Part I: Details of consignment presented

EUROPEAN UNION

Intra trade certificate

I.1. Consignor

Name

Address

Postal code

I.2. Certificate reference number

I.2.a. Local reference number:

I.3. Central Competent Authority

I.4. Local Competent Authority

I.5. Consignee

Name

Address

Postal code

I.6. No(s) of related original certificates

No(s) of accompanying documents

I.7.

I.8. Country of origin

ISO code

I.9. Region of origin

Code

I.10. Country of destination

ISO code

I.11. Region of destination

Code

I.12. Place of origin/Place of harvest

Holding

Name

Approval number

Address

Postal code

I.13. Place of destination

Holding

Establishment

Approved body

Semen centre

Embryo team

Other

Name

Approval number

Address

Postal code

I.14. Place of loading

Postal code

I.15. Date and time of departure

I.16. Means of transport

Aeroplane

Ship

Railway wagon

Road vehicle

Other

Identification:

I.17. Transporter

Name

Approval number

Address

Postal code

Member State

I.18. Animal species/product

I.19. Commodity code (CN code)

I.20. Number/quantity

I.21.

I.22. Number of packages

I.23. Identification of container/seal number

I.24.

I.25. Animals certified as/products certified for:

Breeding

Fattening

Artificial reproduction

Slaughter

Pets

Approved body

I.26. Transit through third country

Third country

ISO code

Exit point

Code

Entry point

BIP unit no.:

I.27. Transit through Member States

Member State

ISO code

Member State

ISO code

Member State

ISO code

I.28. Export

Third country

ISO code

Exit point

Code

I.29. Estimated journey time

I.30. Route plan

Yes

No

I.31. Identification of the animals

Species

(Scientific name)

Identification system

Identification number

Sex

Age

Quantity

Part II: Certification

COUNTRY

92/65 EI Animals from holdings (ungulates, birds, lagomorphs, dogs, cats and ferrets)

II. Health information

II.a. Certificate reference number

II.b.

I, the undersigned official veterinarian (1)/veterinarian responsible for the establishment of origin and approved by the competent authority certify that:

either (1)

[II.1 at the time of inspection the above animals were fit to be transported on the intended journey in accordance with the provisions of Council Regulation (EC) No 1/2005.]

or (1)

[II.1 at the time of inspection the pet dogs (1)/cats (1)/ferrets (1) were fit to travel;]

II.2 the conditions of Article 4 of Council Directive 92/65/EEC are fulfilled.

either (1)

[II.3.1 ruminant(s) (1)/Suidae (1) other than that/those covered by Directive 64/432/EEC:

(a) belong(s) to the species … ;

(b) at the time of examination, do(does) not show any clinical sign of any disease to which it/they is/are susceptible;

(c) come(s) from an officially tuberculosis-free (1)/officially brucellosis-free (1) or brucellosis-free (1) herd (1)/holding (1) not subject to swine fever restrictions or from a holding where it/they was/were subjected with negative results to the test(s) laid down in Article 6(2)(b) of Directive 92/65/EEC.]

or (1)

[II.3.1 birds other than those referred to in Directive 90/539/EEC:

(a) satisfy the requirements of Article 7 of Directive 92/65/EEC; and

(b) at the time of examination do not show clinical signs of any disease to which the animals are susceptible.]

or (1)

[II.3.1 lagomorphs:

(a) satisfy the requirements of Article 9 of Directive 92/65/EEC; and

(b) at the time of examination do not show clinical signs of disease.]

or (1)

[II.3.1 dogs (1)/cats (1)/ferrets (1):

either (1)

[(a) satisfy, in accordance with Article 10(2) of Directive 92/65/EEC, the requirements laid down in Articles 5 and 16 of Regulation (EC) No 998/2003;]

or (1)

[(a) satisfy, in accordance with Article 10(3) of Directive 92/65/EEC, the requirements laid down in Articles 6 and 16 of Regulation (EC) No 998/2003;]

or (1)

[(a) satisfy, in accordance with Commission Regulation (EU) No 388 /2010, the requirements laid down in Article 10(2) of Directive 92/65/EEC where the total number of pet animals moved for non-commercial purposes exceeds five;]

or (1)

[(a) satisfy, in accordance with Commission Regulation (EU) No 388 /2010, the requirements laid down in Article 10(3) of Directive 92/65/EEC where the total number of pet animals moved for non-commercial purposes into Ireland, Malta, Sweden or the United Kingdom exceeds five;]

and

(b) underwent a clinical examination, within 24 hours of dispatch, by a veterinarian authorised by the competent authority, and this examination showed the animals to be in good health.]

