Part I: Details of dispatched consignment

Health certificate

For untreated blood products, excluding of equidae, for the manufacture of technical products, intended for dispatch to or for transit through (2) the European Community

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. Person responsible for the consignment in EU

Name

Address

Postal code

Tel. No

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

I.12. Place of destination

Custom warehouse

Name

Approval number

Address

Postal code

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.

I.18. Description of commodity

I.19. Commodity code (HS code)

30.02

I.20. Quantity

I.21. Temperature of product

Ambient

Chilled

Frozen

I.22. Number of packages

I.23. Identification of container/Seal number

I.24. Type of packaging

I.25. Commodities certified for:

Technical use

I.26. For transit to 3rd Country vis-à-vis EU

third country

ISO code

I.27. For import or admission into EU

I.28. Identification of the commodities

Species

(Scientific name)

Nature of commodity

Approval number of establishments

Manufacturing plant

Batch number

Part II: Certification

COUNTRY

Untreated blood products, excluding of equidae, for technical products

II. Health information

II.a. Certificate reference number

II.b.

II. Health attestation

I, the undersigned official veterinarian, declare that I have read and understood Regulation (EC) No 1774/2002 (1) and in particular Article 4(1)(c), Article 6 and Chapter IV of Annex VIII thereof and certify that:

II.1. the blood products described above consist of blood products that satisfy the health requirements below;

II.2. they consist exclusively of blood products not intended for human or animal consumption;

II.3. they have been prepared and stored in a plant approved, validated and supervised by the competent authority in accordance with Article 18 or in the establishment of collection and where appropriate Article 11 of Regulation (EC) No 1774/2002 (2), exclusively with the following animal by-products:

(2) either [ — blood of slaughtered animals, which is fit for human consumption in accordance with Community legislation, but is not intended for human consumption for commercial reasons; ]

(2) and/or [ — blood of slaughtered animals, which is rejected as unfit for human consumption but is not affected by any signs of diseases communicable to humans or animals, derived from carcasses that are fit for human consumption in accordance with Community legislation; ]

(2) and/or [ — blood obtained from animals other than ruminants that are slaughtered in a slaughterhouse, after undergoing ante-mortem inspection, and were fit, as a result of such inspection, for slaughter for human consumption in accordance with Community legislation; ]

(2) and/or [ — blood and blood products originating from live animals that did not show clinical signs of any disease communicable through these products to humans or animals; ]

II.4. the blood from which such products are manufactured has been collected:

(2) either [ in slaughterhouses approved in accordance with Community legislation, ]

(2) or [ in slaughterhouses approved and supervised by the competent authority of the third country, ]

(2) or [ from live animals in facilities approved and supervised by the competent authority of the third country. ]

(2) II.5. in the case of blood products derived from animals belonging to the taxa Artiodactyla, Perissodactyla and Proboscidea, including their crossbreds, the products come:

II.5.1. from a country where no case of rinderpest, peste des petits ruminants and Rift Valley fever has been recorded for 12 months and in which vaccination has not been carried out against those diseases for at least 12 months,

(2) [II.5.2. either [ from the territory of a country or region with code … (3) where no case of foot-and-mouth disease has been recorded for 12 months and in which vaccination has not been carried out against this disease for at least 12 months, ] ]

(2) [II.5.2. or [ from the territory of a country or region with code … (3) where no case of foot-and-mouth disease has been recorded for 12 months and in which vaccination programmes against foot-and-mouth disease are being officially carried out and controlled in domestic ruminant animals for at least 12 months (4) ] ]

(2) II.5.3. In addition, in case of animals other than Suidae and Tayassuidae:

(2) either [ in the country or region of origin no case of vesicular stomatitis and bluetongue (2) (including the presence of seropositive animals) has been recorded for 12 months and in which vaccination has not been carried out against those diseases for at least 12 months, ]

(2) or [ in the country or region of origin vesicular stomatitis and bluetongue (2) seropositive animals are present (4) ]

(2) [II.5.4. In addition, in case of Suidae and Tayassuidae:

II.5.4.1. [ in the country or region of origin no case of swine vesicular disease, classical swine fever and African swine fever has been recorded for at least 12 months and vaccination has not been carried out against those diseases for at least 12 months in the susceptible species, ] ]

(2) [II.5.4.2. either [ in the country or region of origin no case of vesicular stomatitis (including the presence of seropositive animals) has been recorded for 12 months and in which vaccination has not been carried out against this disease for at least 12 months, ]]

COUNTRY

Untreated blood products, excluding of equidae, for technical products

II. Health information

II.a. Certificate reference number

II.b.

