SANTE/7122/2016-EN ANNEX

Page numbers must be entered on every page in the Page X of Y format below.

Page ____ of _____

COUNTRY: United States Veterinary certificate to EU

Part I : Details of dispatched consignment

I.1. Consignor

Name Owner or responsible person’s name in the U.S.

Address Owner or responsible person’s U.S. address

Country

United States

Tel.

Owner or responsible person’s U.S. telephone

number

I.2. Certificate reference No

Completed by the APHIS or Military

Veterinarian* (see below for the definition of a

Military Veterinarian)

I.2.a.

I.3. Central competent authority

USDA APHIS Veterinary Services

I.4. Local competent authority

Completed by the APHIS or Military Veterinarian*

I.5. Consignee

Name Owner or responsible person’s name in

the EU

Address

Owner or responsible person’s address

in the EU

Country Name of EU country of destination

Tel. Owner or responsible person’s EU telephone number

I.6. Leave any boxes with diagonal line-outs blank

I.7. Country of

origin

United States

ISO code

I.8.

I.9. Country of

destination

Name of EU country

ISO code

See below for ISO

country code list**

I.10. Region of

destination

Leave blank

Code

Leave blank

I.11. Place of origin

Name U.S. owner’s name

Address U.S. owner’s address

Approval number Completed by APHIS or Military Veterinarian

I.12. Place of destination

Name Approval number

ddress

I.13. Place of loading

Name of international airport or seaport where the animal is leaving the

United States

I.14. Date of departure

Date the animal is scheduled to depart the United States (dd/mm/yyyy)

I.15. Means of transport

Check “Aeroplane” or “Ship” as appropriate

Aeroplane  Ship  Railway

wagon 

Road vehicle  Other 

Identification

Documentary references

I.16. Entry BIP

(border inspection post)

in EU

1st EU international airport or EU seaport where pet will enter the EU

I.17.

I.18. Description of commodity

Select all species that apply

More than one species may be listed on the same

health certificate.

Dog Cat Ferret

I.19. Commodity code (HS code)

010619 Leave as is

I.20. Quantity

Number of dogs, cats and/or ferrets

I.21.

I.22. Number of packages

Number of transport crates

I.23. Seal/Container No

Transport crate is not required to be sealed. Enter a crate number, if applicable. Otherwise, leave

blank.

I.24.

I.25. Commodities certified for:

Others  Pets  Approved bodies 

Choose

“Pets”

if there are more than 5 personally owned pet animals not inten ded for resale or transfer of ownership,

if the personally owned pet animals are

traveling more than 5

days prior to or after the owner travels to the EU.

Choose

“Others”

if animals are not per sonally-owned pets (i.e., they are intended for resale or transfer of ownership in the EU). This includes dogs, cats and ferrets purchased from

U.S. breeders t hat are not accompanied by their new owners when traveling from the U.S. to the EU.

There are no “Approved bodies” for pet dogs, cats and ferrets.

I.26.

I.27. For import or admission into EU This box is pre-checked 

The statements in the health certificate that do not apply based on options chosen when completing the certificate on the APHIS Pet Travel Website (i.e., age of

the pet, etc.) will be automatically lined out. If the line-outs do not appear when the health certificate is printed, or if the certificate is not completed on the

APHIS Pet Travel Website, the USDA Accredited Veterinarian or Military Veterinarian* (see below for definition of a Military Veterinarian) must line out the

non-applicable statements and initial in pen.

All dates on EU health certificates must be

in the dd/mm/yyyy format

ANNEX

PART 1

Model animal health certificate for imports into the Union of dogs, cats and ferrets

*A Military Veterinarian is defined as a Veterinary Corps Officer or civilian GS-0701 series government veterinarian employed by the U.S.

Army Veterinary Service working at military treatment facilities. It does not apply to Army Veterinary Service non-appropriated fund or

Department of Defense civilian contract veterinarians.

**ISO codes Austria AT; Belgium BE; Bulgaria BG; Croatia HR; Cyprus CY; Czech Republic CZ; Denmark DK; Estonia EE;

Finland FI; France FR; Germany DE; Greece GR; Hungary HU; Ireland IE; Italy IT; Latvia LV; Lithuania LT; Luxembourg

LU; Malta MT; Netherlands NL; Norway (NO); Poland PL; Portugal PT; Romania RO; Slovakia SK, Slovenia SL, Spain ES; Sweden

SE; Switzerland (CH); and the United Kingdom/Northern Ireland GB

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I.28. Identification of the commodities

Information for each animal must be entered into each column below. Each animal must be listed individually.

