PRELIMINARY INFORMATION

Information required within two months of the official confirmation of the occurrence of primary outbreak of the pest:

To be adressed to: SANTE-D4-EMERGENCY-PLANT-HEALTH@ec.europa.eu

1. Date

DD/MM/YY

7. Pest (common name)

Latin name

2. Member State

8. Crop / Tree (common name)

3. Contact Person

Latin name

4. Region

9. Type of measures

Eradication

5. Number of hectares (affected)

Containment (in the buffer zone)

Other Measures

6. Number of outbreaks

10. EUROPHYT notification number

11. Overview of the measures to be applied or that have already been applied in the affected area

Template 1

A. Eradication

B. Containment (in the buffer zone)

C. Other protective measures (1)

PRELIMINARY BUDGET

No later than six months after the official confirmation of the occurrence of primary outbreak of the pest and every three months thereafter.

To be adressed to: SANTE-D4-EMERGENCY-PLANT-HEALTH@ec.europa.eu

First submission

Update

For the period from

DD/MM/YY

to

DD/MM/YY

Outbreak reference

MS / Pest / Year

Region

EUROPHYT Notification Date

Contact person for this budget:

Telephone:

E-mail address

Eligible Measures

Estimated hourly rate (for official personnel)

MS total estimated amount requested (In euro, VAT excluded)

EU approved co-funded amount (In euro, VAT excluded) to be filled in by the Commission

Eligible direct costs

A. Visual inspection, sampling & trapping activities

1. Costs for official personnel (2)

2. Costs for contracted personnel

3. Other costs (consumables, materials)

B. Laboratory tests

1. Costs for official personnel (2)

2. Costs for private entities contracted to perform the task

3. Other costs (kits, reagents, consumables)

C. Treatment of plants and plant products

1. Costs for official personnel (2)

2. Costs for private entities contracted to perform the task

3. Costs for renting of equipment

4. Other costs (consumables, materials, preventive treatment, plant products)

D. Destruction and/or removal of plants

1. Costs for official personnel (2)

2. Costs for private entities contracted to perform the task

3. Costs for renting of equipment

4. Other costs (consumables, materials)

E. Cleaning and/or disinfection of premises, land, water, soil, growing media, machinery and equipment

1. Costs for official personnel (2)

2. Costs for private entities contracted to perform the task

3. Costs for renting of equipment

4. Other costs (consumables, materials)

F. Compensating the operators/owners concerned for treatment, destruction/removal, cleaning/disinfection

1. Costs of compensation for treatment

2. Costs of compensation for destruction / removal of plants

3. Costs of compensation for cleaning / disinfection

G. Compensating the owners concerned for the value of the destroyed plants, plant objects or other objects

1.

H. Exceptional and duly justified costs for other measures than those listed from A to G (3)

1.

Please explain and justifiy the measure and related costs:

Sub-total:

— EUR

— EUR

Indirect costs — 7% overheads on direct costs, other than those of compensations

Sub-total:

— EUR

— EUR

Total amount (In euro, VAT excluded)

Total:

— EUR

— EUR

Co-funding rate (50% / 75%)

Requested amount for EU co-funding

— EUR

— EUR

Date:

DD/MM/YY

Name of responsible:

Signature:

(1) Article 16.1(c) of Regulation No 652/2014.

(2) Please indicate estimated hourly rate for all official personnel, in the designated column.

(3) Article 18.1(e) of Regulation No 652/2014.

Template 2

A. Eradication

B. Containment (in the buffer zone)

C. Other protective measures (1)

PLAN OF ERADICATION / CONTAINMENT ACTIVITIES

No later than six months after the official confirmation of the occurrence of primary outbreak of the pest and every three months thereafter.

To be adressed to: SANTE-D4-EMERGENCY-PLANT-HEALTH@ec.europa.eu

First submission

Update

For the period from

DD/MM/YY

to

DD/MM/YY

Outbreak reference

MS / Pest / Year

Region

EUROPHYT Notification Date

Contact person for this budget:

Telephone:

E-mail address

Measures implemented / to be implemented

A. Detailed description of the technical measures to be implemented (Please describe below the a. plan of the measures, b. activities, c. timeline, d. eradication or containment etc.)

B. Detailed description of the goal to be achieved concerning the eradication/containment/other measures as a result of the implementation of the measures (Please describe the main goals to be achieved)

Eligible Measures

Estimated number of activities

C. Visual inspection (Please describe below the activities)

D. Sampling (Please describe below the activities)

E. Trapping (Please describe below the activities)

F. Laboratory/testing (Please describe below the activities)

G. Treatment of plants and plant products (Please specify below the activities)

H. Destruction and/or removal of plants (Please describe below the activities)

I. Cleaning and/or disinfection of premises, land, water, soil, growing media, machinery and equipment (Please describe below the activities)

J. Measures for compensating the operators/owners concerned for treatment, destruction/removal, cleaning/disinfection (Please describe below the activities)

K. Measures for compensating the owners concerned for the value of the destroyed plants, plant objects or other objects (Please describe below the activities)

L. Exceptional and duly justified activities for other measures than those listed from A to K (1) (Please describe below the activities)

M. Geographical information about the pest outbreak (please complete the table)

Map of the Infected / Demarcated area

YES

NO

GIS signal spot

YES

NO

Latitudes and longitudes

YES

NO

Prefecture map (outbreak area)

YES

NO

Member state map (outbreak area)

YES

NO

Date:

DD/MM/YY

Name of responsible:

Signature:

(1) Article 18.1 (e) of Regulation No 652/2014.

(2) As explained in point 5.2.1 ix) of the Guidelines for plant health emergency measures.

Template 1

A. Eradication

B. Containment (in the buffer zone)

C. Other protective measures (1)

REQUEST FOR PAYMENT

under Grant Decision SANTE/EM/PH/YEAR/NO./MS

To be adressed to: SANTE-D4-EMERGENCY-PLANT-HEALTH@ec.europa.eu

First submission

Update

For the period from

DD/MM/YY

to

DD/MM/YY

Outbreak reference

MS / Pest / Year

Region

EUROPHYT Notification Date

Contact person for this budget:

Exchange rate

Telephone:

E-mail address

Eligible Measures and associated costs (2)

Number of hours (for official personnel)

MS total amount requested (In euro, VAT excluded)

EU approved co-funded amount (In euro, VAT excluded) to be filled in by the Commission

Eligible direct costs

A. Costs for visual inspection, sampling & trapping activities

1. Costs for official personnel

2. Costs for contracted personnel

3. Costs of consumables

4. Costs of materials

B. Laboratory tests

1. Costs for official personnel

2. Costs for private entities contracted to perform the task

3. Costs for kits and reagents

4. Costs for consumables

C. Treatment of plants and plant products

1. Costs for official personnel

2. Costs for private entities contracted to perform the task

3. Costs for renting of equipment

4. Costs of consumables

5. Costs of materials

6. Costs for preventive treatment

7. Costs for plant products

D. Costs for destruction and/or removal of plants

1. Costs for official personnel

2. Costs for private entities contracted to perform the task

3. Costs for renting of equipment

4. Costs of consumables

5. Costs of materials

E. Cleaning and/or disinfection of premises, land, water, soil, growing media, machinery and equipment

1. Costs for official personnel (2)

2. Costs for private entities contracted to perform the task

3. Costs for renting of equipment

4. Costs of consumables

5. Costs of materials

F. Compensating the operators/owners concerned for treatment, destruction/removal, cleaning/disinfection

1. Costs of compensation for treatment

2. Costs of compensation for destruction / removal of plants

3. Costs of compensation for cleaning / disinfection

G. Compensating the owners concerned for the value of the destroyed plants, plant objects or other objects

1.

Please specify species and quantities

H. Exceptional and duly justified costs for other measures than those listed from A to G (3)

1.

Please explain and justifiy the measure and related costs:

Sub-total:

— EUR

— EUR

Indirect costs — 7% overheads on direct costs, other than those of compensations

Sub-total:

— EUR

— EUR

Total amount (In euro, VAT excluded)

Total:

— EUR

— EUR

Co-funding rate (50% / 75%)

Amount requested for EU co-fundung

— EUR

— EUR

1. this expenditure was actually incurred, accurately accounted for, the above costs correspond to the resources employed for the work and those resources were resonable and necessary for the work;

2. all supporting documents relating to the expenditure are available for inspection;

3. no other Union contribution was requested for this action and all revenue accruing from operations for this action is declared to the Commission (in particular for survey for pests programmes);

4. control procedures apply, in particular to verify the accuracy of the amounts declared, to prevent, detect and correct irregularities;

5. all costs were incurred within the period set with the grant decision;

6. all costs were paid before the submission of the request of payment.

Date:

Name of responsible:

Signature:

(1) Article 16. 1 (c) of Regulation No 652/2014.

(2) The request for payment must be provided by Member States together with an excel sheet, detialing the individual costs and allowing the reconstruction of the costs included in the Request for payment.

(3) Article 18.1 (e) of Regulation No 652/2014.

Template 2 — REQUEST FOR PAYMENT — COMPENSATION FOR PLANTS

To be adressed to: SANTE-D4-EMERGENCY-PLANT-HEALTH@ec.europa.eu

Submission deadline:

No later than six months of the end date fixed in the financial decision or the confirmation of the completion of the eradication and / or contaiment of pest

Outbreak reference

MS / PEST / YEAR

PLANTS

EUROPHYT Notification No

Plants owner or grower

Location of destructed plants

Date of destruction

Method of destruction

Date of payment

Species

Quantity (ha/m2/number of plants)

Amount paid for the market value of the plants

Surname

Forename

Total

EUR 0,00

PLANT PRODUCTS

EUROPHYT Notification No

Plant products owner

Location of destructed plant products

Date of destruction

Method of destruction

Date of payment

Type of plant products

Quantity (number of units)

Amount paid for the market value of the plant products

Surname

Forename

Total

EUR 0,00

OTHER OBJECTS

EUROPHYT Notification No

Other objects owner

Location of destructed other objects

Date of destruction

Method of destruction

Date of payment

Type of objects

Quantity (number of units)

Amount paid for the market value of other objects

Surname

Forename

Total

EUR 0,00

A. Eradication

B. Containment (in the buffer zone)

C. Other protective measures (1)

FINAL TECHNICAL REPORT

To be adressed to: SANTE-D4-EMERGENCY-PLANT-HEALTH@ec.europa.eu

First submission

Update

Dates of Implementation of Measures

DD/MM/YY

to

DD/MM/YY

Outbreak reference

MS / Pest / Year

Region

EUROPHYT Notification Date

Contact person for this budget:

Telephone:

E-mail address

Actions implemented

A. Detailed description of the technical measures implemented (Please describe below the a. plan of the measures, b. activities, c. timeline, d. eradication or containment etc.)

B. Detailed description of the goal achieved concerning the eradication/containment/other measures as a result of the implementation of the measures (Please describe the main goals achieved)

Eligible Measures

Number of activities implemented

C. Visual inspection (Please describe below the activities)

D. Sampling (Please describe below the activities)

E. Trapping (Please describe below the activities)

F. Laboratory/testing (Please describe below the activities)

G. Treatment of plants and plant products (Please specify below the activities)

H. Destruction and/or removal of plants (Please describe below the activities)

I. Cleaning and/or disinfection of premises, land, water, soil, growing media, machinery and equipment (Please describe below the activities)

J. Measures for compensating the operators/owners concerned for treatment, destruction/removal, cleaning/disinfection (Please describe below the activities)

K. Measures for compensating the owners concerned for the value of the destroyed plants, plant objects or other objects (Please describe below the activities)

L. Exceptional and duly justified activities for other measures than those listed from A to K (1) (Please describe below the activities)

M. Geographical information about the pest outbreak (please complete the table)

Map of the Infected / Demarcated area

YES

NO

GIS signal spot

YES

NO

Latitudes and longitudes

YES

NO

Prefecture map (outbreak area)

YES

NO

Member state map (outbreak area)

YES

NO

ADDITIONAL COMPULSORY IMFORMATION

Annex No.

1. Additional documents concerning the technical measures implemented, with key figures and tables;

2. Detailed maps of the demarcated area(s) at the time of implementation of measures;

3. Other relevant information, useful for a better understanding of implemented measures

Date:

DD/MM/YY

Name of responsible:

Signature:

(1) Article 18.1 (e) of Regulation No 652/2014.

(2) As explained in point 5.2.1 ix) of the Guidelines for plant health emergency measures.