Part I: Details of dispatched consignment

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.

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

Name

Approval number

Address

Name

Approval number

Address

I.12.

I.13. Place of loading

Address

Approval number

I.14. Date of departure

time 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)

I.20. Quantity

I.21.

I.22. Number of packages

I.23. Identification of container/Seal number

I.24.

I.25. Commodities certified for

Slaughter

Game restocking

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodities

Species

(Scientific name)

Quantity

Part II: Certification

COUNTRY

SRP (slaughter poultry and poultry for restocking game supplies other than ratites)

II. Health information

II.a. Certificate reference number

II.b.

II.1 Animal health attestation

I, the undersigned official veterinarian, hereby certify that the poultry (1) described in this certificate:

II.1.1 meet the provisions of Directive 90/539/EEC;

II.1.2 has remained on:

(2)(3) either [the territory of code …;]

(3)(4) or [compartment(s) …;]

for at least six weeks or since hatching if less than six weeks old prior to import to the Community. Where it was imported into the country, territory, zone or compartment of origin, this took place in accordance with veterinary conditions at least as strict as the relevant requirements of Directive 90/539/EEC and any subsidiary Decisions;

II.1.3 come from:

(2)(3) either [the territory of code …;]

(3)(4) or [compartment(s) …;]

(a) which, at the date of issue of this certificate, was free from Newcastle disease as defined in Regulation (EC) No 798/2008;

(b) where a surveillance programme for avian influenza according to Regulation (EC) No 798/2008 is carried out;

II.1.4 come from:

(2)(3) either [the territory of code …;]

(3)(4) or [compartment(s) …;]

(3) either [II.1.4.1 which, at the date of issue of this certificate was free from highly pathogenic and low pathogenic avian influenza as defined in Regulation (EC) No 798/2008;]

(3) or [II.1.4.1 which, at the date of issue of this certificate was free from highly pathogenic avian influenza as defined in Regulation (EC) No 798/2008, and

(3) either [(a) the poultry come from an establishment in which within the 21 days prior to import to the Community avian influenza surveillance has been carried out with negative results;]

(3) or [(a) during the past 21 days prior to import to the Community the poultry have been kept separately from other poultry and a virus detection test with negative testing results for avian influenza has been carried out on a random sample of cloacal and tracheal/or oropharyngeal swabs taken from at least 60 poultry in the consignment or from all poultry if less than 60 are present in the consignment;]

(b) the poultry come from an establishment:

around which within a 1 km radius low pathogenic avian influenza has not been present within the last 30 days on any establishment;

where there has been no epidemiological link to an establishment where avian influenza has been detected within the last 30 days;]

II.1.5 come from a flock where vaccination against avian influenza has not been carried out;

II.1.6 have been kept since hatching or for at least the previous 30 days on the establishment(s) of origin;

(a) which is (are) not subject to any animal health restriction;

(b) within a 10 km radius of which, including, where appropriate, the territory of a neighbouring country, there has been no outbreak of highly pathogenic avian influenza or Newcastle disease for at least the previous 30 days;

II.1.7 come from flocks which:

(a) have been examined at the date of issue of this certificate and showed no clinical signs of or grounds for suspecting any disease;

(3) either [(b) have not been vaccinated against Newcastle disease;]

COUNTRY

SRP (slaughter poultry and poultry for restocking game supplies other than ratites)

II. Health information

II.a. Certificate reference number

II.b.

(3) or [(b) have been vaccinated against Newcastle disease using:

(name and type (live or inactivated) of Newcastle disease virus strain used in vaccine(s))

at the age of … weeks;]

(5) [(c) have been vaccinated using officially approved vaccines on

… against … (repeat as necessary);]

II.1.8 during the period mentioned in II.1.6 has had no contact with poultry not meeting the requirements laid down in this certificate or with wild birds.

II.2. Public health additional guarantees

(6) [The Salmonella control programme referred to in Article 10 of Regulation (EC) No 2160/2003 and the specific requirements for the use of antimicrobials and vaccines in Regulation (EC) No 1177/2006, have been applied to the flock of origin and the flock has been tested for Salmonella serotypes of public health significance.

Date of last sampling of the flock from which the testing result is known: …

Result of all testing in the flock:

(3)(7) either [positive;]

(3)(7) or [negative;]

For reasons other than the Salmonella control programme, within the last three weeks prior to import:

(3) either antimicrobials were not administered to the slaughter poultry;]

(3)(8) or [the following antimicrobials were administered to the slaughter poultry: …;]

II.3. Additional guarantees

I, the undersigned official veterinarian, further certify that:

(9)[II.3.1 where the consignment is intended for a Member State the status of which has been established in accordance with Article 12(2) of Directive 90/539/EEC, the poultry described in this certificate come from flocks which:

(3) either [have not been vaccinated against Newcastle disease and underwent serological examination for the presence of Newcastle disease antibodies in the 14 days preceding consignment and tested negative;]

(3) or [have been vaccinated against Newcastle disease but not with a live vaccine in the 30 days preceding consignment and underwent a virus isolation test for Newcastle disease in the 14 days preceding consignment on a random sample of cloacal swabs or faeces samples from at least 60 birds and tested negative;]

(5)II.3.2 [the following additional guarantees, laid down by the Member State of destination in accordance with Articles 13 and/or 14 of Directive 90/539/EEC, are provided:

(9)[II.3.3 if the Member State of destination is Finland or Sweden, the poultry:

(3) either [underwent a microbiological test by sampling on the establishment of origin and tested negative in accordance with Council Decision 95/410/EC;]

(3) or [come from an establishment subject to a programme recognised by the European Commission as equivalent to the national programme of Finland or Sweden, as appropriate;]

COUNTRY

SRP (slaughter poultry and poultry for restocking game supplies other than ratites)

II. Health information

II.a. Certificate reference number

II.b.

II.4. Additional health requirements

(10) [although the use of vaccines against Newcastle disease which do not fulfil the specific requirements of Annex VI (II) to Regulation (EC) No 798/2008 is not prohibited in:

(2)(3) either [the territory of code …;]

(3)(4) or [compartment(s) …;]

the poultry described in this certificate:

(a) has not been vaccinated for at least the previous 12 months with such vaccines;

(b) come from a flock which underwent a virus isolation test for Newcastle disease, carried out in an official laboratory not earlier than 14 days preceding consignment on a random sample of cloacal swabs from at least 60 birds in each flock concerned and in which no avian paramyxoviruses with an Intracerebral Pathogenicity Index (ICPI) of more than 0,4 were found;

(c) during the last 60 days before consignment, has not been in contact with poultry that does not fulfil the conditions in (a) and (b);

(d) has been kept in isolation under official surveillance on the establishment of origin in the 14-day period mentioned in (b).]

(11)II.5. Animal transport attestation

I, the undersigned official veterinarian, further certify that the poultry are transported in crates or cages which:

(a) contain only poultry of the same species, category and type coming from the same establishment;

(b) are closed in accordance with the instructions of the competent authority to avoid any possibility of substitution of the contents;

(c) in addition to the vehicles in which they are transported, are designed to:

(i) prevent any excrement escaping and reduce to a minimum any loss of feathers during transport;

(ii) allow visual inspection of the poultry;

(iii) allow cleansing and disinfecting;

(d) in addition to the vehicles in which they are transported, have been cleansed and disinfected before loading in accordance with the instructions of the competent authority.

Notes

Part I:

Box I.8: provide the code for the zone or name of the compartment of origin, if necessary, as defined under code of column 2 of Part 1 of Annex I to Regulation (EC) No 798/2008.

Box I.15: Indicate the registration number(s) of railway wagons and lorries, the names of ships and, if known, the flight numbers of aircraft. In the case of transport in containers or boxes, the total number of these and their registration and where there is a serial number of the seal it has to be indicated in box I.23.

Box I.19: use the appropriate Harmonised System (HS) code of the World Customs Organisation: 01.05 or 01.06.39.

COUNTRY

SRP (slaughter poultry and poultry for restocking game supplies other than ratites)

II. Health information

II.a. Certificate reference number

II.b.

Part II:

(1) Poultry as defined in Regulation (EC) No 798/2008 with the exception of ratites.

(2) Code of the territory as it appears in column 2 of Part 1 of Annex I to Regulation (EC) No 798/2008.

(3) Keep as appropriate.

(4) Insert the name of compartment(s).

(5) Complete if appropriate.

(6) This guarantee applies only for poultry belonging to the species of Gallus gallus.

(7) If any of the results were positive for the following serotypes during the life of the flock of origin indicate as positive: Salmonella Enteritidis, Salmonella Typhimurium.

(8) Complete if appropriate: indicate the name and active substance of antimicrobials used.

(9) To delete if consignment is not intended for Finland and Sweden.

(10) This guarantee is required only for poultry coming from countries, territories, zones or compartments where Article 13(1) of Regulation (EC) No 798/2008 applies.

(11) Please note that according to Council Regulation (EC) No 1/2005 animals will be checked by Member States' competent authorities to check if they are fit to continue the journey after entry into the Community. In the case the requirements are not fulfilled, the animals need to be unloaded and further measures taken.

This certificate is valid for 10 days.

Official veterinarian

Name (in capital letters):

Date:

Stamp:

Qualification and title:

Signature:’