Species

(1)

Identification system

(1)(2)

Identification number

(2)

Date of birth

(Scientific name) [dd/mm/yyyy]

Choose one or more of Transponder (microchip) Microchip or tattoo number Must be in dd/mm/yyyy format;

these scientific names: or tattoo i.e., November 10, 2018 is written

as 10/11/2018

Dog: Canis familiaris

Cat: Felis catus

Ferret: Mustela furo

(1)

A drop-down menu with pre-populated choices is available when completing the fillable PDF certificate available on the APHIS Pet Travel Website.

(2)

Make sure the information in these columns exactly matches any information (especially the microchip number) in the rabies vaccination certificate.

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Page numbers must be entered on every page in the Page X of Y format below.

Page ____ of _____

COUNTRY Imports into the Union of dogs, cats, ferrets

II.

a. Certificat

e reference No

Completed by APHIS or Military Veterinarian*

Health information

II.

II.b.

I, the undersigned official veterinarian [USDA Accredited Veterinarian or Military Veterinarian*] of …the United States… (insert

name of third country) certify that the animals described in Box I.28:

II.1.

II.2.

(1)either [II.3.

me from holdings or businesses described in Box I.11

which are registered by the competent

authority

and

are

not

subject

any

ban on animal health grounds, where the animals are examined

regularly and which comply with the requirements ensuring the welfare of the animals held;

showed no signs of diseases and were fit to be transported for the intended journey at the time of

examination by a veterinarian authorised by the competent authority within 48 hours prior to the time of

dispatch; [The clinical examination and issuance of the health certificate by the USDA Accredited or Military

Veterinarian* must be done within 48 hours of leaving the United States.]

are destined for a body, institute or centre described in Box I.12 and approved in accordance with

Annex C to Council Directive 92/65/EEC, and come from a territory or third country listed in Annex

(1)

or [II.3.

II to Commission Implementing Regulation (EU) No 577/2013.] [This is not an option for pet animals.]

were at least 12 weeks old at

the time of vaccination against rabies and at least 21 days have elapsed since the

completion of the primary anti-rabies vaccination

(2)

carried out in accordance with the validity

requirements set out in Annex III to Regulation (EU) No 576/2013 of the European Parliament and

of the Council, and any subsequent revaccination was carried out within the period of validity of the

preceding vaccination

(3)

; and [Animals must be at least 12 weeks old at the time of rabies vaccination, microchipped on

the same day as or before rabies vaccination, and the vaccination must have been given at least 21 days prior to arriving in

the EU.]

(1)

either [they come from, and in case

of transit are scheduled to transit through, a territory or third country listed in

nex II to Commission Implementing Regulation (EU) No 57

7/2013 and details of the current anti-rabies

vaccination

are

rovided

columns

to 7 in the table below;] [The United States is a listed country.]

(1)

Part II: Certification

Transponder or tattoo

Date of [rabies]

vaccination

[dd/mm/yyyy]

Name and

manufacturer

of vaccine

Batch

number

Validity of vaccination

Date of blood

sampling

[dd/mm/yyyy]

Alphanumeric

code of the

animal

Date of

implantation

and/or reading

(6)

[dd/mm/yyyy]

From

[dd/mm/yyyy]

The microchip /

tattoo number

must match the

number listed in

point I.28

above.

Enter the date of

implantation of the

microchip. If that

date is unknown,

date of reading

may be entered, but

MUST be on or

before date of

rabies vaccination

in next column.

This date must be

on or after the

date recorded in

“Date of

implantation

and/or reading”

column to the left.

Enter both the

rabies vaccine

name and rabies

vaccine

manufacturer

Batch or

serial

number on

the rabies

vaccine vial

Enter the period of

validity of the rabies

vaccination (i.e., 1 year or

3 years depending on the

manufacturer’s

instructions)

Use correct date format of

dd/mm/yyyy

For export to the UK, the

validity of any primary

vaccine must be entered as

one year from the date of

the primary vaccination,

even if the manufacturer

considers the vaccine to be

valid for 3 years.

A rabies blood

test is not

needed for pets

leaving from the

United States.

Information in this table must match the information in the corresponding rabies vaccination certificate.