(2) [II.5.4.2. or [ in the country or region of origin vesicular stomatitis seropositive animals are present (4), ] ]

(2) [II.6. in the case of blood products derived from poultry or other avian species the animals and the products come from the territory of a country or region with code … (5)]

which has been free from Newcastle disease and highly pathogenic avian influenza as defined in the Terrestrial Animal Health Code of the OIE,

which for at least 12 months has not carried out vaccination against avian influenza,

where the animals from which the products derive have not been vaccinated against Newcastle disease with vaccines prepared from a Newcastle disease master strain showing a higher pathogenicity than lentogenic virus strains.

II.7. the products were:

(2) either [ packed in new or sterilised bags or bottles, ]

(2) or [ transported in bulk in containers or other means of transport that were thoroughly cleaned and disinfected with a disinfectant approved by the competent authority before use, ]

the outer packaging or containers bear labels indicating “NOT FOR HUMAN OR ANIMAL CONSUMPTION”;

II.8. the products were stored in enclosed storage;

II.9. the products have undergone all precautions to avoid contamination with pathogenic agents during transport.

Notes

Part I:

Box reference I.6: Person responsible for the consignment in the European Community: this box is to be filled in only if it is a certificate for transit commodity; it may be filled in if the certificate is for import commodity.

Box reference I.12: Place of destination: this box is to be filled in only if it is a certificate for transit commodity. The products in transit can only be stored in free zones, free warehouses and custom warehouses.

Box reference I.15: Registration number (railway wagons or container and lorries), flight number (aircraft) or name (ship); information is to be provided in case of unloading and reloading.

Box reference I.23: for bulk containers, the container number and the seal number (if applicable) should be included.

Box reference I.26 and I.27: fill in according to whether it is a transit or an import certificate.

Part II:

(1) OJ L 273, 10.10.2002, p. 1.

(2) Delete as appropriate.

(3) Code of the territory as it appears in Part 1 of Annex II to Decision 79/542/EEC.

(4) In this case following the border check provided for in Directive 97/78/EC, and in accordance with the conditions laid down in Article 8(4) of that Directive, the products must be transported directly to the technical plant of destination.

(5) Code of the territory as it appears in Part 1 of Annex II to Decision 2006/696/EC.

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

Note for the person responsible for the consignment in the European Community: this certificate is only for veterinary purposes and has to accompany the consignment until it reaches the border inspection post.

Official veterinarian

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp:’

Part I: Details of dispatched consignment

Health certificate

For treated blood products, excluding of equidae, for the manufacture of technical products, intended for dispatch to or for transit through (2) the European Community

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. Person responsible for the consignment in EU

Name

Address

Postal code

Tel. No

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

I.12. Place of destination

Custom warehouse

Name

Approval number

Address

Postal code

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.

I.18. Description of commodity

I.19. Commodity code (HS code)

30.02

I.20. Quantity

I.21. Temperature of product

Ambient

Chilled

Frozen

I.22. Number of packages

I.23. Identification of container/Seal number

I.24. Type of packaging

I.25. Commodities certified for:

Technical use

I.26. For transit to 3rd Country vis-à-vis EU

third country

ISO code

I.27. For import or admission into EU

I.28. Identification of the commodities

Species

(Scientific name)

Nature of commodity

Approval number of establishments

Manufacturing plant

Batch number

Part II: Certification

COUNTRY

Treated blood products, excluding of equidae, for technical products

II. Health information

II.a. Certificate reference number

II.b.

