Part I: Details of dispatched consignment

COUNTRY

Veterinary certificate to EU

I.1. Consignor

Name

Address

Tel.No

I.2. Certificate reference number

I.2.a.

I.3. Central Competent Authority

I.4. Local Competent Authority

I.5. Consignee

Name

Address

Postal code

Tel.No

I.6.

I.7. Country of origin

ISO code

I.8. Region of origin

Code

I.9. Country of destination

ISO code

I.10.

I.11. Place of origin

Name

Approval number

Address

Name

Approval number

Address

Name

Approval number

Address

I.12.

I.13. Place of loading

Address

Approval number

I.14. Date of departure

Time of departure

I.15. Means of transport

Aeroplane

Ship

Railway wagon

Road vehicle

Other

Identification:

Documentary references:

I.16. Entry BIP in EU

I.17. No.(s) of CITES

I.18. Description of commodity

I.19. Commodity code (HS code)

I.20. Quantity

I.21.

I.22. Number of packages

I.23. Identification of container/seal number

I.24.

I.25. Commodities certified for:

Breeding

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodities

Species (Scientific name)

Breed/Category

Quantity

Part II: Certification

COUNTRY

DOC (day-old chicks other than of ratites)

II.

Health information

II.a. Certificate reference number

II.b.

II.1.

Animal health attestation

I, the undersigned official veterinarian, hereby certify that the day-old chicks (1) described in this certificate:

II.1.1

meet the provisions of Directive 2009/158/EC;

II.1.2

have been hatched on:

(2)(3) either

[the territory of code …;]

(3)(4) or

[compartment(s) …;]

where the flocks from which the hatching eggs come were imported into the country, territory, zone or compartment of origin, this took place in accordance with veterinary conditions at least as strict as the relevant requirements of Directive 2009/158/EC and any subsidiary Decisions;

II.1.3

come from:

(2)(3)(12) either

[the territory of code …;]

(3)(4) or

[compartment(s) …;]

(a) which, at the date of issue of this certificate, was (were) free from Newcastle disease as defined in Regulation (EC) No 798/2008;

(b) where a surveillance programme for avian influenza according to Regulation (EC) No 798/2008 is carried out;

II.1.4

come from:

(2)(3)(13) either

[the territory of code …;]

(3)(4) or

[compartment(s) …;]

(3) either

[II.1.4.1

which, at the date of issue of this certificate was (were) free from highly pathogenic and low pathogenic avian influenza as defined in Regulation (EC) No 798/2008;]

(3) or

[II.1.4.1

which, at the date of issue of this certificate was (were) free from highly pathogenic avian influenza as defined in Regulation (EC) No 798/2008, and

(3) either

[(a) were derived from parent flocks which have been kept in an establishment in which avian influenza surveillance has been carried out with negative results within 21 days prior to the time of collection of eggs from which the day-old chicks were hatched;]

(3) or

[(a) were derived from parent flocks which have been kept in an establishment in which during the past 21 days prior to the collection of the eggs from which the day-old chicks were hatched a virus detection test with negative testing results for avian influenza has been carried out on a random sample of cloacal and tracheal/or oropharyngeal swabs taken from at least 60 poultry in the establishment or from all poultry if less than 60 are present in the establishment;]

(b) the day-old chicks come from an establishment:

around which within a 1 km radius low pathogenic avian influenza has not been present within the last 30 days on any establishment, where there has been no epidemiological link to an establishment where avian influenza has been detected within the last 30 days;],

COUNTRY

DOC (day-old chicks other than of ratites)

II.

Health information

II.a. Certificate reference number

II.b.

II.1.5

(a) have not been vaccinated against avian influenza;

(b) were derived from parent flocks which:

(3) either

[have not been vaccinated against avian influenza;]

(3) or

[have been vaccinated against avian influenza in accordance with a vaccination plan under Regulation (EC) No 798/2008 using:

(name and type of used vaccine(s))

at the age of … weeks;]

II.1.6

have been hatched in the establishment(s) defined in Box I.11 of Part I officially approved in accordance with requirements which are at least equivalent to those laid down in Annex II to Directive 2009/158/EC, and

(a) the approval of which has not been suspended or withdrawn;

(b) which, at the time of consignment, was (were) not subject to any animal health restriction;

(c) within a 10 km radius of which, including, where appropriate, the territory of a neighbouring country, there has been no outbreak of highly pathogenic avian influenza or Newcastle disease for at least the previous 30 days;

II.1.7

have been hatched from eggs coming from flocks which:

(a) have been kept for at least six weeks immediately prior to import to the Union in officially approved establishments, the approval of which, at the time of consignment of the hatching eggs to the hatchery, had not been suspended or withdrawn;