[they come from or are scheduled to transit through, a territory or third country listed in Part 1 of Annex II to

Commission Regulation (EU) No 206/2010 or listed without time limit in Annex I to Commission

Implementing Regulation (EU) 2018/659, and

- details of the current anti-rabies vaccination are provided in columns 1 to 7 in the table below, and

a rabies antibody titration test(4), carried out on a blood sample taken by the veterinarian authorised by the

competent authority not less than 30 days after the preceding vaccination and at least three months prior to

the date of issue of this certificate, proved an antibody titre equal to or greater than 0,5 IU/ml(5) and any

subsequent revaccination was carried out within the period of validity of the preceding vaccination, and the

date of sampling for testing the immune response are provided in column 8 in the table below:]

2 3

6 7

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Page ____ of _____

COUNTRY Imports into the Union of dogs, cats, ferrets

II. Health information

II.a.

Certificate reference No

Completed by APHIS or Military Veterinarian*

II.b.

(1)

either [II.4.

the consignment includes dogs destined for a Member State listed in Annex to Commission Implementing

Regulation

(EU) No 2018/878 [UK (England, Northern Ireland, Scotland and Wales), Ireland, Finland, Malta, and

Norway] and have been treated against Echinococcus multilocularis [tapeworm], and the details of the

treatment carried out by the administering veterinarian in accordance with Article 6 of Commission

Delegated Regulation (EU) No 2018/772

(7) (8)

are provided in the table below.

The table below must be completed only for DOGS traveling to the UK (England, Northern Ireland, Scotland, and Wales), Ireland, Finland, Malta,

and Norway. For all other animals and destinations, the 2

option (“not been treated”) must be chosen and the 1

option (“have been treated”) must

be lined out and initialed by the USDA Accredited Veterinarian. Each animal must be listed separately.

Transponder or tattoo

alphanumeric code of the

dog

Anti-Echinococcus treatment Administering veterinarian

Name and manufacturer

of the product

Date [dd/mm/yyyy]

and time of treatment

[00:00]

Name in capitals, stamp and signature

The microchip/tattoo number

must match the number

entered in Box I.28

Enter both the brand name and

manufacturer of the product.

The medication must contain

praziquantel or state that it is

effective against E.

multilocularis. (Norway

requires the medication to

contain praziquantel or

epsiprantel.)

A USDA Accredited or

Military* Veterinarian (not

the owner) must treat the

dog once within 1 to 5 days

before the animal arrives in

the UK, Ireland, Finland,

Malta or Norway.

The veterinarian treating the animal must enter

their name (in capital letters) and sign in this

box. A stamp is optional if it is not available.

The veterinarian cannot sign this table

until he/she administers the tapeworm

treatment.

Notes

This certificate is valid for 10 days from the date of issue by the official veterinarian. In the case of transport by sea,

that period of 10 days is extended by an additional period corresponding to the duration of the journey by sea. [Even

hough it states that the certificate is valid for 10 days, it must be signed by the USDA Accredited or Military* Veterinarian and

endorsed by APHIS (if not issued by a Military Veterinarian*) within 48 hours of the animal leaving the United States. The certificate

is then valid for 10 days after signing in case the animal travels to the EU by sea. The 10 days would not apply if traveling by air as

flights to the EU are less than 24 hours.]

Part I:

Box I.11.: Place of origin: name and address of the dispatch establishment [owner or breeder’s home address]. Indicate

approval or registration number [completed by the APHIS or Military* Veterinarian].

Box I.12.: Place of destination: mandatory where the animals are destined for a body, institute or centre approved in accordance

with Annex C to Council Directive 92/65/EEC. [Not applicable for pet animals.]

Box I.25.: Commodities certified for: indicate

[Choose “Others” if

animals are not personally-owned pets (i.e., they are intended for resale or transfer of o

wnership in the EU). This would

include dogs, cats and ferrets purchased from U.S. breeders that are being sent to new owners in the EU.]

Box I.28.:

Identification system: select transponder or tattoo.

Identification number: indicate the transponder or tattoo alphanumeric code.

Part II:

(1) Keep as appropriate.

(2) Any revaccination must be considered a primary vaccination if it was not carried out within the period of validity of a

previous vaccination. [If the vaccine expires before a booster vaccine is given, then the booster vaccine is considered

“primary”

and 21 days must elapse before the animal is eligible to enter the EU.]

(3) A certified copy of the identification and vaccination details of the animals concerned shall be attached to the certificate.

[The rabies vaccination certificate must accompany this health certificate.]

(4) The rabies antibody titration test referred to in point II.3: [A rabies titer test is not required for dogs, cats and ferrets

traveling from the United States.]

- must be carried out on a sample collected by a veterinarian authorised by the competent authority, at least 30 days

after the date of vaccination and three months before the date of import;

Do not line out this table even if the dog is not traveling from the U.S. to one of the countries listed above and is therefore not r

equired to be treated

for Echinococcus. An EU veterinarian may enter information about Echinococcus treatment into this table at a later date if the dog is traveling to

one of the countries listed above within 4 months after arriving in the EU.

