truck drivers, we must comply with all federal and state laws regarding our profession and satisfy any inquiries which might be made by Motor Carrier Enforcement or other law enforcement agencies. This is for the protection of our clients, our volunteer drivers, our organization, and above all, the pet entrusted to our care during transport. 2PT4-1 We MUST have the ACTUAL/EXACT City/State where the pet is CURRENTLY (no addresses). This must be an individual. A shelter/rescue is an entity. No individual name will result in this application being put on Hold until information is provided to us. This only causes delays. If the Contact Name changes, no problem. Just email us at support@operationroger.org. Shipper doesn't return calls or texts promptly, the pet WILL PROBABLY miss a ride. All phone numbers must be reachable days, evenings, weekends. All phone numbers are to be in this format 000-000-0000. SHIPPER: Cell/Home/Work ALTERNATE 1: Cell/Home/Work/Relationship to pet ALTERNATE(S) (if desired): Cell/Home/Work/Relationship to pet 2PT4-3a SHIPPER RESCUE/SHELTER CELL Rarely, but sometimes, an individual named above at a rescue/shelter is reluctant to give an adopter or a 3rd party applicant their personal cell number. If this occurs, check the box below. Wants Operation Roger To Call For It 2PT4-4 SHIPPER MILES How many MILES will the Shipper drive to MEET a truck driver? Minimum 100 miles will be expected, with very few exceptions, if the pet is to be moved within a reasonable time. We might not be able to get to your exact town. For Operation Roger, as we are currently a small group of volunteer truck drivers with freight time schedules and destinations, a time frame of less than 4-6 weeks to move your pet is considered an emergency (it can be done if a driver is virtually sitting on top of or actually heading toward the pet); 2-3 or more months could happen if in a difficult area or without cooperation from the shipper. ALSO, There are just some states and some areas within states which are extremely difficult to service. We will let you know what the obstacles are for the shipper. Shipper understands the pet must be brought to the driver with all the items set forth in the Requirements Page. Shipper understands the pet must be delivered to the driver on their time schedule. 2PT4-5 SHIPPERS RELATIONSHIP TO PET 2PT4-6 SHIPPER EMAIL(S) Please provide at least one email address. If additional emails listed, Identify and show relationship to Shipper. 2PT4-7 SHIPPER SHELTER/RESCUE NAME If this individual is associated with a Rescue or Shelter, please enter the following information. Shelter/Rescue Name Shelter/Rescue Phone Number Shelter/Rescue Contact Shelter/Rescue Contact Phone Number (Cell preferred) Shelter/Rescue Contact Email Address 2PT4-8 SHIPPER/DRIVER LOCATION & TIME FRAME 1) Shipper understands they are to meet the Driver at the agreed upon location and at the appointed time so as notto delay the Driver in his/her regular schedule. If the Shipper is not at the location and the Driver must leave in order to make his/her scheduled appointment time for delivering the freight, the pet will miss a ride. 2) Operation Roger will reinstate the pet to the active Pet Board and look for another driver. We cannot guaranteehow long this will take. 2PT4-9 SHIPPER MOVING Is the shipper wanting to put the pet on board with a driver and then move to their new location, thus planning on being the receiver as well? This may or may not happen, due to delays or whatever. We MUST have the name of someone of the receiving end who can take the pet when it arrives. Don't expect a driver to keep it on board indefinitely. Either arrange for a relative, friend, or someone at the shipping end who will keep your pet for you until a driver arrives after you leave or arrange for someone on the receiving end to receive your pet in the event you are not there. You CANNOT be both Shipper and Receiver on this Application. Understand Shipper & Receiver information cannot be the same and this Application be approved. I will arrange for another Receiver and understand this Application will be put on Hold until I notify Operation Roger of the Receiver information. This area is not applicable to the circumstances of the Shipper. 2PT5-1 We MUST have the ACTUAL/EXACT City/State where the pet is GOING (no addresses). 