Part I: Details of dispatched consignment

COUNTRY

Veterinary certificate to EU

I.1. Consignor

Name

Address

Tel.

I.2. Certificate reference No

I.2.a.

I.3. Central competent authority

I.4. Local competent authority

I.5. Consignee

Name

Address

Postal code

Tel.

I.6.

I.7. Country of origin

ISO code

I.8.

I.9. Country of destination

ISO code

I.10. Region of destination

Code

I.11. Place of origin

Name

Approval number

Address

Name

Approval number

Address

Name

Approval number

Address

I.12.

I.13. Place of loading

I.14. Date 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)

010619

I.20. Quantity

I.21.

I.22. Number of packages

I.23. Seal/Container No

I.24.

I.25. Commodities certified for:

Pets

Approved bodies

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodities

Species

(Scientific name)

Identification system

Date of application of the microchip or tattoo

[dd/mm/yyyy]

Identification number

Date of birth

[dd/mm/yyyy]

Part II: Certification

COUNTRY

Imports of dogs, cats, ferrets and non-commercial movements into the Union of more than five dogs, cats or ferrets

II. Health information

II.a. Certificate reference No

II.b.

I, the undersigned official veterinarian of … (insert name of third country) certify that:

II.1. the clinical examination carried out on each of the animals within 24 hours of scheduled dispatch by a veterinarian authorised by the competent authority showed the animals to be fit to be transported on the intended journey at the time of inspection;

II.2. at least 21 days have elapsed since the completion of the primary vaccination against rabies (1) carried out in accordance with the requirements set out in Annex Ib to Regulation (EC) No 998/2003 and any subsequent revaccination was carried out within the period of validity of the preceding vaccination (2) and details of the current vaccination are provided in the table in point II.4.

(3) either [II.3. the animals come from a third country or territory listed in Section 2 of Part B or in Part C of Annex II to Regulation (EC) No 998/2003;]

(3) or [II.3. the animals come from, and if transiting another third country or territory, are scheduled to transit through, a third country or territory listed in Part 1 of Annex II to Commission Regulation (EU) No 206/2010 and since the dates indicated in the table in point II.4, when blood samples were taken not earlier than 30 days after vaccination from each of the animals by a veterinarian authorised by the competent authority which subsequently proved antibody titres equal to or greater than 0,5 IU/ml in a virus neutralisation test for rabies carried out in an approved laboratory (4)(5) at least 3 months have elapsed and any subsequent revaccination was carried out within the period of validity of the preceding vaccination (2);]

II.4. the details of the current anti-rabies vaccination and the date of sampling are the following:

Microchip or tattoo number of the animal

Date of vaccination

[dd/mm/yyyy]

Name and manufacturer of vaccine

Batch number

Validity

[dd/mm/yyyy]

Date of the blood sample

[dd/mm/yyyy]

From

To

(3) either [II.5. the dogs have not been treated against Echinococcus multilocularis;]

(3) or [II.5. the dogs have been treated against Echinococcus multilocularis and the details of the treatment are documented in the table in point II.6;]

II.6. the details of the treatment carried out by the administering veterinarian in accordance with Article 7 of Commission Delegated Regulation (EU) No 1152/2011 (6) are the following:

Microchip or tattoo number 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 capital), stamp and signature

(7)

(8)

(8)

(8)

(8)

Notes:

(a) The original of each certificate shall consist of a single sheet of paper, or, where more text is required it must be in such a form that all sheets of paper required are part of an integrated whole and indivisible.

(b) The certificate shall be drawn up in at least one of the official languages of the Member State of the border inspection post of introduction of the consignment into the Union and of the Member State of destination. However, those Member States may authorise the certificate to be drawn up in the official language of another Member State, and accompanied, if necessary, by an official translation.

COUNTRY

Imports of dogs, cats, ferrets and non-commercial movements into the Union of more than five dogs, cats or ferrets

II. Health information

II.a. Certificate reference No

II.b.

(c) If for reasons of identification of the items of the consignment (schedule in point I.28), additional sheets of paper or supporting documents are attached to the certificate, those sheets of paper or document shall also be considered as forming part of the original of the certificate by the application of the signature and stamp of the official veterinarian, on each of the pages.

(d) When the certificate, including additional schedules referred to in (c), comprises more than one page, each page shall be numbered, (page number) of (total number of pages), at the end of the page and shall bear the certificate reference number that has been designated by the competent authority at the top of the pages.