Treatment must be administered by a USDA Accredited Veterinarian. The treatment may be administered before or after the health certificate is

endorsed (signed and stamped) by the APHIS veterinarian, but the administering veterinarian cannot sign the table until after he/she administers

the tapeworm treatment.

(1)

[II.4. the dogs forming part of the consignment have not been treated against Echinococcus multilocularis.]

]

- “Pets” where dogs (Canis lupus familiaris), cats (Felis silvestris catus) or ferrets (Mustela putorius furo) are

moved in accordance with Article 5(4) of Regulation (EU) No 576/2013 of the European Parliament and of the

Council;

- “Approved bodies” where dogs, cats or ferrets are moved in accordance with Article 13 of Council Directive

92/65/EEC to an approved body, institute or centre as defined in Article 2(c) of that Directive; [Not applicable for pet

animals.]

- "others" where dogs, cats or ferrets are moved in accordance with Article 10 of Council Directive 92/65/EEC.

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Page ____ of _____

COUNTRY Imports into the Union of dogs, cats, ferrets

II. Health informat

ion

II.a. Certificate reference No

Completed by APHIS or Military Veterinarian*

II.b.

− must measure a level of neutralisinG antibody to rabies virus in serum equal to or greater than 0,5 IU/ml;

− must be performed by a laboratory approved in accordance with Article 3 of Council Decision 2000/258/EC

(list of approved laboratories available at http://ec.europa.eu/food/animals/pet-movement/approved-labs_en);

− 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.

A certified copy of the official report from the approved laboratory on the result of the rabies antibody test referred to in

point II.3. shall be attached to the certificate. [Not applicable]

(5) By certifying this result, the official veterinarian confirms that he has verified, to the best of his ability and where

necessary with contacts with

the laboratory indicated in the report, the authenticity of the laboratory report on the

results of the antibody titration test referred to in point II.3. [Not applicable]

(6) In conjunction with footnote (3), the marking of the animals concerned by the implantation of a transponder or

by a clearly readable tattoo applied before 3 July 2011 must be verified before any entry is made in this certificate

and must always precede any vaccination, or where applicable, testing carried out on those animals. [The veterinarian

signing the certificate must scan and read the microchip before entering any information about the rabies vaccination

(7) The treatment against Echinococcus multilocularis referred to in point II.4 must:

- be administered by a veterinarian within a period of not more than 120 hours and not less than 24 hours [1-5

days] before the time of the scheduled entry [As most flights to the EU are overnight, and the treatment must be given before

the dog enters the EU, this means that the treatment must be given between 1-4 days before leaving the United States.] of the

dogs into one of the Member States or parts thereof listed in the Annex to Commission Implement Regulation

(EU) No 2018/878;

- consist of an approved medicinal

product which contains the appropriate dose of praziquantel or

pharmacologically active substances, which alone or in combination, have been proven to reduce the burden of

mature and

immature intestinal forms of Echinococcus multilocularis in the host species concerned.

(8) The table referred to in point II.4 must be used to document the details of a further treatment if administered

after the date the certificat

e was signed and prior to the scheduled entry into one of the Member States or parts

thereof listed in the Annex to Commission Implementing Regulation (EU) 2018/878. [An EU veterinarian can enter

information about Echinococcus

treatment in the table in point II.4 for 4 months after the dog has arrived in the EU.]

*Military Veterinarian endorsement permission applies to EU Member States only. A Military

Veterinarian is defined as a

Veterinary Corps Officer or civilian GS-0701

series government veterinarian

employed by the U.S. Army Veterinary Service working at military treatment facilities. It does not apply to

Army Veterinary Service non-appropriated fund or Department of

Defense civilian contract veterinarians.

Official veterinarian [USDA Accredited Veterinarian or Military* Veterinarian]

Name (in capital letters): Name of USDA Accredited Qualification and title:

or Military* Veterinarian

USDA Accredited Veterinarian or Military Title

Date: Date (dd/mm/yyyy) health certificate signed by USDA

Accredited or Military* Veterinarian

Signature: Signature of USDA Accredited or Military*

Veterinarian (in blue ink)

[Or t

ype "Electronically Signed" if submitting

electronically in VEHCS]

Stamp:

[Stamp only required for Military* Veterinarian]

An APHIS Veterinarian will sign/stamp below (not required if the certificate is issued by a Military Veterinarian*).

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