2PT5-2 RECEIVER NAME This must be an individual. A shelter/rescue is an entity. No individual name will result in this application being put on Hold until information is provided to us. This only causes delays. If the Contact Name changes, no problem. Just email us at support@operationroger.org. 2PT5-3 RECEIVER PHONE NUMBER(S) If Receiver doesn't return calls or texts promptly, the pet WILL PROBABLY miss a ride. All phone numbers must be reachable days, evenings, weekends. Prefer cell. RECEIVER: Cell/Home/Work (Indicate Which) ALTERNATE 1: Cell/Home/Work (Indicate Which) & Relationship to pet or Receiver ALTERNATES (as desired): Cell/Home/Work (Indicate Which) & Relationship to pet or Receiver All phone numbers are to be in this format 000-000-0000. 2PT5-3a SHIPPER RESCUE/SHELTER CELL Rarely, but sometimes, an individual named above at a rescue/shelter is reluctant to give a Shipper, Receiver, or a 3rd party applicant their personal cell number. If this occurs, check the box below. Wants Operation Roger To Call For It 2PT5-4 RECEIVER MILES a) How many miles will the Receiver drive to MEET a truck driver? Minimum 100 miles will be expected, withvery few exceptions, if the pet is to be moved within a reasonable time. We might not be able to get to your exact town. b) For Operation Roger, as we are currently a small group of volunteer truck drivers with freight time schedulesand destinations, a time frame of less than 4-6 weeks to move your pet is considered an emergency (it can be done if a driver is virtually sitting on top of or actually heading toward the pet); 2-3 or more months could happen if in a difficult area without cooperation from the Receiver. c) How long it would take to get the pet delivered will depend upon locations; whether the driver is solo or team; ifdriver is going straight there or will keep the pet with him/her and work their way toward the Receiver; and whether or not a Layover Home is needed. ALSO, There are just some states and some areas within states which are extremely difficult to service. We will let you know what the obstacles are for the Receiver. d) Receiver understands the pet must be picked up from the driver on their time schedule. 2PT5-5 RECEIVER RELATIONSHIP TO PET Adopter Breeder Foster Friend Owner-Reunion Relative Rescue Shelter 2PT5-6 RECEIVER EMAIL(S) Please provide at least one email address for the Receiver. If additional emails belong to other people, Identify and show relationship to Receiver. 2PT5-7 RECEIVER SHELTER/RESCUE NAME If this individual is associated with a Rescue or Shelter, please enter the following information. 1) Shelter/Rescue Name 2) Shelter/Rescue Phone Number 3) Shelter/Rescue Contact 4) Shelter/Rescue Contact Phone Number (Cell preferred) 2PT5-8 RECEIVER/DRIVER LOCATION & TIME FRAME 1) Receiver understands they are to meet the Driver at the agreed upon location and at the appointed time so as notto delay the Driver in his/her regular schedule. 2) If the Receiver is not at the location and the Driver must leave in order to make his/her scheduled appointmenttime for delivering freight, Operation Roger reserves the right to do the following: UNDERSTAND 2PT6-1 SHIPPER TO RECEIVER INFORMATION Backyard Breeder to Adopter Backyard Breeder to Rescue/Shelter Breeder to Adopter Breeder to Rescue/Shelter Family to Family Family to Friend 2PT6-2 PET STORY As we write stories about our transports, we would like to know things like: 2PT7-1 MEDICAL FINANCIAL EMERGENCY AGREEMENT 1) The individual listed below is named as the person responsible for paying any and all veterinary services required by the pet named in this application while on a truck, with a shuttle driver entrusted with this pet, in a layover home, or with Operation Roger Truckers Pet Transport (herein after known as Operation Roger) drivers. NOTE: A Disagree below will automatically nullify this Application until any and all requests are satisfied. Agree Disagree 2PT7-2 MEDICAL EMERGENCY $ AMOUNT 1) It is safe to say, a minimum $100.00-$500.00 would be required to "just walk in the door with an emergency." 2PT7-3 MEDICAL EMERGENCY SIGNATURE 1) The Applicant/Shipper/Receiver/3rd Party named below understands this may not cover all the requiredexpenses an emergency may require. 2PT7-4 MEDICAL EMERGENCY CONTACT PHONE Individual Financially Responsible for Pet's Medical Phone Numbers: Provide numbers for the following in the following format 000-000-0000: Cell, Home, Work 2PT7-5 FYI PARVO INFORMATION January 2014: Researchers have put statistics together on the Parvo Virus and recently discovered the immune systems of both the German Shepherd and Rottweiler breeds are extremely susceptible. 2PT8-1 PET HEALTH INFORMATION In the areas below select ALL that apply. Be thorough and honest. Ears-Deaf Ears-Hearing Impaired Eyes-Blind Eyes-Sight Impaired Female-Pregnant Heartworm Treatment Started Heartworms Hip Dysplasia Kennel Cough-Recently Legs-Missing 1 or more Needs Medicines (Oral only) Neutered Neutered-Recently Neutered-To Be Parvo Survivor-Recently Sensitive-Cold Sensitive-Heat Spayed Spayed-Recently Spayed-To Be Other None of the above 2PT8-2 PET DESCRIPTION/MEDICAL/DIET INFORMATION Indicate in the box below answers to any of the following: 1) Coat Color Description/Coat Markings 2) Medical Problems 3) Medicine-Oral Schedule 4) Special Diet Explanation 5) Special Needs 2PT8-3 PET DISQUALIFICATIONS 1) Applicant/Shipper/Receiver ALL understand Operation Roger will not take a female of any species: a) In heat or bleeding while on truck. b) In the last three (3) weeks of pregnancy. c) Whose pups/kits who are old enough to move around easily, but less than eight (8) weeks, and then only if it iswithin a days drive for the driver. Driver will have final approval. 2) Any barnyard animal. 3) Any animal who is low to the ground and excessively heavy and cannot get into the truck partially on its own. Drivers usually lift a large dog by its groin area and push the pet into the truck. An example is a Pot Bellied Pig too large to be easily picked up by a reasonably strong woman. 4) Adult dogs who have never been house-broken; i.e. shelter to backyard, never inside to train. 5) Dogs/Cats/Others who are or are destined to be breeder animals. Exception is the Rattie Community as they aren't usually altered. 6) Applicant understands it is their responsibility to notify ALL other parties to this Application of these requirements. Understand 2PT8-4 PET REACTION TO PEOPLE Choose ALL that apply. Female-Adult-Aggressive-No Female-Adult-Aggressive-Yes 2PT8-5 PETS REACTION TO ETHNIC GROUPS 2PT8-6 PET REACTION TO CLOTHING 2PT8-7 PET REACTION TO FOOD/TOYS/OTHER 2PT8-8 PET REACTION TO OTHER PETS 2PT8-9 PET OBEDIENCE/PERSONALITY/BEHAVIOR 2PT9-1 HEALTH CERTIFICATE/HOT RECORDS/OTHER Bath/Groomed-Required before putting on truck Flea & Tick Free Health Certificate-Have 2PT9-2 USDA HEALTH CERTIFICATES Q&A Q1) What do I need to take my dog or cat to Canada or Mexico? A) Generally, these countries require proof of current rabies vaccination, i.e. a rabies certificate and a health certificate signed by your veterinarian. This health certificate does not have to be stamped/ endorsed by our office. The Canadian import requirements for pets may be found at http://www.aphis.usda.gov/vs/ncie/iregs/animals/ca_cn.pdf and http://www.aphis.usda.gov/vs/ncie/iregs/animals/ca_fe.pdf Q2) What do I need to take my pet to another state within the United States? State Veterinarian Contact Information: http://www.usaha.org/StateAnimalHealthOfficials.pdf State Import Requirements: http://www.aphis.usda.gov/vs/sregs/ Q3) What do I need to bring a dog or cat into the United States? A) USDA is not the lead agency in regulating the entry of cats and dogs into the United States. The state of destination and the Centers for Disease and Prevention (CDC) regulate these animal entries. Generally, the animal will need a valid rabies vaccination and a health certificate. We ask you to please contact the state veterinarian in your state of destination and review the information at the following CDC website for more specific information. http://www.cdc.gov/ncidod/dq/animal.htm Q4) IRegs for Animal Exports, Last Modified: Feb 3, 2015 A) International health certificates for the export of animals from the United States are completed by the accredited veterinarian who certifies herd and animal health status, conducts tests, and records test results for the individual animals being exported. Completed and signed international health certificates for the export of animals from the United States must be endorsed by a Veterinary Services area office in order to be valid. A) The United States has minimal requirements for animals to be exported to other countries. Your Area Veterinarian-in-Charge can provide you with the current regulations, tests, and inspections required. Approved ports of embarkation and shipping requirements can be found in 9 CFR 91. Each country may have other specific health requirements for entry of animals. These requirements are established by the importing country, not the United States. Other countries may also have their own certificate format for export. Since export