COUNTRY

Veterinary certificate to EU

Part I: Details of dispatched consignment

I.1. Consignor

Name

Address

Postal code

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.

I.7. Country of origin

ISO code

I.8.

I.9. Country of destination

ISO code

I.10.

I.11. Place of origin

Name

Address

Approval number

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.

I.18. Description of commodity

I.19. Commodity code (HS code)

0208 20

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

Human consumption

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodities

Approval number of establishments

Species

(Scientific name)

Treatment type

Manufacturing plant

Number of packages

Net weight

COUNTRY

Frogs’ legs

Part II: Certification

II. Health attestation

II.a. Certificate reference number

II.b.

I, the undersigned, declare that I am aware of the relevant provisions of Regulations (EC) No 178/2002, (EC) No 852/2004 and (EC) No 853/2004 and certify that the frogs’ legs described above were produced in accordance with those requirements, in particular that they:

come from (an) establishment(s) implementing a programme based on the HACCP principles in accordance with Regulation (EC) No 852/2004

and

originate from frogs that have been bled, prepared and, where appropriate, chilled frozen or processed, packaged and stored in a hygienic manner in accordance with the requirements of Annex III, Section XI of Regulation (EC) No 853/2004

Notes

Part I:

Box reference I.11: Place of origin: name and address of the dispatch establishment.

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

Box reference I.23: Identification of container/seal number: only where applicable.

Box reference I.28: Treatment type: chilled, frozen, processed.

Part II:

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

Official inspector

Name (in capitals):

Date:

Stamp:

Qualification and title:

Signature:

COUNTRY

Veterinary certificate to EU

Part I: Details of dispatched consignment

I.1. Consignor

Name

Address

Postal code

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.

I.7. Country of origin

ISO code

I.8.

I.9. Country of destination

ISO code

I.10.

I.11. Place of origin

Name

Address

Approval number

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.

I.18. Description of commodity

I.19. Commodity code (HS code)

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

Human consumption

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodities

Approval number of establishments

Species

(Scientific name)

Treatment type

Manufacturing plant

Number of packages

Net weight

COUNTRY

Snails

Part II: Certification

II. Health attestation

II.a. Certificate reference number

II.b.

I, the undersigned, declare that I am aware of the relevant provisions of Regulations (EC) No 178/2002, (EC) No 852/2004 and (EC) No 853/2004 and certify that the snails described above were produced in accordance with those requirements, in particular that they:

come from (an) establishment(s) implementing a programme based on the HACCP principles in accordance with Regulation (EC) No 852/2004

and

have been handled and, where appropriate, shelled, cooked, prepared, preserved, frozen, packaged and stored in a hygienic manner in accordance with the requirements of Annex III, Section XI of Regulation (EC) No 853/2004

Notes

Part I:

Box reference I.11: Place of origin: name and address of the dispatch establishment.

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

Box reference I.19: Use the appropriate HS codes: 03.07.60, 16.05.

Box reference I.23: Identification of container/seal number: only where applicable.

Box reference I.28: Treatment type: chilled, frozen, shelled, cooked, prepared, preserved.

Part II:

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

Official inspector

Name (in capitals):

Date:

Stamp:

Qualification and title:

Signature:

COUNTRY

Veterinary certificate to EU

Part I: Details of dispatched consignment

I.1. Consignor

Name

Address

Postal code

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.

I.7. Country of origin

ISO code

I.8.

I.9. Country of destination

ISO code

I.10.

I.11. Place of origin

Name

Address

Approval number

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.

I.18. Description of commodity

I.19. Commodity code (HS code)

35.03

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

Human consumption

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodities

Approval number of establishments

Species

(Scientific name)

Treatment type

Manufacturing plant

Number of packages

Net weight

COUNTRY

Gelatine intended for human consumption

Part II: Certification

II. Health attestation

II.a. Certificate reference number

II.b.