(e) The certificate shall be valid for 10 days from the date of issue by the official veterinarian, except for a non-commercial movement into the Union of more than five dogs, cats and ferrets in which case the certificate is valid for the purpose of further movements within the Union, for a total of 4 months from the date of issue of this certificate or until the date of expiry of the anti-rabies vaccination, whichever date is earlier.

(f) The competent authorities of the exporting third country or territory shall ensure that rules and principles of certification equivalent to those laid down in Directive 96/93/EC are followed.

Part I:

Box I.11: Place of origin: name and address of the dispatch establishment. Indicate approval or registration number

Box I.28: Identification system: select of the following: microchip or tattoo

Date of application of the microchip or tattoo: the tattoo must be clearly readable and applied before 3 July 2011

Identification number: indicate the microchip or tattoo number

Date of birth: indicate only if known

Part II:

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

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

(3) Keep as appropriate. Where the certificate states that certain statements shall be kept as appropriate, statements which are not relevant may be crossed out and initialled and stamped by the official veterinarian, or completely deleted from the certificate.

(4) The rabies antibody test referred to in point II.3:

— 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 3 months before the date of import,

— 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 designating a specific institute responsible for establishing criteria necessary for standardising the serological tests to monitor the effectiveness of rabies vaccines (list of approved laboratories available at http://ec.europa.eu/food/animal/liveanimals/pets/approval_en.htm),

— needs not 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.

(5) A certified copy of the official report from the approved laboratory on the results of the rabies antibody tests referred to in point II.3 shall be attached to the certificate.

(6) The treatment against Echinococcus multilocularis referred to in point II.5 must:

— be administered by a veterinarian within a period of not more than 120 hours and not less than 24 hours before the time of the scheduled entry of the dogs into one of the Member States or parts thereof listed in Annex I to Regulation (EU) No 1152/2011,

— 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.

COUNTRY

Imports of dogs, cats, ferrets and non-commercial movements into the Union of more than five dogs, cats or ferrets

II. Health information

II.a. Certificate reference No

II.b.

(7) This date must precede the date the certificate was signed.

(8) This information may be entered after the date the certificate was signed for the purpose described in point (e) of the Notes and in conjunction with footnote 6.

The signature and the stamp must be in a different colour to that of the printing.

Official veterinarian

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp:

Part I: Details of dispatched consignment

COUNTRY

Veterinary certificate to EU

I.1. Consignor

Name

Address

Tel.

I.2. Certificate reference No

I.2.a.

I.3. Central competent authority

I.4. Local competent authority

I.5. Consignee

Name

Address

Postal code

Tel.

I.6.

I.7. Country of origin

ISO code

I.8.

I.9.

I.10.

I.11.

I.12.

I.13.

I.14.

I.15.

I.16.

I.17. No(s) of CITES

I.18. Description of commodity

I.19. Commodity code (HS code)

010619

I.20. Quantity

I.21.

I.22.

I.23.

I.24.

I.25. Commodities certified for:

Pets

I.26.

I.27.

I.28. Identification of the commodities

Species

(Scientific name)

Identification system

Date of application of the microchip or tattoo

[dd/mm/yyyy]

Identification number

Date of birth

[dd/mm/yyyy]

Part II: Certification

COUNTRY

Non-commercial movement of five or less dogs, cats or ferrets

II. Health information

II.a. Certificate reference No

II.b.

I, the undersigned official veterinarian of … (insert name of third country) certify that:

II.1. based on the declaration in point II.7, the animals satisfy the definition of ‘pet animals’ as provided for in point (a) of Article 3 of Regulation (EC) No 998/2003;

II.2. at least 21 days have elapsed since the completion of the primary vaccination against rabies (1) carried out in accordance with the requirements set out in Annex Ib to Regulation (EC) No 998/2003 and any subsequent revaccination was carried out within the period of validity of the preceding vaccination (2) and details of the current vaccination are provided in the table in point II.4.

(3) either [II.3. the animals come from a third country or territory listed in Section 2 of Part B or in Part C of Annex II to Regulation (EC) No 998/2003;]

(3) or [II.3. the animals come from or are scheduled to transit through a third country or territory not listed in Annex II to Regulation (EC) No 998/2003 and since the dates indicated in the table in point II.4 when blood samples were taken not earlier than 30 days after vaccination from each of the animals by a veterinarian authorised by the competent authority which subsequently proved antibody titres equal to or greater than 0,5 IU/ml in a virus neutralisation test for rabies carried out in an approved laboratory (4)(5) at least 3 months have elapsed and any subsequent revaccination was carried out within the period of validity of the preceding vaccination (2);]

II.4. the details of the current anti-rabies vaccination and the date of sampling are the following:

Microchip or tattoo number of the animal

Date of vaccination

[dd/mm/yyyy]

Name and manufacturer of vaccine

Batch number

Validity

[dd/mm/yyyy]

Date of the blood sample

[dd/mm/yyyy]

From

To

(3) either [II.5. the dogs have not been treated against Echinococcus multilocularis;]

(3) or [II.5. the dogs have been treated against Echinococcus multilocularis and the details of the treatment are documented in the table in point II.6;]

II.6. the details of the treatment carried out by the administering veterinarian in accordance with Article 7 of Commission Delegated Regulation (EU) No 1152/2011 (6) are the following:

Microchip or tattoo number 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 capital), stamp and signature

(7)

(8)

(8)

(8)

(8)

II.7. I have a written declaration signed by the owner or the natural person responsible for the animals on behalf of the owner, stating that:

COUNTRY

Non-commercial movement of five or less dogs, cats or ferrets

II. Health information

II.a. Certificate reference No

II.b.

DECLARATION

I, the undersigned … [owner or the natural person responsible for the animals described above on behalf of the owner]

declare that the animals will accompany me, the owner, or the natural person that I have designated to be responsible of the animals on my behalf and are not intended to be sold or transferred to another owner.

Place and date:

Signature:

Notes

(a) The original of each certificate shall consist of a single sheet of paper, or, where more text is required it must be in such a form that all sheets of paper required are part of an integrated whole and indivisible.

(b) The certificate shall be drawn up at least in the language of the Member State of entry and in English. It shall be completed in block letters in the language of the Member State of entry or in English.

(c) If additional sheets of paper or supporting documents are attached to the certificate, those sheets of paper or document shall also be considered as forming part of the original of the certificate by the application of the signature and stamp of the official veterinarian, on each of the pages.

(d) When the certificate, including additional sheets referred to in (c), comprises more than one page, each page shall be numbered, (page number) of (total number of pages), at the end of the page and shall bear the certificate reference number that has been designated by the competent authority at the top of the pages.

(e) The certificate is valid for 10 days from the date of issue by the official veterinarian until the date of the checks at the EU travellers' point of entry and for the purpose of further movements within the Union, for a total of 4 months from the date of issue of this certificate or until the date of expiry of the anti-rabies vaccination, whichever date is earlier.

(f) The competent authorities of the exporting third country or territory shall ensure that rules and principles of certification equivalent to those laid down in Directive 96/93/EC are followed.

Part I:

Box I.11: Place of origin: name and address of the dispatch establishment. Indicate approval or registration number

Box I.28: Identification system: select of the following: microchip or tattoo

Date of application of the microchip or tattoo: the tattoo must be clearly readable and applied before 3 July 2011

Identification number: indicate the microchip or tattoo number

Date of birth: indicate only if known

Part II:

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

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

(3) Keep as appropriate. Where the certificate states that certain statements shall be kept as appropriate, statements which are not relevant may be crossed out and initialled and stamped by the official veterinarian, or completely deleted from the certificate.

COUNTRY

Non-commercial movement of five or less dogs, cats or ferrets

II. Health information

II.a. Certificate reference No

II.b.

(4) The rabies antibody test referred to in point II.3:

— 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 3 months before the date of import,

— 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 designating a specific institute responsible for establishing criteria necessary for standardising the serological tests to monitor the effectiveness of rabies vaccines (list of approved laboratories available at http://ec.europa.eu/food/animal/liveanimals/pets/approval_en.htm),

— needs not 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.

(5) A certified copy of the official report from the approved laboratory on the results of the rabies antibody tests referred to in point II.3 shall be attached to the certificate.

(6) The treatment against Echinococcus multilocularis referred to in point II.5 must:

— be administered by a veterinarian within a period of not more than 120 hours and not less than 24 hours before the time of the scheduled entry of the dogs into one of the Member States or parts thereof listed in Annex I to Regulation (EU) No 1152/2011,

— 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.

(7) This date must precede the date the certificate was signed.

(8) This information may be entered after the date the certificate was signed for the purpose described in point (e) of the Notes and in conjunction with footnote 6.

The signature and the stamp must be in a different colour to that of the printing.

Official veterinarian

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp: