It is important that animals used on the road are healthy and capable for such use.
Therefore, before an animal can be added under any licences, the applicant shall present a Veterinary General Health Certificate ADV-Z2 confirming that the animal is suitable for the use on the road. Such certificate may be issued by any warranted veterinary surgeon.
For more info on ADV licences as well as any related info:
Use of Animals and Animal-drawn Vehicles on the Road - Transport Malta