I, the undersigned, declare that I am aware of the relevant provisions of Regulations (EC) No 178/2002, (EC) No 852/2004 and (EC) No 853/2004 and certify that the gelatine described above was produced in accordance with those requirements, in particular that it:

comes from (an) establishment(s) implementing a programme based on the HACCP principles in accordance with Regulation (EC) No 852/2004,

has been produced from raw material which met the requirements of Section XIV, Chapters I and II of Annex III to Regulation (EC) No 853/2004,

has been manufactured in compliance with the conditions set out in Section XIV, Chapter III of Annex III to Regulation (EC) No 853/2004,

satisfies the criteria of Section XIV, Chapter IV of Annex III to Regulation (EC) No 853/2004 and to Regulation (EC) No 2073/2005 on microbiological criteria for foodstuffs,

and (1)

if from ruminant origin, does not contain and is not derived from:

either (1)

specified risk material as defined in Annex XI, section A, to Regulation (EC) No 999/2001 produced after 31 March 2001, or mechanically recovered meat obtained from bones of bovine, ovine or caprine animals produced after 31 March 2001. After 31 March 2001 the bovine, ovine and caprine animals, from which this product is derived, have not been slaughtered after stunning by means of gas injected into the cranial cavity or killed by the same method or slaughtered by laceration after stunning of central nervous tissue by means of an elongated rod-shaped instrument introduced into the cranial cavity.

or

bovine, ovine and caprine materials other than those derived from animals born, continuously reared and slaughtered in … (2) (3).

Notes

Part I:

Box reference I.11: Place of origin: name and address of the dispatch establishment.

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

Box reference I.23: Identification of container/seal number: only where applicable.

Box reference I.28: Treatment type: date of manufacture (dd/mm/yyyy).

Part II:

(1) Delete as appropriate.

(2) Insert the name of the country.

(3) As listed in point 15(b) of Annex XI to Regulation (EC) No 999/2001 as amended.

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

Official veterinarian

Name (in capitals):

Date:

Stamp:

Qualification and title:

Signature:

COUNTRY

Veterinary certificate to EU

Part I: Details of dispatched consignment

I.1. Consignor

Name

Address

Postal code

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.

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

Approval number

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.

I.18. Description of commodity

I.19. Commodity code (HS code)

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

Human consumption

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodities

Approval number of establishments

Species

(Scientific name)

Nature of commodity

Manufacturing plant

Number of packages

Net weight

COUNTRY

Raw materials for the production of gelatine intended for human consumption

Part II: Certification

II. Health attestation

II.a. Certificate reference number

II.b.

I, the undersigned, declare that I am aware of the relevant provisions of Regulations (EC) No 178/2002, (EC) No 852/2004, (EC) No 853/2004 and (EC) No 854/2004 and certify that the raw material described above complies with those requirements, in particular that:

bones, hides and skins of domestic and farmed ruminant animals, pig skins, poultry skin and tendons and sinews described above derive from animals which have been slaughtered in a slaughterhouse and whose carcases have been found fit for human consumption following ante- and post-mortem inspection (1)

and/or

wild game hides and skins described above derive from killed animals whose carcases have been found fit for human consumption following post-mortem inspection (1)

and/or

fish skin and bones described above come from plants manufacturing fish products for human consumption authorised for export (1)

and (1)

if from ruminant origin, the raw material does not contain and is not derived from:

either (1)

specified risk material as defined in Annex XI, section A, to Regulation (EC) No 999/2001 produced after 31 March 2001, or mechanically recovered meat obtained from bones of bovine, ovine or caprine animals produced after 31 March 2001. After 31 March 2001 the bovine, ovine and caprine animals, from which this product is derived, have not been slaughtered after stunning by means of gas injected into the cranial cavity or killed by the same method or slaughtered by laceration after stunning of central nervous tissue by means of an elongated rod-shaped instrument introduced into the cranial cavity

or

bovine, ovine and caprine materials other than those derived from animals born, continuously reared and slaughtered in…(2) (3).

Notes

Part I:

Box reference I.8: Region of origin: if appropriate.

Box reference I.11: Place of origin: name and address of the dispatch establishment.

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

Box reference I.19: Use the appropriate HS codes: 05.05, 05.06, 05.11.91, 05.11.99.

Box reference I.23: Identification of container/seal number: only where applicable.

Box reference I.28: Nature of commodity: (hides), (skins), (bones), (tendons) and (sinews);

Manufacturing plant: includes slaughterhouse, factory vessel, cutting plant, game handling establishment and processing plant.

Part II:

(1) Delete as appropriate.

(2) Insert the name of the country.

(3) As listed in point 15(b) of Annex XI to Regulation (EC) No 999/2001 as amended.

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

Official veterinarian

Name (in capitals):

Date:

Stamp:

Qualification and title:

Signature:

COUNTRY

Veterinary certificate to EU

Part I: Details of dispatched consignment

I.1. Consignor

Name

Address

Postal code

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.

I.7. Country of origin

ISO code

I.8.

