Model Animal Health Certificate For The Non-Commercial Movement Template
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5Model animal health certificate for the non-commercial movement into a
Member State from a territory or third country of dogs, cats or ferrets
in accordance with Article 5(1) and (2) of Regulation (EU) No 576/2013
COUNTRY: United States
Veterinary certificate to EU
I.1. Consignor
I.2. Certificate reference No
I.2.a.
Name
Address
I.3. Central competent authority
Tel.
USDA APHIS Veterinary Services
I.4. Local competent authority
I.6. Person responsible for the consignment in the EU
I.5. Consignee
Name
Address
Postal code
Tel.
I.7. Country of
I.8. Region of
ISO code
Code
I.9. Country
of
ISO
I.10 Region of
Code
origin
origin
destination
code
destination
United States
US
I.11. Place of origin
I.12. Place of destination
I.13. Place of loading
I.14. Date of departure
I.15. Means of transport
I.16. Entry BIP in EU
I.17. No.(s) of CITES
I.18. Description of commodity
I.19. Commodity code (HS code)
010619
Dog
Cat
Ferret
I.20. Quantity
I.21. Temperature of products
I.22. Total
number
of
packages
I.23. Seal/Container No
I.24. Type of packaging
I.25. Commodities certified for:
x
Pets
rd
I.26. For transit to 3
Country
I.27. For import or admission into EU
I.28. Identification of the commodities
Species
Date of birth
Identification
Sex
Colour
Breed
Identification number
system
(Scientific name)
[dd/mm/yyyy]
EN
Page ___ of ___
2016/561
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Parent category: Medical