Vs Form 17-129 - Application For Import Or In Transit Permit
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1No animals, animal semen, animal embryos,
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it
birds, poultry, or hatching eggs may be
displays a valid OMB control number. The valid OMB control number for this information collection is 0579- 0040. The time
imported unless a completed application has
required to complete this information collection is estimated to average .17 hours per response, including the time for reviewing
been received (9 CFR 92 and CFR 93).
instructions, searching data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information.
FORM APPROVED OMB NO. 0579-0040
U.S. DEPARTMENT OF AGRICULTURE
1. NAME AND ADDRESS OF SHIPPER IN COUNTRY OF ORIGIN
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
VETERINARY SERVICES
APPLICATION FOR IMPORT OR IN TRANSIT PERMIT
(Animals, Animal Semen, Animal Embryos, Birds, Poultry, or Hatching Eggs)
INSTRUCTION TO IMPORTER: Complete and submit one copy to the Veterinary Services, APHIS, U.S.
Department of Agriculture, 4700 River Road, Riverdale, MD 20737. Prepare a separate application for
each shipment.
3. PORT OF EMBARKATION (From Canada show only for ocean vessel or airplane
2. NAME AND ADDRESS OF IMPORTER (Include Zip Code)
shipments)
4. COUNTRY FROM WHICH SHIPPED
5. MODE OF TRANSPORTATION (Name of Airline or Vessel, flight no.)
TELEPHONE NUMBER (Include Area Code)
6. ANIMALS, ANIMAL SEMEN, ANIMAL EMBRYOS, BIRDS, POULTRY, OR HATCHING EGGS
DESCRIPTION
NO.
BREED
SPECIES
(Sex, Age, Registered Name and No., Tattoo, Tag No., Other Markings)
6E. PURPOSE OF IMPORTATION
7. ROUTE OF TRAVEL INCLUDING ALL CARRIER STOPS ENROUTE (From Canada show route of travel only for ocean vessel or airplane shipment)
8. PROPOSED SHIPPING DATE (From Canada show only for ocean vessel
9. PROPOSED ARRIVAL DATE
10. UNITED STATES PORT OF ENTRY
or airplane shipment)
11. NAME AND MAILING ADDRESS OF PERSON TO WHOM DELIVERY WILL BE MADE
12. WHERE DELIVERY WILL BE MADE IN U.S. (After quarantine, when required)
(After quarantine, when required) (Include Zip Code)
(Location of place)
TELEPHONE NUMBER (Include Area Code)
13. REMARKS
14. SIGNATURE OF IMPORTER
16. DATE SIGNED
VS FORM 17-129 (MAY 96)
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