Animal Rescue Flights
Transport Request plus Liability
Waiver
for Intrastate and Interstate
Transport
By submitting this
form as your request for transport, you are agreeing to:
- 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) Must
receive no food and limited water within 4 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 cancelled. The safety and well-being of the
animal during the transport is our top concern.
Sender Information:
Contact Name: Cell
Phone:
Organization:
Alternate
Phone:
Street,
City, State, Zip: Email:
Alternate
Contact Name/Cell Phone/Email:
Shelter/Rescue
URL:
Is the
sending organization is a 501(c)3? If so, please provide the name and email
address of the person to contact for a “letter of acknowledgment” of the
pilot’s donation (fuel costs, aircraft rental costs, etc.) so that these costs
can be tax-deductible:
If
different from above, please provide the name, cell phone number and
organization of person delivering animal to origination airport:
Transport Animal’s Veterinarian:
Contact Name: Work
Phone:
Organization: Emergency
Phone:
Street
Address: Email:
City,
State, Zip: Fax:
Alternate
Contact Name/Cell Phone/Email:
Rescue URL:
Receiver Information:
Contact Name: Cell
Phone:
Organization: Alternate
Phone:
Street,
City, State, Zip: Email:
Alternate
Contact Name/Cell Phone/Email:
Rescue URL:
Is the receiving
organization is a 501(c)3? If so, please provide the name and email
address of the person to contact for a “letter of acknowledgment” of the
pilot’s donation (fuel costs, aircraft rental costs, etc.) so that these costs
can be tax-deductible:
Name, cell
phone number and organization of person receiving animal(s) at destination airport,
if different from above:
If ARF is delivering to a Forever Home,
please fill out the following:
Was a home
visit conducted? Was a vet contacted as a reference?
Has it been
determined that the household is appropriate for the dog with respect to
children present, level of activity provided, past pet experience, ability to
provide for pet’s medical / nutritional needs, and accommodations for the pet?
General Information Needed for Transport
Requests:
Crate
Dimensions: Desired Transport Date:
Origin
City/State: Destination City/State:
Name of Animal: Breed and Sex:
Weight of
Animal: Age of Animal:
Behavior
issues? Crate-trained?
Other
Important Information?
Medical
Information for Transport
Micro chipped? Yes No Do Not Know If
Yes, Give Number:
Spayed or Neutered? Yes No
(Required unless veterinarian note included)
Health Certificate? Yes No Date:
Rabies Vaccination? Yes No Date:
(required if 3 months or older)
Puppy 1st Shots: Yes
No Do
Not Know Date Given:
Puppy 2nd Shots: Yes
No Do
Not Know Date Given:
Puppy 3rd Shots: Yes No Do
Not Know Date Given:
Parvo/Distemper: Yes No Do
Not Know Date Given:
Bordatella: Yes No Do
Not Know Date Given:
Heartworm Test: Yes No Do
Not Know Date of Test:
Test Results: Date Last Pill Given:
Allergies: Yes No Do
Not Know Type:
Fecal test for worms: Yes No Do
Not Know Date:
Test Results:
If Feline: FIV test: Yes
No Date:
Results:
Our
Concern about Sick or Infected Animals: READ CAREFULLY
Animal Rescue Flights (ARF) insists that
an animal be free of all illness and has not been in the presence of a
contagious disease or, if an illness or exposure is present, that ARF is made
fully aware of the illness prior to arranging or performing transport.
Transportation of an infected animal can result in a plane being contaminated
and make the plane unsuitable for animal transport for periods up to one year.
Any individual or organization that knowingly provides an ill/infected animal
for transport will be liable for the cost of any decontamination that is
required to make the plane suitable for transport and will be permanently
barred from transporting animals by ARF. If an animal is transported and you
later become aware that the animal was ill, infected, or exposed to a disease
that is contagious to animals or humans, you must contact ARF immediately and
provide all available information including veterinary contacts. Failure to
provide this information will permanently bar the individual and the
organization that individual represents from transporting animals by ARF. The
cost of decontamination of the airplane will be born by the individual
releasing for transport. By providing an animal for transport, you and the
organization you represent are automatically agreeing to comply with the
statements in this section on Ill/Infected animals. If you do not agree with
these statements and/or are unwilling or unable to comply, then do not submit
an animal for transport. If transport is for medical reasons or animal
has a medical condition then the following are required: 1) Veterinary
information, veterinary health certificate and copies of all medical records,
2) Description of medical condition, 3) Medicines animal must take / Directions
for administering: Careful and complete veterinary labels on all medicines
transported giving name of animal and veterinarian prescribing along with
dosage to be given and name of medicine, 4) Short description of any potential
behavior or information which you feel is important for the transport/handling
of the animal (Aggression, Shyness, Fears, etc).
Liability Waiver
for Shelters and Rescues Sending Animals for Transport
I, the
undersigned, understand that Animal Rescue Flights (ARF) is a volunteer
organization voluntarily providing free air transportation by privately owned
or rented aircraft for special need rescue animals and are not financially
reimbursed for the expenses of the flights. I, the undersigned, agree to waive
and do waive and release Animal Rescue Flights, its officers, directors or
other volunteers from any and all claims including, but not limited to,
liability for negligence, any personal injury or property damage that might be suffered,
and any wrongful death actions which an estate might bring, arising out of
injury during any ARF flight or activity. It is understood and acknowledged
that my signing of this Waiver of Liability is bound and effective for any and
all ARF flights or activities. I further understand that the pilot in command (PIC)
of any ARF flight has the final decision concerning the cancellation of the
flight due to weather, mechanical problems or for any reason whatsoever, if in
their judgment the flight can not be completed in a safe manner. I also
understand that all animals must be transported in appropriate kennels and/or
cages and must be accompanied by all required paperwork. Kennels and cages are
to be provided for transport unless otherwise advised by a representative of
ARF.
I, the undersigned, do herby certify that I am
legally able to release the above named/described animal and all of its
documents for transport to the receiving entity. I furthermore, understand and
give authority to Animal Rescue Flights to determine if any changes must be
made in the transport for flight or animal safety and to make such changes.
Should the animal become ill during transport or any question concerning the
health of the animal in Animal Rescue Flights care during a transport arise,
the pilot has the authority to make decisions regarding whether the animal will
be taken to the nearest veterinary facility (emergency landing) or whether the
flight will continue to its next fueling or overnight destination where veterinary
care will be instituted. If an animal’s health or condition is questioned by
the pilot at any time, transport will continue only after a veterinarian has
determined that continued transport will in no way endanger the animal, pilot
or airplane. Should such a decision be made by the pilot, the animal will not
be released to any person until the veterinarian certifies that the animal is
healthy and that the reason for the need for veterinary care is corrected. I,
the responsible person releasing the animal for transport, understand that I or
the organization I represent are responsible for all veterinary costs that
result from the pilot’s decision to seek veterinary consultation and care for
the animal in transport. I will be contacted should this occur by an ARF
representative after the animal is receiving veterinary care. I forever release
Animal Rescue Flights, its agents, pilots or anyone involved in the transport
of this animal from all liability for transporting and caring for this animal
and from any liability resulting from previous actions of the animal/or agents.
I, ,
(responsible party), release for transport the animal described above to the
designated ARF pilot at a time and place mutually agreed upon by the parties.
At the destination airport, this animal is to be released to (name of person or shelter).
Signature: Date:
Printed Name:
Please scan and email this completed
form to Help@AnimalRescueFlights.org
(This
section will be completed upon delivery of the animal to the destination
airport)
Release of
the Animal at Destination
I, a representative of
received at Airport on
Signature: Date: