Transport Request Form This is an unconfirmed transport request submission. With space allowing, we will review your request(s) and send confirmation with an approved pick up and delivery location. If this is your first time using our service, you will need to get in touch with the coordinator before submitting this transport request form. 1 Pick Up Information2 Dog Information3 Delivery Information Contact InformationSTOP. Both sending and receiving partners are required to be approved Rescue Express Rescue Partners prior to placement of a Transport Request. Confirm that your partner has an approved Rescue Partner Application and Rescue Partner Contract on file by contacting coordinator@rescueexpress.org or (541) 525-3232 before placing a request. Requests for unapproved partners will not be processed. Adopters are not required to become Rescue Partners. Please read the Rescue Express Partner Guidelines for information about transport procedures including: submitting transport requests, bus stop locations and schedules, loading/unloading procedures, reservation changes/cancellations, quarantine guidelines and more. Are both sending and receiving parties approved Rescue Express Rescue Partners?*YesNoTransport Date*Saturday, March 03, 2018Saturday, March 10, 2018Saturday, March 17, 2018Saturday, March 24, 2018Saturday, April 07, 2018Saturday, April 14, 2018Saturday, April 21, 2018Saturday, April 28, 2018TRANSPORT FULL NOTICE - PLEASE READ*The transport for the date you have selected is full. If you would like to be placed on the wait list for this transport date, please check the box below and continue your request. (Call (541) 525-3232 or email coordinator@rescueexpress to cancel Wait List transport requests.) Otherwise, please select an alternate date for transport. Please add me to the wait list for upcoming transport Rescue Express Loading Location*Where Rescue Express initially loads the animal(s). Location addresses will be included in your transport approval email. Submit separate transport requests if you are requesting transport to/from more than one loading or unloading location.Oceanside, CA - South Oceanside Elementary SchoolSan Fernando, CA - Almost Home Pet BoardingBakersfield, CA - City of Bakersfield Animal Care CenterTulare, CA - Tulare Animal ServicesFresno, CA - Mattress Firm MarketplaceTurlock, CA - Chevron (empty lot next to it)Lathrop, CA - Fast Lane Central ValleyElk Grove, CA - 76 StationRedding, CA - TA Travel CenterOther LocationPlease contact us via email to discuss an alternate loading location.Name of LocationAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country 19483 Knighton Rd Redding, CA 96002 I-5 exit 673 Google Maps15321 S Brand Blvd. Mission Hills, CA 91345 I-5 exit 157B Google Maps201 S Mt Vernon Ave Bakersfield, CA 93307 HWY 99 exit 24 then HWY 58 E exit 114 Google Maps3817 South K Street Tulare, CA 93274 HWY 99 exit 83 Google Maps6563 N Riverside Dr Fresno, CA 93722 HWY 99 exit 142 Google Maps116 Roth Rd Lathrop, CA 95330 I-5 exit 465 Google Maps2323 Laguna Blvd Elk Grove, CA 95758 I-5 exit 508 Google Maps2725 W Monte Vista Ave Turlock, CA 95382 Hwy 99 Exit 215 Google Maps1806 S Horne St Oceanside, CA 92054 Google MapsAre you the Sender or Receiver of this transport?*SenderReceiverYour First Name*Your Last Name*Your Phone #*Please Enter Your Email* Enter Email Confirm Email Where to?*Please indicate whether the animal(s) are being delivered to a rescue organization or an adopterRescue OrganizationAdopterPickup InformationSending Organization*The shelter/rescue/individual/boarding facility located in the state the animal is being loaded in and caring for the animal(s) during the required 10-day quarantine period. Sending Organization Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Address of the shelter/rescue/individual/boarding facility that is caring for the animal(s) during the required 10-day quarantine period. This CANNOT be the same as the receiving address. Sending Person*First & Last Name of the person delivering the animal(s) to Rescue Express. Sending Person Cell Phone Number*Sending Person Email* Enter Email Confirm Email Person meeting the bus and loading the animal(s)Backup Sending Person*Backup Sending Person Cell Phone Number*Backup Sending Email* Enter Email Confirm Email Animal InformationType of Animal*DogCatOtherAnimal(s) Name(s)*Separate names with comma (i.e. name, name, name)Breed(s)*Separate breed with comma (i.e. breed, breed, breed)Age(s)*Separate