EN 2019/1293 Page ___ of ___
II. Health information II.a. Certificate reference No II.b.
I, the undersigned official veterinarian
(1)
/veterinarian authorised by the competent authority
(1)
of…………the United States of
America……. (insert name of territory or third country) certify that:
Purpose/nature of journey attested by the owner:
II.1. the attached declaration
(2)
by 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, supported by evidence
(3)
, states that the
animals described in Box I.28 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, 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 [II.2. the animals described in Box I.28 are moved in a number of five or less;]
(1)
or [II.2. the animals described in Box I.28 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 II.1 has provided evidence
(3)
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:
(1)
either [II.3. the animals described in Box I.28 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
II.3.1 the territory or third country of provenance of the animals indicated in Box I.1 is listed in Annex II to
Implementing Regulation (EU) No 577/2013 and the Member State of destination indicated in Box I.5 has
informed the public that it authorises the movement of such animals into its territory, and they are
accompanied by
(1)
either [II.3.2 the attached declaration
(5)
of the owner or the natural person referred to in point II.1 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 [II.3.2 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;]]
(1)
or/and [II.3. the animals described in Box I.28 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)
; and
(1)
either [II.3.1 the animals described in Box I.28 come from a territory or a third country listed in Annex II to
Implementing Regulation (EU) No 577/2013, either directly, through a territory or a third country listed in
Annex II to Implementing Regulation (EU) No 577/2013 or through a territory or a third country other than
those listed in Annex II to Implementing Regulation (EU) No 577/2013 in accordance with point (c) of
Article 12(1) of Regulation (EU) No 576/2013
(7)
, and the details of the current anti-rabies vaccination are
provided in the table below;]
(1)
or [II.3.1 the animals described in Box I.28 come from, or are scheduled to transit through, a territory or third
country other than those listed in Annex II to Implementing Regulation (EU) No 577/2013 and a rabies
antibody titration test
(8)
, carried out on a blood sample taken by the veterinarian authorised by the
competent authority on the date indicated in the table below not less than 30 days after the preceding
vaccination and at least three months prior to the date of issue of this certificate, proved an antibody titre
equal to or greater than 0.5 IU/ml
(9)
and any subsequent revaccination was carried out within the period of
validity of the preceding vaccination
(6)
, and the details of the current anti-rabies vaccination and the date
of sampling for testing the immune response are provided in the table below:
Part II: Certification
Transponder or tattoo
Date of
vaccination
[dd/mm/yyyy]
Name and
manufacturer of
vaccine
Batch
number
Validity of vaccination
Date of
the
blood
sampling
[dd/mm/
yyyy]
Alphanumeric
code of the
animal
Date of
implantation
and/or
reading
(10)
[dd/mm/yyyy]
From
[dd/mm/yyyy]
To
[dd/mm/yyy]
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 States