I.9. Country of destination

ISO code

I.10.

I.11. Place of origin

Name

Address

Approval number

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.

I.18. Description of commodity

I.19. Commodity code (HS code)

35.04

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

Human consumption

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodities

Approval number of establishments

Species

(Scientific name)

Treatment type

Manufacturing plant

Number of packages

Net weight

COUNTRY

Collagen intended for human consumption

Part II: Certification

II. Health attestation

II.a. Certificate reference number

II.b.

I, the undersigned, declare that I am aware of the relevant provisions of Regulations (EC) No 178/2002, (EC) No 852/2004 and (EC) No 853/2004 and certify that the collagen described above was produced in accordance with those requirements, in particular that it:

comes from (an) establishment(s) implementing a programme based on the HACCP principles in accordance with Regulation (EC) No 852/2004,

has been produced from raw material which met the requirements of Section XV, Chapters I and II of Annex III to Regulation (EC) No 853/2004,

has been manufactured in compliance with the conditions set out in Section XV, Chapter III of Annex III to Regulation (EC) No 853/2004,

and

satisfies the criteria of Section XV, Chapter IV of Annex III to Regulation (EC) No 853/2004 and to Regulation (EC) No 2073/2005 on microbiological criteria for foodstufffs.

Notes

Part I:

Box reference I.11: Place of origin: name and address of the dispatch establishment.

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

Box reference I.23: Identification of container/seal number: only where applicable.

Box reference I.28: Treatment type: date of manufacture (dd/mm/yyyy).

Part II:

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

Official veterinarian

Name (in capitals):

Date:

Stamp:

Qualification and title:

Signature:

COUNTRY

Veterinary certificate to EU

Part I: Details of dispatched consignment

I.1. Consignor

Name

Address

Postal code

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.

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

Approval number

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.

I.18. Description of commodity

I.19. Commodity code (HS code)

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

Human consumption

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodities

Approval number of establishments

Species

(Scientific name)

Nature of commodity

Manufacturing plant

Number of packages

Net weight

COUNTRY

Raw materials for the production of collagen intended for human consumption

Part II: Certification

II. Health attestation

II.a. Certificate reference number

II.b.

I, the undersigned, declare that I am aware of the relevant provisions of Regulations (EC) No 178/2002, (EC) No 852/2004, (EC) No 853/2004 and 854/2004 and certify that the raw material described above complies with those requirements, in particular that:

hides and skins of domestic and farmed ruminant animals/pig skins, bones and intestines/poultry skin and bones/tendons and sinews described above derive from animals which have been slaughtered in a slaughterhouse and whose carcases have been found fit for human consumption following ante- and post-mortem inspection (1),

and/or

wild game hides and skins described above derive from killed animals whose carcases have been found fit for human consumption following post-mortem inspection (1),

and/or

fish skin and bones described above derive from plants manufacturing fish products for human consumption authorised for export (1).

Notes

Part I:

Box reference I.8: Region of origin: if appropriate.

Box reference I.11: Place of origin: name and address of the dispatch establishment.

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

Box reference I.19: Use the appropriate HS codes: 05.04, 05.05, 05.06, 05.11.91, 05.11.99.

Box reference I.23: Identification of container/seal number: only where applicable.

Box reference I.28: Nature of commodity: (hides) (skins), (bones), (intestines), (tendons) and sinews);

Manufacturing plant: includes slaughterhouse, factory vessel, cutting plant, game handling establishment and processing plant.

Part II:

(1) Delete as appropriate.

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

Official veterinarian

Name (in capitals):

Date:

Stamp:

Qualification and title:

Signature:

COUNTRY

Veterinary certificate to EU

Part I: Details of dispatched consignment

I.1. Consignor

Name

Address

Postal code

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.

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

Approval number

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.

I.18. Description of commodity

I.19. Commodity code (HS code)

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

Human consumption

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodities

Approval number of establishments

Species

(Scientific name)

Nature of commodity

Treatment type

Manufacturing plant

Number of packages

Net weight

COUNTRY

Fishery products

Part II: Certification

II. Health attestation

II.a. Certificate reference number

II.b.

II.1. Public health attestation

I, the undersigned, declare that I am aware of the relevant provisions of Regulations (EC) No 178/2002, (EC) No 852/2004, (EC) No 853/2004 and (EC) No 854/2004 and certify that the fishery products described above were produced in accordance with those requirements, in particular that they:

come from (an) establishment(s) implementing a programme based on the HACCP principles in accordance with Regulation (EC) No 852/2004,

have been caught and handled on board vessels, landed, handled and where appropriate prepared, processed, frozen and thawed hygienically in compliance with the requirements laid down in Section VIII, Chapters I to IV of Annex III to Regulation (EC) No 853/2004,

satisfy the health standards laid down in Section VIII, Chapter V of Annex III to Regulation (EC) No 853/2004 and the criteria laid down in Regulation (EC) No 2073/2005 on microbiological criteria for foodstuffs,

have been packaged, stored and transported in compliance with Section VIII, Chapters VI to VIII of Annex III to Regulation (EC) No 853/2004,

have been marked in accordance with Section I of Annex II to Regulation (EC) No 853/2004

the guarantees covering live animals and products thereof, if from aquaculture origin, provided by the residue plans submitted in accordance with Directive 96/23/EC, and in particular Article 29 thereof, are fulfilled

and

have satisfactorily undergone the official controls laid down in Annex III to Regulation (EC) No 854/2004.

II.2. (1) [Animal health attestation for products of aquaculture origin

I, the undersigned, declare that the fishery products described above originate from fish or crustaceans that were clinically healthy on the day of harvest, and have been transported under conditions that do not alter the animal health status of the products and certify, in particular that:

(1)[(2) if from species susceptible (3) to ISA and/or EHN, they:

(1) [originate from a source (4) considered free from ISA and/or EHN in accordance with the relevant EU legislation or OIE Standard (5)],

(1) [have been slaughtered and eviscerated]].

(1)[(6) if from species susceptible (3) to VHS and/or IHN, they:

(1) originate from a source (4) considered free from (1) VHS/(1) IHN in accordance with the relevant EU legislation or OIE Standard (5)],

(1) [have been slaughtered and eviscerated]]].

Notes

Part I:

Box reference I.8: Region of origin: For products of aquaculture origin and if appropriate, indicate zones as listed in Commission Decisions 2002/308/EC and 2003/634/EC. For frozen or processed bivalve molluscs, indicate the production area.

Box reference I.11: Place of origin: name and address of the dispatch establishment.

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

Box reference I.19: Use the appropriate HS codes: 03.01, 03.02, 03.03, 03.04, 03.05, 03.06, 03.07, 05.11.91, 15.04, 15.18.00, 16.03, 16.04, 16.05.

Box reference I.23: Identification of container/seal number: only where applicable.

Box reference I.28: Nature of commodity: specify if aquaculture or wild origin.

Treatment type: live, chilled, frozen, processed.

Manufacturing plant: includes factory vessel, freezer vessel, cold store, processing plant.

Part II:

Part II.2 is not relevant for consignments intended for retail, provided they comply with the rules applying to packaging and labelling laid down in Regulation (EC) No 853/2004.

(1) Delete as appropriate.

(2) This part of the animal health certificate is only relevant if the consignment comprises species referred to as susceptible to ISA and/or EHN. The requirement applies to exports to all Member States, whereby one of the two statements should be retained, unless the consignment is intended for further processing in an approved import centre.

(3) Known susceptible species

Disease Susceptible host species

EHN Redfin perch (Perca fluviatilis), rainbow trout (Oncorhynchus mykiss)

ISA Atlantic salmon (Salmo salar), rainbow trout (Oncorhynchus mykiss), brown trout (Salmo trutta),

VHS Atlantic cod (Gadus morhua), Atlantic herring (Clupea harengus), brown trout (Salmo trutta), chinook salmon (Oncorhynchus tshawytscha), coho salmon (O. kisutch), grayling (Thymallus thymallus), haddock (Melanogrammus aeglefinus), Pacific cod (Gadus macrocephalus), Pacific herring (Clupea harengus pallasi), pike (Esox lucius), rainbow trout (Oncorhynchus mykiss), rockling (Rhinonemus cimbrius), sprat (Sprattus sprattus), turbot (Scophthalmus maximus), whitefish (Coregonus sp.)

IHN Rainbow or steelhead trout (Oncorhynchus mykiss), the Pacific salmon species (chinook salmon (O. tshawytscha), sockeye salmon (O. nerka), chum salmon (O. keta), masou salmon (O. masou), pink salmon (O. rhodurus) and coho salmon (O. kisutch)), and Atlantic salmon (Salmo salar).

(4) Source may be a country, zone, or an individual farm.

(5) Freedom according to the provisions laid down in Annex B or C to Directive 91/67/EEC, and Commission Decisions 2001/183/EEC and 2003/466/EC. Freedom according to the most current edition of the OIE Code and Manual is also recognised.

(6) This part of the animal health certificate is only relevant if the consignment comprises species referred to as susceptible to VHS and/or IHN. In order for the consignment to be authorised into a Member State or part thereof (boxes I.9 and I.10 of Part I of the certificate) declared free from VHS, and/or IHN, or undergoing a programme for such freedom, one of the two statements must be retained, unless the consignment is intended for further processing in an approved import centre.

A list of such Member States and zones are listed in Commission Decisions 2002/308/EC and 2003/634/EC.

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

Official inspector

Name (in capitals):

Date:

Stamp:

Qualification and title:

Signature:

COUNTRY

Veterinary certificate to EU

Part I: Details of dispatched consignment

I.1. Consignor

Name

Address

Postal code

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.

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

Approval number

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.

I.18. Description of commodity

I.19. Commodity code (HS code)

03 07

I.20. Quantity

I.21.

I.22. Number of packages

I.23. Identification of container/Seal number

I.24. Type of packaging

I.25. Commodities certified for

Human consumption

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodities

Approval number of establishments

Species

(Scientific name)

Nature of commodity

Manufacturing plant

Number of packages

Net weight

COUNTRY

Live bivalve molluscs

Part II: Certification

II. Health attestation

II.a. Certificate reference number

II.b.

II.1. Public health attestation

I, the undersigned, declare that I am aware of the relevant provisions of Regulations (EC) No 178/2002, (EC) No 852/2004, (EC) No 853/2004 and (EC) No 854/2004 and certify that the live bivalve molluscs described above were produced in accordance with those requirements, in particular that they:

come from (an) establishment(s) implementing a programme based on the HACCP principles in accordance with Regulation (EC) No 852/2004,

have been harvested, where necessary relayed and transported in accordance with Section VII, Chapters I and II of Annex III to Regulation (EC) No 853/2004,

were handled, where necessary purified, and packaged in compliance with Section VII, Chapters III and IV of Annex III to Regulation (EC) No 853/2004,

satisfy the health standards laid down in Section VII, Chapter V of Annex III to Regulation (EC) No 853/2004 and the criteria laid down in Regulation (EC) No 2073/2005 on microbiological criteria for foodstuffs,

have been packaged, stored and transported in compliance with Section VII, Chapters VI and VIII of Annex III to Regulation (EC) No 853/2004,

have been marked and labelled in accordance with Section I of Annex II and Section VII, Chapter VII of Annex III to Regulation (EC) No 853/2004,

in the case of pectinidae harvested outside classified production areas, comply with the specific requirements laid down in Section VII, Chapter IX of Annex III to Regulation (EC) No 853/2004

and

have satisfactorily undergone the official controls laid down in Annex III to Regulation (EC) No 854/2004.

II.2. (1) [Animal health attestation

I, the undersigned, declare that the live molluscs described above originate from a source (2) where there are no unresolved abnormal mortality in the mollusc population, and certify, in particular that:

(1)[(3) if from species susceptible (4) to infections with Bonamia exitiosa, Mikrocytos roughleyi, Marteilia sydneyi, Mikrocytos mackini, Perkinsus marinus, P. olseni/atlanticus; Haplosporidium nelsoni, H. costale and/or Candidatus Xenohaliotis californiensis, they:

(1) [originate from a source (2) considered free from bonamiosis (Bonamia exitiosa and Mikrocytos roughleyi); marteiliosis (Marteilia sydneyi); mikrocytosis (Mikrocytos mackini); perkinsosis (Perkinsus marinus and P. olseni/atlanticus); haplosporidiosis (Haplosporidium nelsoni and H. costale) and Withering syndrome (Candidatus Xenohaliotis californiensis) in accordance with the relevant EU legislation or OIE Standard (5)],

(1) [are dispatched as unprocessed or processed products]],

(1)[(6) if from species susceptible (3) to infections with Marteilia refringens or Bonamia ostrea, they:

(1) [originate from a source (2) considered free from (1) Marteilia refringens / (1)Bonamia ostrea in accordance with the relevant EU legislation or OIE Standard (5)],

(1) [are dispatched as unprocessed or processed products]], ]

Notes

Part I:

Box reference I.8: Region of origin: indicate the production area.

Box reference I.11: Place of origin: name and address of the dispatch establishment.

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

Box reference I.23: Identification of container/seal number: only where applicable.

Box reference I.28: Manufacturing plant: includes dispatch centre, purification centre.

Part II:

Part II.2 is not relevant for consignments intended for retail, provided they comply with the rules applying to packaging and labelling laid down in Regulation (EC) No 853/2004.

(1) Delete as appropriate

(2) Source may be a country, zone, or an individual farm.

(3) This requirement applies to exports to all Member States. However, it is only relevant if the consignment comprises species susceptible to bonamiosis (Bonamia exitiosa and Mikrocytos roughleyi); marteiliosis (Marteilia sydneyi); mikrocytosis (Mikrocytos mackini); perkinsosis (Perkinsus marinus and P. olseni/atlanticus); haplosporidiosis (Haplosporidium nelsoni and H. costale) and Withering syndrome (Candidatus Xenohaliotis californiensis), whereby one or the two statements must be retained.

(4) Known susceptible species

Disease (Infection with)

Susceptible host species

Bonamia exitiosa

Tiostrea chilensis and Ostrea angasi

Bonamia ostrea

Ostrea edulis

Mikrocytos roughleyi

Saccostrea (commercialis) glomerata

Marteilia sydneyi

Saccostrea (commercialis) glomerata

Marteilia refringens

Ostrea edulis

Mikrocytos mackini

Crassostrea gigas; C. virginica; Ostrea edulis; O. conchaphila

Perkinsus marinus

Crassostrea virginica and C. gigas

Perkinsus olseni/atlanticus

Haliotis ruber; H. cyclobates; H. scalaris; H. laevigata, Ruditapes philippinarum and R. decussatus

Haplosporidium nelsoni

Crassostrea virginica and C. gigas

Haplosporidium costale

Crassostrea virginica

Xenohaliotis californiensis

black abalone (Haliotis. cracherodii), red abalone (H. rufescens), pink abalone (H. corrugata), green abalone (H. fulgens) and white abalone (H. sorenseni)

(5) Freedom according to the provisions laid down in Annex B or C to Directive 91/67/EEC, and Commission Decisions 2002/878/EEC. Freedom according to the current edition of the OIE Code and Manual is also recognised.

(6) This part of the animal health certificate is only relevant if the consignment comprises species referred to as susceptible species to infections with Marteilia refringens and/or Bonamia ostrea. In order for the consignment to be authorised into a Member State or part thereof (boxes I.9 and I.10 of Part I of the certificate) declared free from Marteilia refringens and/or Bonamia ostrea, or undergoing a programme for such freedom, one of the two statements must be retained. List of such Member States and zones are laid down in Commission Decisions 2002/300/EC and 1994/722/EEC.

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

Official inspector

Name (in capitals):

Date:

Stamp:

Qualification and title

Signature:

COUNTRY

Veterinary certificate to EU

Part I: Details of dispatched consignment

I.1. Consignor

Name

Address

Postal code

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.

I.7. Country of origin

ISO code

I.8.

I.9. Country of destination

ISO code

I.10.

I.11. Place of origin

Name

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.

I.18. Description of commodity

I.19. Commodity code (HS code)

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

Human consumption

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodities

Approval number of establishments

Species

(Scientific name)

Treatment type

Manufacturing plant

Number of packages

Net weight

COUNTRY

Honey and apiculture products

Part II: Certification

II. Health attestation

II.a. Certificate reference number

II.b.

I, the undersigned, declare that I am aware of the relevant provisions of Regulations (EC) No 178/2002, (EC) No 852/2004 and (EC) No 853/2004 and certify that honey and apiculture products described above were produced in accordance with those requirements, in particular that they:

come from (an) establishment(s) implementing a programme based on the HACCP principles in accordance with Regulation (EC) No 852/2004,

have been handled and, where appropriate, prepared, packaged and stored in a hygienic manner in accordance with the requirements of Annex II to Regulation (EC) No 852/2004

and

the guarantees covering live animals and products thereof provided by the residue plans submitted in accordance with Directive 96/23/EC, and in particular Article 29 thereof, are fulfilled.

Notes

Part I:

Box reference I.11: Place of origin: name and address of the dispatch establishment.

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

Box reference I.19: Use the appropriate HS codes: 04.09, 04.10.

Box reference I.23: Identification of container/seal number: only where applicable.

Part II:

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

Official inspector

Name (in capitals):

Date:

Stamp:

Qualification and title:

Signature: