VETERINARY HEALTH CERTIFICATE - FROZEN CANINE SEMEN FROM APPROVED COUNTRIES I (print name), being an Official Gvernment Veterinarian f the gvernment veterinary service r a Gvernment Apprved Veterinarian f (cuntry), certify with respect t the dnr dg and canine semen identified belw, that: Name f dnr dg: Breed f dnr dg: Micrchip Number f straws/cryvials in the cnsignment Date(s) f semen cllectin Identificatin f straws/cryvials Name and address f imprter: Name and address f exprter: Name and address f Department f Agriculture and Water Resurces reginal ffice f arrival: Scheduled date f exprt (Optinal): Scheduled flight number (Optinal): 1. I am satisfied the dnr dg has been cntinuusly resident in an Australian apprved cuntry and was nt under any quarantine restrictin during and between the first and last semen cllectin. 2. The dnr dg was examined by a Gvernment Apprved Veterinarian r Official Gvernment Veterinarian n the day(s) f semen cllectin and again 30 t 45 days after the date f the last semen cllectin, and was fund t be healthy and free frm evidence f infectius r cntagius diseases (including venereally transmitted diseases). Date f final examinatin () 3. The dnr dg: has tested negative fr Brucella canis using a rapid slide agglutinatin test (RSAT), a tube agglutinatin test (TAT) r an indirect flurescent antibdy test (IFAT) n a bld sample cllected 30 t 45 days after the last semen cllectin; AND Date f sample cllectin Test Used Test Result has tested negative fr Leishmania infantum using either an indirect flurescent antibdy test (IFAT) r an enzyme linked immunsrbent assay (ELISA) n a bld sample cllected 30 t 45 days after the last semen cllectin; AND Date f sample cllectin Test Used Test Result Versin 1.0 (Updated January 2017) Page 1 f 6
has EITHER tested negative (less than 50% agglutinatin) at a serum dilutin f 1:100 fr Leptspira interrgans servar Canicla using a micrscpic agglutinatin test (MAT) n a bld sample cllected 30 t 45 days after the last semen cllectin; Date f sample cllectin Test Used Test Result OR has been fully vaccinated against Leptspira interrgans servar Canicla at least 14 days befre the first semen cllectin and the vaccinatin was current at the time f the last semen cllectin Date(s) f vaccinatin Date f first semen cllectin Date f last semen cllectin Vaccinatin Used 4. All the labratry testing was cnducted in an apprved cuntry and in a labratry recgnised by the cmpetent authrity f the cuntry f exprt. Bld samples fr labratry testing were cllected by a Gvernment Apprved Veterinarian r Official Gvernment Veterinarian. 5. A Gvernment Apprved Veterinarian r Official Gvernment Veterinarian cllected the semen identified abve frm the afrementined dnr. 6. At the time f semen cllectin, each semen straw/cryvial was permanently marked with the animal s micrchip number f the dnr animal; the species and breed f the dnr animal; and the date f semen cllectin. 7. The semen was stred under the supervisin f a Gvernment Apprved Veterinarian r Official Gvernment Veterinarian and stred in: (please tick as apprpriate) EITHER OR a new shipping cntainer prir t lading, the shipping cntainer was emptied and inspected and any lse straws/cryvials remved. The shipping cntainer, including all surfaces cntacting the straws/cryvials was disinfected n / / (dd/mm/yyyy) using AND (acceptable disinfectants are 2% available chlrine, Virkn, r irradiated at 50kGray) nly new liquid nitrgen has been added t the shipping cntainer 8. The shipping cntainer was sealed with an fficial gvernment seal. Official Gvernment Seal number Name f Gvernment Apprved Veterinarian: Cuntry f Exprt: Address: Phne: Signature f Gvernment Apprved Veterinarian Email: Date signed: () Versin 1.0 (Updated January 2017) Page 2 f 6
I (print name), being an Official Gvernment Veterinarian f the gvernment veterinary service f (cuntry), certify after due enquiry that all the infrmatin prvided in this Veterinary Health Certificate is true with respect t the dnr dg and canine semen identified abve. Name f Official Gvernment Veterinarian: Cuntry f Exprt: Cmpetent Authrity: Address: Phne: Signature f Official Gvernment Veterinarian: Email: Stamp f Official Gvernment Veterinarian Date signed: () Versin 1.0 (Updated January 2017) Page 3 f 6
Additinal ntes: 1. The fllwing dcuments must accmpany the cnsignment t Australia and must have been signed and stamped by the Official Gvernment Veterinarian in the cuntry f exprt: Brucella canis labratry reprt Leishmania infantum labratry reprt Leptspira interrgans sv. Canicla labratry reprt (if nt vaccinated) 2. Apprved cuntries fr the imprt f canine semen int Australia are: American Sama; Antigua and Barbuda; Argentina; Aruba; Austria; Bahamas; Bahrain; Barbads; Belgium; Bermuda; Bnaire, Sint Eustatius and Saba; Brunei Darussalam; Bulgaria; Canada; Cayman Islands; Chile; Christmas Islands; Ck Islands; Cratia; Curaca; Cyprus; Czech Republic; Denmark; Falkland Islands (Malvinas); Fiji; Finland; France; French Plynesia; Germany; Gibraltar; Greece; Greenland; Guam; Guernsey; Hng Kng; Hungary; Iceland; Ireland; Isle f Man; Israel; Italy; Jamaica; Japan; Jersey; Kiribati; Krea, Republic f; Kuwait; Latvia; Liechtenstein; Lithuania; Luxemburg; Macau; Malaysia (Excl. Federal Territry f Labuan); Malta; Mauritius; Micrnesia, Federated States f; Mnac; Mntenegr; Nauru; Netherlands; New Calednia; Niue; Nrth Mariana Islands (Saipan nly); Nrway; Palau; Papua New Guinea; Pland; Prtugal; Puert Ric; Qatar; Reunin; Saint Kitts and Nevis; Saint Lucia; Saint Vincent and the Grenadines; Sama; Serbia; Seychelles; Singapre; Sint Maarten; Slvakia; Slvenia; Slmn Islands; Suth Africa; Spain; Sweden; Switzerland; Taiwan; Tnga; Trinidad & Tbag; Tuvalu; United Arab Emirates; United Kingdm; United States; Uruguay; Vanuatu; Virgin Islands, British; Virgin Islands, U.S; Wallis & Futuna Islands 3. A separate veterinary health certificate must be cmpleted fr each dnr dg. 4. Any crrectins made t the veterinary health certificate must be struck thrugh, remain legible and be signed and stamped by an Official Gvernment Veterinarian (crrectin fluid must nt be used). 5. The wner/persn in charge must give the Australian Gvernment Department f Agriculture and Water Resurces at least three (3) days ntice f the cnsignment s arrival in Australia. This must be dne by emailing r faxing the fllwing infrmatin t the department s reginal ffice lcated in the state/territry in which the cnsignment will first arrive in Australia: date and estimated time f arrival flight number air way bill number a cntact phne number in Australia 6. It is the wner/persn in charge s respnsibility t prvide all evidence required t demnstrate that the cnsignment meets the imprt cnditins. All required dcumentatin, including the veterinary health certificate, shuld be securely attached t the utside f the package and marked Attentin Department f Agriculture and Water Resurces. 7. The wner/persn in charge must make an appintment fr the inspectin f the gds and dcumentatin by the department. The wner/persn in charge must be present at the inspectin. On arrival, the cnsignment will be subject t bisecurity cntrl where it will remain until a bisecurity fficer has cmpleted the physical inspectin f the cnsignment and all required dcumentatin. 8. Cnsignments must be addressed t the Australian wner/persn in charge and shipped as manifest carg t the department s reginal ffice lcated in the state/territry in which the cnsignment will first arrive in Australia. Transprt via internatinal mail is nt acceptable. Versin 1.0 (Updated January 2017) Page 4 f 6
See belw fr list f ffices: Prt f arrival Cntact details Sydney Melburne Brisbane Cairns Adelaide Perth Australian Gvernment Department f Agriculture and Water Resurces Central East Regin 1 Crewe Place, Rsebery NSW 2018 Email: ceranimalimprts@agriculture.gv.au Phne: (02) 8334 7434 Australian Gvernment Department f Agriculture and Water Resurces Suth East Regin c/- Custms Huse Crner Grant & Centre Rad Melburne Airprt VIC 3043 Email: seanimal@agriculture.gv.au Phne: (03) 8318 6767 Fax: (03) 8308 5071 Australian Gvernment Department f Agriculture and Water Resurces Nrth East Regin 42-44 Qantas Drive Eagle Farm QLD 4009 Email: qldliveanimalimprts@agriculture.gv.au Phne: (07) 3246 8633 r (07) 3247 7749 Fax: (07) 3246 8798 Australian Gvernment Department f Agriculture and Water Resurces Nrthern Regin Building 114, Catalina Crescent Airprt Business Park, Cairns Airprt Cairns, QLD 4870 Email: CDO@agriculture.gv.au Phne: (07) 4241 7800 Fax: (07) 4241 7843 Australian Gvernment Department f Agriculture and Water Resurces Suth West Regin Adelaide Internatinal Airprt Sir Dnald Bradman Drive, Exprt Park SA 5950 Email: imprtassessment@agriculture.gv.au Phne: (08) 8201 6000 Fax: (08) 8201 6111 Department f Agriculture and Water Resurces 24 Fricker Rad Perth Internatinal Airprt WA 6105 Email: waliveanimalimprts@agriculture.gv.au Phne: (08) 9334 1732 r (08) 9334 1509 Versin 1.0 (Updated January 2017) Page 5 f 6
9. Cnsignments that d nt meet the imprt cnditins will remain under the department s cntrl pending exprt r destructin. 10. It is the wner/persn in charge s respnsibility t ensure they have cmplied with requirements f any ther regulatry and advisry bdies prir t and after imprtatin. It is the wner/persn in charge s respnsibility t arrange fr any additinal testing fr genetic and endemic infectius diseases, r fr mvement f animals r genetic material int certain animal health znes within Australia. 11. Fr further infrmatin please cntact: Reginal - Clearance assistance: http://www.agriculture.gv.au/abut/cntactus/phne/reginal Canberra - Administrative assistance r technical assistance: imprts@agriculture.gv.au r 1800 900 090 (+61 3 8318 6700 frm utside Australia) Additinal infrmatin: http://www.agriculture.gv.au/cats-dgs/step-by-step-guides/canine-semen-apprved-cuntries. Versin 1.0 (Updated January 2017) Page 6 f 6