age with comma (i.e. age, age, age)Height*Standing height to shoulder plus 2"Weight(s) (lbs)*Separate weight with comma (i.e. weight, weight, weight) Requested Carrier Size(s). Choose a carrier that is 2" taller than the animal's height measured at the shoulder. Animals must have enough room to completely turn around and lie down. Do not choose a carrier larger than the animal requires. Please Note: Animals are placed in appropriately-sized carriers regardless of size requested. L x W X H (measured inside carrier)XSPlease enter a value between 0 and 99.Extra Small: 13” tall x 12” wide x 22” deep (cats and tiny dogs)SPlease enter a value between 0 and 99.Small: 17” tall x16” wide x 25” deep (Chihuahuas, small terriers, cats with litters)MPlease enter a value between 0 and 99.Medium: 23” tall x 20” wide x 30” deep (dogs 20+ lbs, smaller pitbulls)LPlease enter a value between 0 and 99.Large: 26” tall x 22” wide x 35” deep (most large dogs: pitbulls, boxers)XLPlease enter a value between 0 and 99.Extra Large: 28” tall x 24” wide x 39” deep: shepherds, Great Danes, St. Bernards Quarantine*Confirm that animal(s) will have been quarantined according to Rescue Express' Rescue Partner Guidelines for a minimum of 7 days at the time of transport.YesNoSpecial/Medical InstructionsInstructions pertaining to the care, or special consideration, of individual animals during transport. For questions about transport requests and reservations, contact coordinator@rescueexpress.org. Required Documents*I understand that I must provide all of the following medical records along with each animal that I send on transport: ✓ Cover Sheet ✓ Health certificate (USDA APHIS Form 7001) ✓ Proof of current rabies vaccine ✓ At least one dose of a 5-way vaccine for dogs ✓ At least one dose of an FVRCP vaccine for cats ✓ If destination is Washington, dogs 6 months and older require proof of negative heartworm test or currently on a heartworm preventativeYes Delivery InformationReceiving Organization*Receiving Organization Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Receiving Person NamePerson meeting the bus and unloading the animal(s).Receiving Person Cell Phone Number*Receiving Person Email* Enter Email Confirm Email Backup Receiving Name*A back-up person that will be available for contact and capable of unloading the animals. This CANNOT be the same as the primary receiver.Backup Receiving Cell*This CANNOT be the same as the receiver cell phone number.Backup Receiving Email* Enter Email Confirm Email Rescue Express Unloading Location*Where Rescue Express unloads the animal(s). Specific location details will be included in your transport approval email from usElk Grove, CA - 76 StationRedding, CA - TA Travel CenterGrants Pass, OR - Shari's Cafe and Pies, 190 NE Agnes Ave, Grants Pass, OR 97526 - Exit 55Roseburg, OR - Home DepotEugene, OR - Shell StationAlbany, OR - Arco AM/PM StationTualatin, OR - PetsmartVancouver, WA - Umpqua BankOlympia, WA - Martin Way Park & RideFife/Tacoma, WA - Love's Travel StopTukwila, WA - Park and RideLynnwood, WA - Ash Way Park & RideBurlington, WA - Shell StationOther Location2323 Laguna Blvd Elk Grove, CA 95758 I-5 exit 508 Google Maps19483 Knighton Rd Redding, CA 96002 I-5 exit 673 Google Maps3000 Aviation Dr Roseburg, OR 97470 I-5 exit 127OR Google Maps86623 Franklin Blvd Eugene, OR 97405 I-5 exit 189 Google Maps33200 SE HWY 34 Albany, OR 97322 I-5 exit 228 Google Maps4220 Brooklake Rd Brooks, OR 97305 I-5 exit 263 Google MapsNyberg Woods 7029 SW Nyberg St Tualitin, OR 97062 I-5 exit 289 Google Maps8015 Northeast Highway 99 Vancouver, WA 98685 I-5 exit 4 Google MapsMartin Way E Lacey, WA 98516 I-5 exit 109 Google Maps1501 33rd Ave Fife, WA 98424 I-5 exit 136 B Google Maps13445 Interurban Ave S Tukwila, WA 98168 I-5 exit 156 Google Maps16110 Ash Way Lynnwood, WA 98087 I-5 exit 183 Google Maps9440 Old Hwy 99 N Burlington, WA 98233 I-5 exit 232 Google MapsPlease contact us via email to discuss alternate pickup location.Drop LocationAdopter Donation Notice*Rescue Express transport of an animal to an adopter or foster-to-adopt home rather than a rescue organization requires a minimum $100 donation made prior to Transport finalization at 12:00pm on the Thursday before transport. Donations can be made at https://www.rescueexpress.org/donate/ by the adopter, foster or Rescue Partner. I understand. Yes, I understandCommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle AJAX powered Gravity Forms.
