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933EHC (Agreed 12/05/2010)
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DEPARTMENT FOR ENVIRONMENT, FOOD AND RURAL AFFAIRS
THE SCOTTISH GOVERNMENT – RURAL DIRECTORATE
WELSH ASSEMBLY GOVERNMENT, DEPARTMENT FOR RURAL AFFAIRS
DEPARTMENT OF AGRICULTURE AND RURAL DEVELOPMENT NORTHERN IRELAND
No: .............
EXPORT OF CAPTIVE BIRDS (INCLUDING PIGEONS) TO TRINIDAD AND TOBAGO
HEALTH CERTIFICATE
EXPORTING COUNTRY: UNITED KINGDOM
FOR COMPLETION BY: OFFICIAL VETERINARIAN
I. Number and identification of the bird(s)
(if necessary attach separate schedule)
Number
Species Identification Sex Age
II. Origin of the bird(s)
a) Name and address of exporter: ........................................
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b) Address(es) of premises of origin: ...................................
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III. Destination of the bird(s)
a) Name and address of consignee: .......................................
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b) Means of transportation: ......................................
IV. Health Information
I, the undersigned, certify that the bird(s) described above meet(s)
the following requirements:
a) I have on this day inspected the bird(s) for export and found it/them
to be free from clinical signs of infectious or contagious disease
including Newcastle Disease, Avian Influenza, West Nile Disease,
Avian Chlamydiosis, Fowl Typhoid (Salmonella gallinarum) and Pullorum
Disease (Salmonella pullorum);
b) the region of origin is free of any restrictions imposed due to an
outbreak of velogenic Newcastle Disease or notifiable avian
influenza;
c) in so far as can be determined, no case of Avian Chlamydiosis has
been confirmed at the premises of origin at paragraph II. b) above;
at the premises of origin at paragraph II (b) above, nor within a
radius of 25 kms therefore, during the 30 days prior to export.
c) in so far as can be determined, no outbreak of Ornithosis or
Psittacosis has been confirmed at the premises of origin at paragraph
II (b) above during the 3 months prior to export;
d) to the best of my knowledge and based on a written declaration from
the owner/exporter the birds for export were hatched in and have
never left the United Kingdom;
e) either* (i) the birds were kept in quarantine since hatching,
or* (ii) the birds were kept in quarantine for twenty-one
(21) days prior to shipment,
And (in either case) during the quarantine period there were no
clinical signs of disease including Newcastle Disease, Avian
Influenza, West Nile Disease, Avian Chlamydiosis, Fowl Typhoid
(Salmonella gallinarum) and Pullorum Disease (Salmonella pullorum);
f)* (applies in the case of psittacines only; (delete in all other cases)
the birds were kept under veterinary supervision for forty-five (45)
days prior to shipment and were treated against Avian Chlamydiosis
using an authorised doxycycline product according to the
manufacturer’s instructions;
g) 7 – 14 days prior to export, the birds were subjected to a test for
avian influenza with negative results;
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h) no case of West Nile virus infection has been confirmed in the area
of origin of the birds for export;
i) the birds have not been vaccinated against Avian Influenza.
* Delete if not applicable
V. This certificate is valid for 10 days.
Stamp Signed ..................................RCVS
Name in
block letters ...............................
Official Veterinarian
Date.............. Address.....................................
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