COUNTRY:

Veterinary certificate to EU

Part I: Details of dispatched consignment

I.1. Consignor

Name

Address

Country

Tel.

I.2. Certificate reference number

I.2.a.

I.3. Central Competent Authority

I.4. Local Competent authority

I.5. Consignee

Name

Address

Country

Tel.

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

Address

Name

Address

I.12.

I.13. Place of loading

Address

I.14. Date of departure Time of departure

I.15. Means of transport

Aeroplane Ship Railway wagon

Road vehicle Other

Identification:

Document:

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. Seal/Container No

I.24.

I.25. Commodities certified as:

Breeding Production Slaughter Game restocking Other

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodity

Species Quantity

(scientific name)

COUNTRY:

II. Health information

II.a. Certificate reference number

II.b.

II.1. Animal health attestation

I, the undersigned official veterinarian, hereby certify that the:

II.1.1 (3) [poultry]

(3) [day-old chicks]

(3) [hatching eggs]

described in this certificate form a single consignment of less than 20 units and meets the provisions of Article 14 of Directive 2009/158/EC;

II.1.2 (3) [poultry has remained on:]

(3) [day-old chicks have hatched from eggs of flocks which have remained on:]

(3) [hatching eggs come from flocks which have remained on:]

(1) the territory of code ;

for at least three months or since hatching when less than three months old; if imported into the third country, territory or zone 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 (3) [poultry comes from:]

(3) [day-old chicks have hatched from eggs of flocks coming from:]

(3) [hatching eggs come from flocks coming from:]

(1) (9) the territory of code ;

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

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

(3) [II.1.4 poultry comes from:

(1) the territory of code ;

(2) either [II.1.4.1 which, at the date of issue of this certificate was free from highly pathogenic and low pathogenic avian influenza as defined in Regulation (EC) No 798/2008;]

(2) or [II.1.4.1 which, at the date of issue of this certificate was free from highly pathogenic avian influenza as defined in Regulation (EC) No 798/2008, and the poultry has been kept in a holding:

(a) in which within the last 30 days prior to import to the Union low pathogenic avian influenza has not been present;

(b) located in an area which is not placed under official veterinary restrictions by the competent authority in relation to an outbreak of low pathogenic avian influenza and in any case around which within a 1 km radius low pathogenic avian influenza has not been present within the last 30 days prior to import to the Union on any holding;

(c) where there has been no epidemiological link to a holding where low pathogenic avian influenza has been present within the last 30 days prior to import to the Union;]]

(3) [II.1.4 day-old chicks come from:

(1) the territory of code ;

(2) either [II.1.4.1 which, at the date of issue of this certificate was free from highly pathogenic and low pathogenic avian influenza as defined in Regulation (EC) No 798/2008;]

(2) or [II.1.4.1 which, at the date of issue of this certificate was free from highly pathogenic avian influenza as defined in Regulation (EC) No 798/2008, and the day-old chicks hatched from eggs coming from flocks which have been kept in a holding:

(a) in which low pathogenic avian influenza has not been present within the last 30 days prior to the time of collection of the eggs from which the day-old chicks were hatched;

(b) located in an area which is not placed under official veterinary restrictions by the competent authority in relation to an outbreak of low pathogenic avian influenza and in any case around which within a 1 km radius low pathogenic avian influenza has not been present within the last 30 days prior to the time of collection of the eggs from which the day-old chicks have hatched on any holding;

(c) where there has been no epidemiological link to a holding where low pathogenic avian influenza has been present within the last 30 days prior to the time of collection of the eggs from which the day-old chicks have hatched;]]

Part II: Certification

COUNTRY:

II. Health information

II.a. Certificate reference number

II.b.