II.4 The additional guarantees regarding diseases listed in Annex B (2) to Directive 92/65/EEC are as follows: (1)

Disease

Decision

Disease

Decision

Disease

Decision

Notes

Part I:

Box reference I.5:

Not applicable to movements for non-commercial purposes of pet animals (dogs, cats and ferrets) exceeding the number of five.

Box reference I.6:

No(s) of accompanying documents: CITES, if applicable.

Box reference I.19:

Use the appropriate HS code: 01.06.19, 01.06.31, 01.06.32, 01.06.39.

Box reference I.31:

Identification: individual identification must be used wherever possible but in the case of small animals, batch identification may be used.

COUNTRY

92/65 EI Animals from holdings (ungulates, birds, lagomorphs, dogs, cats and ferrets)

II. Health information

II.a. Certificate reference number

II.b.

Part II:

(1) Delete as necessary.

(2) As requested by a Member State benefiting from additional guarantees under Union legislation.

The colour of the stamp and signature must be different from that of the other particulars in the certificate.

Official/approved veterinarian

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp:’

Part I: Details ofconsinment presented

EUROPEAN UNION

Intra trade certificate

I.1. Consignor

Name

Address

Postal code

I.2. Certificate reference number

I.2.a. Local reference number:

I.3. Central Competent Authority

I.4. Local Competent Authority

I.5. Consignee

Name

Address

Postal code

I.6.

I.7.

I.8. Country of origin

ISO code

I.9.

I.10. Country of destination

ISO code

I.11.

I.12. Place of origin/Place of harvest

Holding

Other

Name

Approval number

Address

Postal code

I.13. Place of origin/Place of harvest

Holding

Other

Name

Approval number

Address

Postal code

I.14. Place of loading

Postal code

I.15. Date and time of departure

I.16. Means of transport

Aeroplane

Ship

Railway wagon

Road vehicle

Other

Identification:

I.17.

I.18. Animal species/product

I.19. Commodity code (CN code)

01.06.90

I.20. Number/quantity

I.21.

I.22. Number of packages

I.23. Identification of container/seal number

I.24.

I.25. Animals certified as/products certified for:

Breeding

Transhumance

I.26. Transit through third country

Third country

ISO code

Exit point

Code

Entry point

BIP unit no.:

I.27. Transit through Member States

Member State

ISO code

Member State

ISO code

Member State

ISO code

I.28. Export

Third country

ISO code

Exit point

Code

I.29.

I.30.

I.31. Identification of the animals

Species

(Scientific name)

Quantity

Batch number

Part II: Certification

COUNTRY

92/65 EII Bees (Apis mellifera) and bumble bees (Bombus spp.)

II. Health information

II.a. Certificate reference number

II.b.

I, the undersigned certify that:

II.1

either (2)

[(a) the bees/bumble bees (2) come from an area which is not subject of the prohibition order associated with an occurrence of American foulbrood (the period of prohibition has been continued for at least 30 days following the last recorded case and the date of which all hives within a radius of three kilometres have been checked by the competent authority and all infected hives burned or treated and inspected to the satisfaction of the said competent authority);]

or (2)

[(a) the bumble bees come from an environmentally isolated structure recognised by and under the supervision of the competent authority of the Member State which is free of American foulbrood and was inspected immediately prior to dispatch and all bumble bees and breeding stock show no clinical signs or suspicion of the disease;]

and

(b) the bees/bumble bees (2) come from an area of at least 100 km radius which is not the subject of any restrictions associated with the suspicion or confirmed occurrence of the small hive beetle (Aethina tumida) or the Tropilaelaps mite (Tropilaelaps spp.), and where these infestations are absent;

and

(c) the bees/bumble bees (2) as well as their packaging have undergone a visual examination to detect the occurrence of the small hive beetle (Aethina tumida) or their eggs and larvae, or other infestations, in particular the Tropilaelaps mite (Tropilaelaps spp.), affecting bees.

II.2

the additional guarantees regarding diseases listed in Annex B (1) to Directive 92/65/EEC are as follows (2):

Disease

Decision

Disease

Decision

Disease

Decision

Notes

Part I:

Box reference I.31:

Species: introduce Apis mellifera or Bombus spp.

Quantity: provide the number of colonies.

Batch number: provide the number of seals where applicable.

Part II:

(1) As requested by a Member State benefiting from additional guarantees under Union legislation.

(2) Delete as necessary.

The colour of the stamp and signature must be different from that of the other particulars in the certificate.

Approved veterinarian or approved official

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp:’