Certificate Of Health And Origin For Import Of A Dog printable pdf download

CERTIFICATE OF HEALTH AND ORIGIN FOR IMPORT OF A DOG TO ICELAND

PART 1 - IDENTIFICATION OF OWNER / IMPORTER OF DOG

Owner/importer

Personal identification number (Icelanders)

Address

City

Postal code

Country

Tel.no.

Fax number

e-mail address

PART 2 - IDENTIFICATION AND ORIGIN OF DOG

Country of origin*

Country of export**

Import permit no.

ID-no (microchip no)

Breed

Male

Female

Name

Fur / colour

Date of birth (dd/mm/yy)

*For those dogs considered as coming from a rabies free country, the dog must have remained in that country since birth or for at least the 6 months prior to importation

**If other than country of origin

PART 3 - VACCINATIONS

I, THE UNDERSIGNED LICENSED VETERINARIAN, CONFIRM THAT THE DOG IDENTIFIED IN PART 2, BASED UPON ORIGINAL

VACCINATION DOCUMENTS AND LABORATORY CERTIFICATES, FULFILLS THE FOLLOWING REQUIREMENTS

a) RABIES

The dog has been vaccinated against rabies with an approved, killed vaccine, within the last 365 days prior to importation. At the time of

vaccination the dog was at least 12 weeks old.

First rabies vaccination (dd/mm/yy)

Vaccine name

Valid until (dd/mm/yy)

Revaccination (as applicable) (dd/mm/yy)

Vaccine name

Valid until (dd/mm/yy)

Revaccination (as applicable) (dd/mm/yy)

Vaccine name

Valid until (dd/mm/yy)

Revaccination (as applicable) (dd/mm/yy)

Vaccine name

Valid until (dd/mm/yy)

The dog may be imported when 120 days have passed from the time of the first rabies vaccination. In case of revaccination, the dog may be

imported when 30 days have passed from the time of the last rabies revaccination.

b) RABIES ANTIBODY TITRE TEST

A blood sample taken no earlier than 30 days after the first rabies vaccination, showed that the rabies neutralizing antibody titre was at least 0.5

IU/ml. If the results were not satisfactory (below 0.5 IU/ml), any subsequent rabies vaccination would be classed as the first vaccination and

import into Iceland would not be authorised until at least 120 days had passed after this subsequent vaccination followed by a rabies neutralizing

antibody titre test with satisfactory results.

A LABORATORY CERTIFICATE OF RABIES ANTIBODY TITRE TEST RESULTS MUST BE ENCLOSED WITH THIS CERTIFICATE

Date of blood sampling (dd/mm/yy)

Name of laboratory

The rabies antibody titre test does not have to be renewed on an animal which following that test with satisfactory results, has been

revaccinated against rabies within the period of validity of a previous vaccination.

(Part 3, a) and b) - Rabies Vaccination and Antibody Titre Test - does not apply to dogs originating from Australia, Faroe Islands, Finland,

Hawaii, Ireland, Great Britain, Japan, New Zealand, Norway (Svalbard not included) or Sweden)

V2016D-01

Page 1 of 4

PARTS 1-8 MUST BE COMPLETED AND ALL 4 PAGES AND CERTIFICATE OF RABIES ANTIBODY TITRE TEST SENT TO MAST EITHER BY FAX

(+354 530 4801) OR E-MAIL (mast@mast.is) AT LEAST 5 BUSINESS DAYS BEFORE IMPORTATION

Certificate Of Health And Origin For Import Of A Dog

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