II. Health attestation

I, the undersigned official veterinarian, declare that I have read and understood Regulation (EC) No 1774/2002 (1) and in particular Article 4(1)(c), Article 6 and Chapter IV of Annex VIII thereof and certify that:

II.1. the blood products described above consist of blood products that satisfy the requirements below;

II.2. they consist exclusively of blood products not intended for human or animal consumption;

II.3. they have been prepared and stored in a plant approved, validated and supervised by the competent authority in accordance with Article 18 or in the establishment of collection and where appropriate Article 11 of Regulation (EC) No 1774/2002 (2), exclusively with the following animal by-products:

(2) either [ — blood of slaughtered animals, which is fit for human consumption in accordance with Community legislation, but is not intended for human consumption for commercial reasons; ]

(2) and/or [ — blood of slaughtered animals, which is rejected as unfit for human consumption but is not affected by any signs of diseases communicable to humans or animals, derived from carcasses that are fit for human consumption in accordance with Community legislation; ]

(2) and/or [ — blood obtained from animals other than ruminants that are slaughtered in a slaughterhouse, after undergoing ante-mortem inspection, and were fit, as a result of such inspection, for slaughter for human consumption in accordance with Community legislation; ]

(2) and/or [ — blood and blood products originating from live animals that did not show clinical signs of any disease communicable through these products to humans or animals. ]

II.4. the blood from which such products are manufactured has been collected:

(2) either [ in slaughterhouses approved in accordance with Community legislation, ]

(2) or [ in slaughterhouses approved and supervised by the competent authority of the third country, ]

(2) or [ from live animals in facilities approved and supervised by the competent authority of the third country. ]

(2) II.5. In case of blood products derived from taxa Artiodactyla, Perissodactyla and Proboscidea including their crossbreeds, other than Suidae and Tayassuidae, the products have undergone one of the following treatments, guaranteeing the absence of pathogens of foot-and-mouth disease, vesicular stomatitis, rinderpest, peste des petits ruminants, Rift Valley fever and bluetongue:

(2) either [ heat treatment at a temperature of 65 °C for at least three hours, followed by an effectiveness check, ]

(2) or [ irradiation at 25 kGy by gamma rays, followed by an effectiveness check, ]

(2) or [ change in pH to pH 5 for two hours, followed by an effectiveness check, ]

(2) or [ heat treatment of at least 80 °C throughout their substance, followed by an effectiveness check]

(2) II.6. In the case of blood products derived from Suidae, Tayassuidae, poultry and other avian species, the products have undergone one of the following treatments guaranteeing the absence of pathogens of the following diseases: foot-and-mouth disease, vesicular stomatitis, swine vesicular disease, classical swine fever, African swine fever, Newcastle disease and highly pathogenic avian influenza as appropriate to the species;

(2) either [ heat treatment at a temperature of 65 °C for at least three hours, followed by an effectiveness check, ]

(2) or [ irradiation at 25 kGy by gamma rays, followed by an effectiveness check, ]

(2) or [ heat treatment of at least 80 °C for Suidae/Tayassuidae (2) and at least 70 °C for poultry and other avian species (2) throughout their substance, followed by an effectiveness check ]

(2) [II.7. In the case of blood products derived from species other than listed under II.5 or II.6 the products have undergone of the following treatment (please specify): …]

II.8. The products were:

(2) either [ packed in new or sterilised bags or bottles, ]

(2) or [ transported in bulk in containers or other means of transport that were thoroughly cleaned and disinfected with a disinfectant approved by the competent authority before use, ]

the outer packaging or containers bear labels indicating “NOT FOR HUMAN OR ANIMAL CONSUMPTION”;

COUNTRY

Untreated blood products, excluding of equidae, for technical products

II. Health information

II.a. Certificate reference number

II.b.

II.9. the products were stored in enclosed storage;

II.10. the products have undergone all precautions to avoid contamination with pathogenic agents after treatment.

Notes

Part I:

Box reference I.6: Person responsible for the consignment in the European Community: this box is to be filled in only if it is a certificate for transit commodity; it may be filled in if the certificate is for import commodity.

Box reference I.12: Place of destination: this box is to be filled in only if it is a certificate for transit commodity. The products in transit can only be stored in free zones, free warehouses and custom warehouses.

Box reference I.15: Registration number (railway wagons or container and lorries), flight number (aircraft) or name (ship); information is to be provided in case of unloading and reloading.

Box reference I.23: for bulk containers, the container number and the seal number (if applicable) should be included.

Box reference I.26 and I.27: fill in according to whether it is a transit or an import certificate.

Part II:

(1) OJ L 273, 10.10.2002, p. 1.

(2) Delete as appropriate.

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

Note for the person responsible for the consignment in the European Community: this certificate is only for veterinary purposes and has to accompany the consignment until it reaches the border inspection post.

Official veterinarian

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp:’