(3) [II.1.4 hatching eggs come from:

(1) the territory of code ;

(2) either [II.1.4.1 which, at the date of issue of this certificate was free from highly pathogenic and low pathogenic avian influenza as defined in Regulation (EC) No 798/2008;]

(2) or [II.1.4.1 which, at the date of issue of this certificate was free from highly pathogenic avian influenza as defined in Regulation (EC) No 798/2008, and the hatching eggs were derived from flocks kept in a holding:

(a) in which low pathogenic avian influenza has not been present within the last 30 days prior to the time of collection of the eggs;

(b) located in an area which is not placed under official veterinary restrictions by the competent authority in relation to an outbreak of low pathogenic avian influenza and in any case around which within a 1 km radius low pathogenic avian influenza has not been present within the last 30 days prior to the time of collection of the eggs on any holding;

(c) where there has been no epidemiological link to a holding where low pathogenic avian influenza has been present within the last 30 days prior to the time of collection of the eggs;]]

II.1.5 (3) [II.1.5.1 poultry has not been vaccinated against avian influenza and does not come from flocks vaccinated against avian influenza;]

(3) [II.1.5.1 day-old chicks have not been vaccinated against avian influenza and have hatched from eggs coming from flocks which:]

(3) [II.1.5.1 hatching eggs have not been vaccinated against avian influenza and have been collected from flocks which:]

(2) either [have not been vaccinated against avian influenza]

(2) 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 (3) [II.1.6.1 poultry has been kept prior to export for at least 21 days or since hatching on a holding:]

(3) [II.1.6.1 day-old chicks have hatched:

— from eggs coming from flocks which at the time of the collection of the eggs for hatching have been kept for at least 21 days or since hatching on a holding:

— on a holding or in a hatchery:]

(3) [II.1.6.1 hatching eggs were collected from flocks which at the time of collection of the eggs for export have been kept for at least 21 days or since hatching on a holding:]

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

(b) 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;]

(3) [II.1.6.2 poultry comes from flocks:]

(3) [II.1.6.2 day-old chicks have hatched from eggs coming from flocks:]

(3) [II.1.6.2 hatching eggs come from flocks:]

which since hatching or for at least 21 days prior to export or collection of the eggs for export or for hatching have had no contact with poultry or eggs not meeting the requirements laid down in this certificate or with wild birds]];

II.1.7 (3) [II.1.7.1 poultry comes from flocks which have been kept in isolation from other poultry for at least 21 days prior to sampling or since hatching, and which:]

(3) [II.1.7.1 day-old chicks are hatched from eggs coming from flocks which:]

(3) [II.1.7.1 hatching eggs are collected from flocks which:]

have been found negative in serological tests for Salmonella Pullorum and Salmonella Gallinarum antibodies in the three months preceding dispatch using testing methods as set out in Section I of Annex III to Regulation (EC) No 798/2008 at a level which gives 95 % confidence of detecting infection at 5 % prevalence.

COUNTRY:

II. Health information

II.a. Certificate reference number

II.b.

II.1.8 (3) [II.1.8.1 poultry has:

(2) either [not been vaccinated against Newcastle disease;]

(2) or [been vaccinated against Newcastle disease according to the following conditions in the table below:]]

(3) [II.1.8.1 day old chicks have:

(2) either [not been vaccinated against Newcastle disease; and]

(2) or [been vaccinated against Newcastle disease according to the following conditions in the table below; and]

have hatched from eggs coming from flocks which have:

(2) either [not been vaccinated against Newcastle disease;]

(2) or [been vaccinated against Newcastle disease according to the following conditions in the table below:]]

(3) [II.1.8.1 hatching eggs have been collected from flocks:

(2) either [which have not been vaccinated against Newcastle disease;]

(2) or [has been vaccinated against Newcastle disease according to the following conditions in the table below:]]

(3) [II.1.8.2 poultry:]

(3) [II.1.8.2 day-old chicks have hatched from eggs coming from flocks which:]

(3) [II.1.8.2 hatching eggs have been collected from flocks which:]

have been vaccinated with officially approved vaccines according to the following conditions:

II.1.9 (3) [II.1.9.1 day-old chicks have hatched from eggs which prior to incubation had been disinfected in accordance with the instructions of the competent authority;]

(3) [II.1.9.1 hatching eggs have been collected from (dd/mm/yyyy) to (dd/mm/yyyy) and have been disinfected in accordance with my instructions, using (name of the product and active substance) for (time in minutes);]

II.2. Public health additional guarantees

I, the undersigned official veterinarian, hereby certify that the:

(4) (5) [II.2.1 poultry is intended for private domestic use or leading to the direct supply, by the producer, of small quantities of primary products to the final consumer or to local retail establishments directly supplying the primary products to the final consumer as referred to in Article 1(3) of Regulation (EC) No 2160/2003 and fulfils the following conditions:

(3) [II.2.1 poultry comes from flocks of origin or a group of poultry which have been kept in isolation from other poultry for at least 21 days prior to sampling or since hatching, which]

(3) [II.2.1 flocks from which the eggs were collected of which the day-old chicks have hatched]

Identification of the flock

Age of the birds

Date of vaccination [dd/mm/yyyy]

Name and type (live or inactivated) of ND virus strain used in vaccine(s)

Batch number

Name and manufacturer of vaccine

Identification of the flock

Age of the birds

Date of vaccination [dd/mm/yyyy]

Vaccinated against

Batch number

Name, manufacturer, and type of officially approved vaccines

COUNTRY:

II. Health information

II.a. Certificate reference number

II.b.

(3) [II.2.1 flocks from which the hatching eggs have been collected]

have been subjected to testing before dispatch in accordance with point (7) of Section I of Annex III to Regulation (EC) No 798/2008 and the date of this test and its result must be entered:

].

(3) (5) [II.2.2 if intended for breeding, neither Salmonella Enteritidis nor Salmonella Typhimurium were detected during testing referred to in point II.2.1.above.]

II.3. Animal health additional guarantees

I, the undersigned official veterinarian, further certify that the consignment is intended for a Member State the status of which has been established in accordance with Article 15(2) of Directive 2009/158/EC, and

(3) (6) [II.3.1 the poultry described in this certificate:

(a) have not been vaccinated against Newcastle disease;

(b) were kept in isolation for 14 days before consignment in an establishment under the supervision of an official veterinarian. In this connection, no poultry at the holding or establishment of origin or quarantine station, as applicable, were vaccinated against Newcastle disease during the 21 days preceding consignment and no bird which was not intended for consignment entered during that time;

(c) underwent a serological examination for the presence of Newcastle disease antibodies in the 14 days preceding consignment and tested negative;]

(3) (6) [II.3.1 the day-old chicks described in this certificate:

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

(2) or [have been vaccinated against Newcastle disease using an inactivated vaccine;] and

have hatched from eggs coming from flocks which:

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

(2) or [have been vaccinated against Newcastle disease using an inactivated vaccine;]

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

(3) (6) [II.3.1 the hatching eggs described in this certificate were collected from flocks which:]

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

(2) or [have been vaccinated against Newcastle disease using an inactivated vaccine;]

(2) or [have been vaccinated against Newcastle disease using a live vaccine at the latest 60 days before the initial date of the period during which the eggs were collected;]]

(3) [II.3.2 the following additional guarantees, laid down by the Member State of destination in accordance with Articles 16 and/or 17 of Directive 2009/158/EC, are provided:

;]

(10) [II.3.3 (3) [the poultry come from flocks, which:]

(3) [the day-old chicks have hatched from eggs coming from flocks, which:]

(3) [the hatching eggs were collected from flocks, which:]

have been examined and tested in accordance with point 8 of Section I of Annex III to Regulation (EC) No 798/2008.]]

Identification of the flock

Age of the birds

Date of last sampling of the flock from which the testing result is known[dd/mm/yyyy]

Result of all testing in the flock (5)

positive

negative

COUNTRY:

II. Health information

II.a. Certificate reference number

II.b.

II.4 Additional health requirements

I, the undersigned official veterinarian, further certify that:

(3) (7) [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:

(1) the territory of code ;

(3) [the poultry and the flocks it comes from:]

(3) [the day-old chicks have hatched from eggs coming from flocks, which:]

(3) [the hatching eggs have been collected from flocks, which:]

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

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

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

II.5. Animal transport Attestation

I, the undersigned official veterinarian, further certify that the:

(3) (8) [II.5.1 poultry described in this certificate are transported in crates or cages which:

(i) are designed to prevent any excrement escaping and reduce to a minimum any loss of feathers during transport;

(ii) allow visual inspection of the poultry;

(iii) allow cleansing and disinfection;

(iv) have been cleansed and disinfected before loading in accordance with the instructions of the competent authority; and which:]

(3) (8) [II.5.1 day-old chicks described in this certificate are transported in perfectly clean, disposable boxes used for the first time which are designed to prevent any excrement escaping and reduce to a minimum any loss of feathers during transport; and which:]

(3) [II.5.1 hatching eggs are transported in perfectly clean, disposable boxes used for the first time which:]

(i) contain only poultry other than ratites, day-old chicks or hatching eggs thereof of the same species, category and type coming from the same holding;

(ii) bear the following information:

— the name of the country, territory or zone of consignment,

— the species of poultry concerned,

— the number of poultry, chicks or eggs, as appropriate,

— the category and type of production for which they are intended,

— the name and address of the holding of origin and in case of day-old chicks of the hatchery,

— the Member State of destination; and which:]

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

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

Notes:

This certificate applies to single consignments of less than 20 units of poultry other than ratites, hatching eggs and day-old chicks thereof as referred to in Article 5 of Regulation (EC) No 798/2008.

COUNTRY:

II. Health information

II.a. Certificate reference number

II.b.

Part I:

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

— Box I.11: Name and address of the holding of origin and, as appropriate, the name and the address of the hatchery in case of day-old chicks.

— Box I.15: Indicate the registration number(s) of railway wagons and lorries, the name of the ship and, if known, the flight number 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, 01.06.39 or 04.07.

Part II:

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

(2) Keep as appropriate.

(3) Keep if appropriate.

(4) This guarantee applies only for poultry belonging to the species of Gallus gallus and turkeys.

(5) Restrictions relating to the approval by the Commission of a salmonella control programme as listed in Part 2 of Annex I do not apply for single consignments of less than 20 units of poultry other than ratites, hatching eggs and day-old chicks thereof, when destined for primary production of poultry for private domestic use or leading to the direct supply, by the producer, of small quantities of primary products to the final consumer or to local retail establishments directly supplying the primary products to the final consumer provided they were subjected to testing before dispatch in accordance with point (7) of Section I of Annex III to Regulation (EC) No 798/2008.

If any of the testing 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.

(6) Delete if consignment is not intended for Finland or Sweden.

(7) This guarantee is required only for poultry other than ratites, hatching eggs or day-old chicks thereof coming from countries, territories or zones where Article 13(1) of Regulation (EC) No 798/2008 applies.

(8) Please note that according to Regulation (EC) No 1/2005 poultry or day-old chicks will be checked by Member States’ competent authorities 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.

(9) For countries or territories with the entry ‘N’ in column 6 of Part 1 of Annex I to Regulation (EC) No 798/2008, for single consignments consisting of less than 20 units of poultry other than ratites, hatching eggs and day-old chicks thereof (LT20) 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.

(10) This guarantee is only required for poultry other than ratites, hatching eggs and day-old chicks thereof when coming from countries, territories or zones with the entry ‘X’ in column 5 of Part 1 of Annex I to Regulation (EC) No 798/2008.

This certificate is valid for 10 days.

Official veterinarian

Name (in capital letters): Qualification and title:

Date: Signature:

Stamp:

COUNTRY:

II. Health information

II.a. Certificate reference number

II.b.

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

I, the undersigned official veterinarian hereby certify that the health conditions of Part II of this certificate continue to be met; and that:

(3) [the poultry described in this certificate:

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

(b) comes from flocks which were examined no more than 48 hours before loading and showed no clinical signs of or grounds for suspecting disease]

(3) [the day-old chicks described in this certificate:

(a) have been hatched on (dd/mm/yyyy);

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

(3) [the hatching eggs described in this certificate:

(a) were examined at the time of consignment and did not present any abnormalities in shape, size or other characteristics that may suggest presence of disease in the flock(s) of origin;

(b) come from flocks which have been examined no more than 48 hours before loading and showed no clinical signs of or grounds for suspecting disease.]

Official veterinarian

Name (in capital letters): Qualification and title:

Date: Signature:

Stamp:

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