requirements frequently change, obtain the current export requirements from the Veterinary Service office in your area before each shipment. Do not rely solely on information provided by brokers and exporters. Export certificates are official documents and they should be typewritten, accurate, and complete. A) If you have any questions or concerns regarding these regulations for exporting animals or animal products to a foreign country, you should contact the APHIS-VS Service Centers in the State from which the animals or products will be exported. IMPORT HEALTH REQUIREMENTS OF CANADA FOR DOGS FROM THE UNITED STATES The following categories of dogs only need proof of a rabies vaccination within the 3 years prior to export to Canada: (a) any dog greater than 8 months of age; (b) an assistance dog that is certified as a guide, hearing or service dog, if the person accompanying the dog toCanada is the user of the dog; (c) not more than two pet dogs accompanied by their owner to Canada; and (d) any dog exported on a temporary basis for competition in a show or trial, if at the time of importation proof ofentry in a show or trial is provided. All dogs greater than 3 months of age, with the exception of assistance dogs certified as a guide, hearing or service dogs which accompany their user into Canada, must have proof of a rabies vaccination within 3 years prior to importation. This proof can be in the form of a rabies vaccination certificate or the vaccination can be documented on the health certificate, if a health certificate is required. Canadian Border: These certificates do not need to be endorsed at the Area Office - the only signature required is that of the licensed or accredited veterinarian, as applicable. All puppies will be examined by an Agriculture Canada inspector at the first port of entry. OK 2PT10-1 ITEMS REQUIRED FOR TRANSPORT The cost of any items needed and not provided by the Shipper to the Driver and having to be purchased by the Driver for the safety and comfort of the pet, MUST be reimbursed: 1) Directly to the Driver UPON delivery and when presented with a receipt. 2) Directly to Operation Roger through PayPal for the full amount plus PayPal charges when we present receipts(via email) from a Driver who was not the one who delivered the pet. We will then reimburse the Driver. 3) If Driver must take pet for grooming or obtain a motel room because it stinks/dirty/fleas/ticks and needs a bath,the charge to the responsible party may be double the actual cost to reimburse the Driver for his/her time and effort. This may be reduced to the actual amount upon presentation directly to the Groomer/Motel of your credit/debit card information over the phone. 4) ALL of items in the List below are Required for transport with few variations. 5) The following items are mandatory for all pets except the rattie community: Health Certificate, Shot Records, Collar AND Harness hooked together, Crate (30 pounds & under), food and water bowls, food 15-30 days, recent bath. Choose EACH item to be sent with the pet. Any missing item could result in the pet missing a ride. Note the Required items. All Documents are to placed in an Unsealed envelope (Required) Bathed/Groomed-Very Recent (Required) Belly Band & Supplies for Males if a Marker 2PT10-2 FINANCIAL COST FOR TRANSPORT ITEMS 1) The financial cost for the items required for transport is usually paid by the Receiver, although it can be theshipper or another person can be designated. 2PT10-3 FINANCIAL PHONE/EMAIL FOR TRANSPORT ITEMS 2PT11-1 APPLICANT RESPONSIBILITY 2PT11-2 VOLUNTEER DRIVERS 1) The APPLICANT understands Operation Roger Truckers Pet Transport is made up of volunteer drivers. We areNot a trucking company. Click the Box below: 2PT11-3 TRUCKING REQUIREMENTS 2PT11-4 OFFICE HOURS 1) The Operation Roger office is officially closed Saturday, Sunday, Holidays, AND also travel days to/at/fromtruck shows. We are open generally from 9 a.m. - 5 p.m. CENTRAL time. 2PT11-5 DRIVER HAS FINAL SAY UNDERSTAND 2PT11-6 SHIPPER/RECEIVER REQUIREMENTS 2PT12-1 APPLICATION DONATION $40, $50, $60, $70, $80 (x2), $90, $100, $120 (x3), $160 (x4), $200 (x5) ENTER PREAPPROVED EMAIL HERE: 2PT13-1 TERMS/CONDITIONS/PRIVACY ETC UNDERSTOOD Applicant's typed signature below and date 2PT14-1 OFFICE USE ONLY 1) Staff Member named below confirms the Applicant was unable to submit an Application themselves but has given the information contained in this Application.
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