(b) at the time of consignment, were not subject to any animal health restriction;

(c) have undergone a disease surveillance programme for:

(3) either

[Salmonella Pullorum, S. Gallinarum and Mycoplasma gallisepticum (fowls);]

(3) or

[Salmonella arizonae (serogroup O:18(K)), S. Pullorum and S. Gallinarum, Mycoplasma meleagridis and M. gallisepticum (turkeys);]

(3) or

[Salmonella Pullorum and S. Gallinarum (guinea fowls, quails, pheasants, partridges and ducks);]

in accordance with Chapter III of Annex II to Directive 2009/158/EC and have not been found to be infected, or showed any grounds for suspecting infection, by these agents;

(3) either

[(d) have not been vaccinated against Newcastle disease;]

(3) or

[(d) have been vaccinated against Newcastle disease using:

(name and type (live or inactivated) of Newcastle disease virus strain used in vaccine(s)) at the age of … weeks;]

(5) and/or

[(e) have been vaccinated using officially approved vaccines

on … against … (repeat as necessary);]

II.1.8

have been hatched from eggs which:

(a) prior to consignment to the hatchery, had been marked in accordance with the instructions of the competent authority;

(b) had been disinfected in accordance with the instructions of the competent authority;

(5) [II.1.9

have been vaccinated using officially approved vaccines on … against … (repeat as necessary);]

COUNTRY

DOC (day-old chicks other than of ratites)

II.

Health information

II.a. Certificate reference number

II.b.

II.2.

Public health additional guarantees

(6) [II.2.1

The Salmonella control programme referred to in Article 10 of Regulation (EC) No 2160/2003 and the specific requirements for the use of antimicrobials and vaccines in Regulation (EC) No 1177/2006, have been applied to the parent flock of origin and this parent flock has been tested for Salmonella serotypes of public health significance.

Date of last sampling of the parent flock from which the testing result is known: … (dd/mm/yyyy);

Result of all testing in the parent flock:

(3)(7) either

[positive;]

(3)(7) or

[negative;]

The specific requirements for the use of antimicrobials and vaccines in Regulation (EC) No 1177/2006, have been applied to the day-old chicks.

For reasons other than the Salmonella control programme:

(3) either

[antimicrobials were not administered to the day-old chicks (including in-ovo injection);]

(3)(8) or

[the following antimicrobials were administered to the day-old chicks (including in-ovo injection) …;]]

(6) [II.2.2

If the day-old chicks are intended for breeding, neither Salmonella Enteritidis nor Salmonella Typhimurium were detected within the control programme referred to in point II.2.1.]

II.3.

Animal health additional guarantees

I, the undersigned official veterinarian, further certify that:

(9) [II.3.1

where the consignment is intended for a Member State the status of which has been established pursuant to Article 15(2) of Directive 2009/158/EC, the day-old chicks described in this certificate come from hatching eggs coming from flocks which:

(3) either

[have not been vaccinated against Newcastle disease;]

(3) or

[have been vaccinated against Newcastle disease using an inactivated vaccine;]

(3) or

[have been vaccinated against Newcastle disease using a live vaccine at the latest 60 days before the date the eggs were collected;]]

(5) [II.3.2

the following additional guarantees, laid down by the Member State of destination under Articles 16 and/or 17 of Directive 2009/158/EC, are provided:

…;]

(9) [II.3.3

if the Member State of destination is Finland or Sweden, the day-old chicks for introduction into flocks of breeding poultry or flocks of productive poultry come from flocks which have tested negative in accordance with the rules laid down in Decision 2003/644/EC.]

COUNTRY

DOC (day-old chicks other than of ratites)

II.

Health information

II.a. Certificate reference number

II.b.

II.4.

Additional health requirements

I, the undersigned official veterinarian, further certify that:

(10) [II.4.1

although the use of vaccines against Newcastle disease which do not fulfil the specific requirements of Annex VI (II) to Regulation (EC) No 798/2008 is not prohibited in:

(2)(3) either

[the territory of code …;]

(3)(4) or

[compartment(s) …;]

the breeding poultry from which the day-old chicks are derived:

(a) have not been vaccinated for at least the previous 12 months with such vaccines;

(b) come from a flock or flocks which underwent a virus isolation test for Newcastle disease, carried out in an official laboratory not earlier than 14 days preceding consignment on a random sample of cloacal swabs from at least 60 birds in each flock and in which no avian paramyxoviruses with an Intracerebral Pathogenicity Index (ICPI) of more than 0,4 were found;

(c) have not been in contact during the last 60 days before consignment with poultry which does not fulfil the conditions in (a) and (b);

(d) have been kept in isolation under official surveillance on the establishment of origin in the 14-day period mentioned in (b);]

(10) [II.4.2

the hatching eggs from which the day-old chicks have been hatched have not been in contact in the hatchery or during transport with eggs or poultry which do not fulfil the abovementioned requirements.]

(11) II.5.

Animal transport attestation

I, the undersigned official veterinarian, further certify that:

II.5.1

the day-old chicks described in this certificate are transported in perfectly clean, disposable boxes used for the first time and:

(a)

contain only day-old chicks of the same species, category and type coming from the same establishment;

(b)

bear the following information:

the name of the country, territory, zone or compartment of consignment, the species of poultry concerned, the number of chicks, the category and type of production for which they are intended, the name, address and approval number of the production establishment, the approval number of the establishment of origin, the Member State of destination;

(c)

are closed in accordance with the instructions of the competent authority to avoid any possibility of substitution of the contents.

The containers and vehicles in which the boxes mentioned above have been transported have been cleansed and disinfected before loading in accordance with the instructions of the competent authority.

COUNTRY

DOC (day-old chicks other than of ratites)

II.

Health information

II.a. Certificate reference number

II.b.

Notes

Part I:

—

Box I.8: Provide the code for the zone or the compartment of origin, if necessary, as defined under code in column 2 of Part 1 of Annex I to Regulation (EC) No 798/2008.

—

Box I.11: Name, address and approval number of hatcheries and the breeding establishment.

—

Box I.15: Indicate the registration number(s) of railway wagons and lorries, the names of ships and, if known, the flight numbers of aircraft. In the case of transport in containers or boxes, the total number of these and their registration and where there is a serial number of the seal it has to be indicated in box I.23.

—

Box I.19: Use the appropriate Harmonised System (HS) code of the World Customs Organisation: 01,05 or 01.06.39.

—

Box I.28: (Category): Select one of the following: Pure line/grandparents/parents/laying stock/broilers/others.

Part II:

(1)

“Day-old chicks” as defined in Regulation (EC) No 798/2008.

(2)

Code of the territory as it appears in column 2 of Part 1 of Annex I to Regulation (EC) No 798/2008.

(3)

Keep as appropriate.

(4)

Insert the name of compartment(s).

(5)

Keep if appropriate.

(6)

This guarantee applies only for day-old chicks belonging to the species of Gallus gallus.

(7)

If any of the results were positive for the serotypes below during the life of the flock, indicate as positive:

flocks of breeding poultry: Salmonella Hadar, Salmonella Virchow and Salmonella Infantis, flocks of productive poultry: Salmonella Enteritidis and Salmonella Typhimurium.

(8)

Keep if appropriate: indicate the name and active substance of antimicrobials used.

(9)

Delete if consignment is not intended for Finland or Sweden.

(10)

This guarantee is required only for poultry coming from countries, territories, zones or compartments where Article 13(1) of Regulation (EC) No 798/2008 applies.

(11)

Please note that according to Regulation (EC) No 1/2005 animals will be checked by the competent authorities of the Member States if they are fit to continue the journey after entry into the Union. In the case the requirements are not fulfilled, the animals need to be unloaded and further measures taken.

(12)

For countries or territories with the entry “N” in column 6 of Part 1 of Annex I to Regulation (EC) No 798/2008, for day-old chicks other than of ratites (DOC) only, this means that in the case of an outbreak of Newcastle disease as defined in Regulation (EC) No 798/2008 then the country code or territory code shall continue to be used but this will exclude any area under official restrictions, by the third country concerned in relation to Newcastle disease, at the date of issue of this certificate.

(13)

For countries or territories with the entry “L” in column 6 of Part 1 of Annex I to Regulation (EC) No 798/2008, for day-old chicks other than of ratites (DOC) only, this means that in the case of an outbreak of low pathogenic avian influenza as defined in Regulation (EC) No 798/2008 then the country code or territory code shall continue to be used but this will exclude any area under official restrictions, by the third country concerned in relation to low pathogenic avian influenza, at the date of issue of this certificate.

This certificate is valid for 10 days.

COUNTRY

DOC (day-old chicks other than of ratites)

II.

Health information

II.a. Certificate reference number

II.b.

Official veterinarian

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp:

(14) III.

Supplementary health information concerning certificate reference number (box I.2.)

I, the undersigned official veterinarian hereby certify that:

(a) the health conditions of Part II of this certificate continue to be met;

(b) the day-old chicks (1) described in this certificate:

(i) have been hatched on … (dd/mm/yyyy);

(ii) at the time of consignment were examined and showed no clinical signs of or grounds for suspecting any disease;

(iii) have had no contact with poultry not meeting the requirements laid down in this certificate or with wild birds.

Official veterinarian

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp:

(14)

This section can be on a separate sheet provided it is attached to Part II of the health certificate.’