r

COVID-19 Response - We're Open!

Equine Coggins & Export Intake Form

New to Gateway?
Use this link to find us. https://goo.gl/maps/hFnzntfBojAAyP658

In order to prepare the online account and documents required before your appointment, please provide the following information:

Owner and/or farm name to be on the form(Required)

Owner's Full Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Physical address or land location where the horse resides

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Premise ID if available

Owner's Email(Required)

Do you have a GVL online account already (where you view and access coggins results)?(Required)

Yes

No

If YES please include the email you use to access your account if not the one listed above(Required)

Horse registered and/or barn name:(Required)

Breed:(Required)

Age or date of birth:(Required)

Description of any brands & colour:(Required)

Please upload a photo of the horse's registration documents if applicable

Max. file size: 256 MB.

Please upload at least one photo of your horse (ideally head or side profile photo)(Required)

Max. file size: 256 MB.

Are you requiring export documents at this time?(Required)

Yes

No

Name of new owner:(Required)

Physical address of U.S. destination:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Thank you for providing this information ahead of time.

CAPTCHA

Book an appointment online from any device!