United States Interstate And International Certificate of Health Examination for Small Animals

NVAP Module 2: Role of Agencies, Health Certicates
October 2010 • Page 1 of 1
This information was developed by sta
veterinarians at the CFSPH and approved
by APHIS for use as training materials for
the USDA APHIS National Veterinary
Accreditation Program.
The APHIS Form 7001 is intended to provide a readily recognized health certicate to be used primarily for international
transportation of pet animals as well as interstate shipments to Hawaii or Alaska. The form is also used as a health certi-
cate for licensees and registrants under the Animal Welfare Act (see Code of Federal Regulations, 9 CFR 2.1-2.30).
Not all countries accept this document; some countries require their own bilingual health certicate, and some foreign coun-
tries require both documents. Therefore, for international travel, consult the National Center for Import/Export International
Regulations website at http://www.aphis.usda.gov/regulations/vs/iregs/animals/ and call your VS Area Ofce to determine the
proper documentation required.
This document is intended to provide guidance on how to complete APHIS Form 7001 and APHIS Form 7001A, the continu-
ation sheet. Recognize that these are not ofcial directions and forms change over time. If you have any questions regarding
how to complete this form, contact your VS Area Ofce for ofcial guidance. A properly completed form is critical to assure
proper compliance.
1. TYPE OF ANIMAL SHIPPED: Mark the appropriate box. Mark only one animal type per health certicate. More than
one animal of the same animal type can be listed on the certicate.
CERTIFICATE NUMBER: Each APHIS Form 7001 has a unique preprinted document number as do many other VS forms.
If a continuation sheet (APHIS Form 7001A) is needed, put this preprinted number on every continuation sheet.
2. TOTAL NUMBER OF ANIMALS: Total number of animals listed on this health certicate.
PAGE: Show the total number of pages for the shipment on each page. Example: if only the APHIS Form 7001 is used, Page
1 of 1 would be entered here; if two APHIS Form 7001A continuation sheets were used, Page 1 of 3 would be entered here
and the two continuation sheets would be numbered: “Page 2 of 3” and Page 3 of 3”.
3. NAME, ADDRESS AND TELEPHONE NUMBER OF OWNER/CONSIGNOR: Name, address, city, state, zip
code, and telephone number (including area code) of owner or consignor. Provide the USDA license or registration
number of the owner/consignor if applicable. The owner may or may not be the consignor.
4. NAME, ADDRESS AND TELEPHONE NUMBER OF CONSIGNEE: Name, address, city, state, zip code, country
(if outside the U.S.), and telephone number (including area code) of the consignee. Provide the USDA license or
registration number of the consignee if applicable.
5. ANIMAL IDENTIFICATION: To be completed by owner/consignor.
Complete one line for each animal, although if the unique identication or distinctive marks need additional space,
succeeding lines may be used. If that is necessary, then the line numbers on the left need to be adjusted to reect the
animals listed on the form.
COMPLETE USDA TAG COLLAR AND/OR TATTOO NUMBER: Provide a unique identication number for each
animal here. If microchips are being used, indicate that number here.
BREED – COMMON OR SCIENTIFIC NAME: Provide the breed of the animal here. For animals with no breed
name (nonhuman primates or other), indicate common or scientic name.
AGE: Indicate age and units, by years, months, weeks, or days. Example: 3y, 8m, 12w, or 5d.
SEX: Indicate the sex of the animal (M – Male, F – Female, NM – Neutered Male, NF –Neutered Female).
COLOR OR DISTINCTIVE MARKS: Provide the color of the animal and/or any distinctive marks.
APHIS Form 7001 United States Interstate and International
Certicate of Health Examination for Small Animals
(Aug 2001 Version)
Page 1/2
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