SANTE/7013/2016-EN ANNEX Rev. 1 - USDA

1 Page numbers must be entered on every page of the health certificate in the Page X of Y format below. 2019/1293 Page ___ of ___ All dates on EU health certificates must be in the dd/mm/yyyy format Model animal health certificate for the non-commercial movement into a Member State from a territory or third country of dogs, cats or ferrets in accordance with Article 5(1) and (2) of Regulation (EU) No 576/2013 COUNTRY: United StatesVeterinary certificate to EU Part I : Details of dispatched consignment ConsignorName Owner or designated person s name Address Owner or designated person s US address Tel.

2 Owner or designated person s US phone number Certificate reference NoCompleted by the APHIS or Military Veterinarian* Central competent authority usda , APHIS, Veterinary Services Local competent authority VS- ___ Completed by the APHIS or Military Veterinarian* Consignee Name Owner or designated person s name Address Owner or designated person s address in the EU, including the name of the EU country of destination. Postal code Owner or designated person s postal code and telephone number in the EU Tel. Person responsible for the consignment in the EU Leave any boxes with diagonal line-outs blank Country oforiginISO code Region of origin Code Countryof destination ISO code Region of destination Code United States US Place of Place of destination Place of loading Date of departure Means of transport Entry BIP in EU No.

3 (s) of CITES Description of commodity Select all species that Cat Ferret Commodity code (HS code) 010619 Quantity Enter number of pets (no more than 5 unless the animals are over 6 months oldand participating in a compete-tion, exhibition or sporting event(see point below) Temperature of products Total number of packages Seal/Container No Type of packaging Commodities certified for: Check the box For transit to 3rd Country For import or admission into EU The statements in the health certificate that do not apply based on options chosen when completing the certificate on the APHIS Pet Travel Website ( , age of the pet, etc.))

4 Will be automatically lined out. If the line-outs do not appear when the health certificate is printed, or if the certificate is not completed on the APHIS Pet Travel Website, the usda Accredited Veterinarian or Military Veterinarian* must line out the non-applicable statements and initial in ONLY Page numbers must be entered on every page of the health certificate in the Page X of Y format below. 2019/1293 Page ___ of ___ Identification of the commodities Information for each animal must be entered into EVERY column below. Each animal must belisted individually. Species (1) (Scientific name) Sex (1) (2) Colour (2) Breed (2) Identification number (2) Identification system (1) (2) Date of birth (2) [dd/mm/yyyy] Choices: - Canis familiarisChoices: - FemaleDescribe color Enter breed Transponder (microchip) or tattoo number Choices: -Transponder Use correct date format - Felis catus - Mustela furo - Male -Spayed female- Tattoo (dd/mm/yyyy) -Neutered male(1) A drop-down menu with pre-populated choices is available when completing the fillable PDF certificate available on the APHIS Pet TravelWebsite.

5 (2) Make sure the information in these columns exactly matches any information (especially the microchip number) in the rabies vaccination certificate.. instructions ONLY Page numbers must be entered on every page of the health certificate in the Page X of Y format below. 2019/1293 Page ___ of ___ COUNTRY: United States Non-commercial movement into a Member State from a territory or third country of dogs, cats or ferrets in accordance with Article 5(1) and (2) of Regulation (EU) No 576/2013 reference No Completed by the APHIS or Military Veterinarian* , the undersigned official veterinarian(1)/veterinarian authorised by the competent authority(1) of the United States (insert name of territory or third country) certify that: (1) One of these options must be selected by the veterinarian signing the health certificate.

6 Line-out and initial official veterinarian if you are a usda Accredited Veterinarian, OR line-out veterinarian authorized by the competent authority if you are a Military Veterinarian*. Purpose/nature of journey attested by the owner: attached declaration(2) [see Declaration #1 below] by the owner or the natural person [ natural person is defined as a family member, friend, or other person authorized by the owner to travel with the pet, including an airline or pet travel agent] who has authorisation in writing from the owner to carry out the non-commercial movement of the animals on behalf of the owner, supported by evidence(3) [boarding pass, flight ticket see (3)]

7 In Notes, Part II at the end of the certificate], states that the animals described in Box will accompany the owner or the natural person who has authorisation in writing from the owner to carry out the non-commercial movement of the animals on behalf of the owner within not more than five days of his movement and are not subject to a movement that aims at their sale or a transfer of ownership [this certificate cannot be used if the animals are intended to be sold or transferred to a new owner in the EU even if the animal is already sold before traveling to the EU], and during the non-commercial movement will remain under the responsibility of (1)either[the owner;] (1)or[the natural person who has authorisation in writing from the owner to carry out the non-commercial movement of the animals on behalf of the owner;] (1)or[the natural person designated by a carrier contracted by the owner to carry out the non-commercial movement of the animals on behalf of the owner;] (1)either [ animals described in Box are moved in a number of five or less.

8 ] (1)or[ the animals described in Box are moved in a number of more than five, are more than six months old and are going to participate in competitions, exhibitions or sporting events or in training for those events, and the owner or the natural person referred to in point has provided evidence(3) [receipt of entry to the event, proof of membership - see (3) in Notes, Part II at the end of the certificate] that the animals are registered (1)either[to attend such event;] (1)or[with an association organising such events;] Attestation of rabies vaccination and rabies antibody titration test.

9 (1)either [ [this option is not authorized for entry into all EU countries] the animals described in Box are less than 12 weeks old and have not received an anti-rabies vaccination, or are between 12 and 16 weeks old and have received an anti-rabies vaccination, but 21 days at least have not elapsed since the completion of the primary vaccination against rabies carried out in accordance with the validity requirements set out in ANNEX III to Regulation (EU) No 576/2013(4)+, and the territory or third country of provenance of the animals indicated in Box is listed inAnnex II to Implementing Regulation (EU) No 577/2013 [the United States is a listed country] and the Member State of destination indicated in Box has informed the public that it authorises the movement of such animals into its territory, and they are accompanied by (1)either[ the attached declaration(5)]]

10 [see Declaration #2 below] of the owner or the natural person referred to in point stating that from birth until the time of the non-commercial movement the animals have had no contact with wild animals of species susceptible to rabies;] (1)or[ their mother, on whom they still depend, and it can be established that the mother received before their birth an anti-rabies vaccination which complied with the validity requirements set out in ANNEX III to Regulation (EU) No 576/2013;]] [the mother s current rabies vaccination certificate must be presented] (1)or /and [ animals described in Box were at least 12 weeks old at the time of vaccination against rabies and at least 21 days have elapsed since the completion of the primary anti-rabies vaccination(4) carried out in accordance with the validity requirements set out in ANNEX III to Regulation (EU) No 576/2013 and any subsequent revaccination was carried out within the period of validity of the preceding vaccination(6).