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Annex I  
MODEL OFFICIAL CERTIFICATES FOR THE ENTRY INTO THE UNION OF 
ANIMALS, PRODUCTS OF ANIMAL ORIGIN, COMPOSITE PRODUCTS , GERMINAL 
PRODUCTS AND ANIMAL BY -PRODUCTS  
COUNTRY Official certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8. Region of origin Code I.9. Country of destination  ISO I.10. Region of destination Code
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Canning industry Fattening Technical use Trade samples
Animal feedingstuff Quarantine Pharmaceutical use Circus/exhibition
Human consumption Further process Approved body Pets
Breeding/Production Slaughter Relaying Other
Game restocking Artificial reproduction Registered equidae
I.21. For transit I.22. For internal market
Definitive import
Third country  ISO Re-entry
Temporary admission
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name) Breed/ Category Identification system Identification No
Age Sex Quantity Test
Species (Scientific name) Nature of commodity Treatment type
Zone Abattoir Cutting plant/ manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packaging
Stamp SignaturePart I : Details of dispatched consignment I.2.a IMSOC Reference No.
 2 
 
COUNTRY Certificate model **
II. Health information * II.a. Certificate reference No
Certifying officer
Name (in capital letters) Qualification and title
Date Signature
Stamp
*Specific sanitary requirement to be completed
** To be replaced by the specific title of each model of certificatePart II: CertificationII.b. TRACES reference No 
 
 
  3 
 Annex II  
NOTES ON THE COMPLETION OF THE MODEL OFFICIAL CERTIFICATES FOR 
THE ENTRY INTO THE UNION OF ANIMALS, PRODUCTS OF ANIMAL ORIGIN, 
COMPOSITE PRODUCTS, GERMINAL PRODUCTS, AND ANIMAL BY -
PRODUCTS  
General  
To positively select any option, please tick or mark the re levant box with a cross (X).  
Whenever mentioned, ‘ISO’ means the international standard two -letter code for a country, in 
accordance with the international standard ISO 3166 alpha -21. 
Only one of the options may be selected in boxes I.15, I.18, I.20 and I. 22. 
If the consignee, the entry border control post (BCP) or the transport details (that is to say, the 
means and date) change after the certificate has been issued, the person responsible for the 
consignment must advise the competent authority of the Memb er State of entry. Such a 
change shall not result in a request for a replacement certificate.  
 
Part I: Details of the dispatched consignment  
Country:  The name of the third country issuing the certificate.  
Box I.1.  Consignor/Exporter: the name and address (street, city and region, province or 
state, as appropriate) of the natural or legal person dispatching the consignment 
that must be located in the third country, except for the re -entry of 
consignments originating from the European Union.  
Box I.2.  Certifi cate reference No: the unique mandatory code assigned by the 
competent authority of the third country in accordance with its own 
classification. This box is compulsory for all certificates not submitted in 
IMSOC.  
Box I.2.a  IMSOC reference No: the unique re ference code automatically assigned by 
IMSOC, if the certificate is registered in IMSOC. This box must not be 
completed if the certificate is not submitted in  IMSOC.  
Box I.3.  Central competent authority: name of the central authority in the third country 
issuing the certificate.  
Box I.4.  Local competent authority: if applicable, the name of the local authority in the 
third country issuing  the certificate.  
Box I.5.  Consignee/Importer: name and address of the natural or legal person to whom 
the consignment is  intended in the Member State or third country of 
destination in the case of transit. However, this information is not compulsory 
for consignments in transit through the European Union.  
Box I.6.  Operator responsible for the consignment:  
                                                 
1 List of country names and code elements under: http://www.iso.org/iso/country_codes/iso -3166 -
1_decoding_table.htm  4 
 The name and address of the person in the European Union in charge of the 
consignment when presented to the BCP and who makes the necessary 
declarations to the competent authorities either as the importer or on behalf of 
the importer.  
For products in transit through th e European Union: the name and address are 
compulsory.  
For certain animals: the name and address are compulsory if required by the 
relevant European Union legislation.  
For animals and products for the placing on the market: the name and address 
are optiona l. 
Box I.7.  Country of origin:  
For products: the name and ISO code of the country where the goods were 
produced, manufactured and packaged (labelled with the identification mark).  
For animals: the country of residence during the required period as set out in 
the relevant European Union health certificate. For registered horses re -
entering the European Union, the country of origin means the country from 
which they were last consigned.  
In the case of trade involving more than one third country (triangular tra de), a 
separate certificate must be completed for each country of origin.  
Box I.8.  Region of origin: if applicable, for animals or products affected by the 
regionalisation measures in accordance with European Union legislation. The 
code of approved regions , zones or compartments must be stated as defined in 
the relevant European Union legislation.  
Box I.9.  Country of destination: the name and ISO code of the European Union country 
of destination of the animals or products.  
If the products are in transit, th e name and ISO code of the third country of 
destination is required.  
Box I.10.  Region of destination: see box I.8.  
Box I.11.  Place of dispatch: the name, address and approval number, if required by the 
European Union legislation, of the holdings or establi shments from which the 
animals or the products come from.  
For animals: a holding or any other officially monitored agricultural, industrial 
or commercial establishment, including zoos, amusement parks, wildlife and 
hunting reserves, where animals are regul arly kept or bred.  
For germinal products: semen collection or storage centres, or embryo 
collection or production teams.  
For other products: any unit of a company in the food or by -product sector. 
Only the establishment shipping the products is to be named . In the case of 
trade involving more than one third country (triangular trade), the place of 
dispatch is the last third -country establishment of the export chain from which 
the final consignment is transported to the European Union.  
Box I.12.  Place of des tination:  5 
 Except in the case of storage of products in transit, this information is optional.  
For the placing on the market: the place where the animals or products are sent 
for final unloading. Give the name, address and approval number of the 
holdings or  establishments of the place of destination, if applicable.  
For storage of products in transit: the name, address and approval number of 
the warehouse in a free zone, the customs warehouse or the ship supplier.  
Box I.13.  Place of loading:  
For animals: the name of the city or the place where the animals are loaded and 
if they are assembled beforehand, the details of the official assembly centre.  
For products: the name of the city and category (for example, establishment, 
holding, port or airport) of the fina l place where the products are to be loaded 
in the means of transport for the journey to the European Union. In the case of 
a container, state where it is to be placed aboard the final means of transport to 
the European Union. In the case of a ferry, indic ate the place where the truck 
embarked.  
Box I.14.  Date and time of departure:  
For animals: the date and time at which the animals are scheduled to leave in 
their means of transport (aeroplane, vessel, railway or road vehicle).  
For products: the date when the means of transport departs (aeroplane, vessel, 
railway or road vehicle).   
Box I.15.  Means of transport: means of transport leaving the country of dispatch.  
Mode of transport: aeroplane, vessel, railway, road vehicle or other. ‘Other’ 
means modes of tra nsport not covered by Council Regulation (EC) No 
1/20052. 
Identification of the means of transport: for aeroplanes the flight number, for 
vessels the ship name(s), for railways the train identity and wagon number, for 
road transports the registration numbe r plate with trailer number plate if 
applicable.  
In the case of a ferry, state the identification of the road vehicle, the 
registration number plate with trailer number plate if applicable, and the name 
of the scheduled ferry.  
Box I.16.  Entry BCP: state th e name of the BCP and its identification code assigned by 
IMSOC.  
Box I.17.  Accompanying documents:  
The type and reference number of document must be stated when a 
consignment is accompanied by the other documents such as CITES permit, 
permit for invasive a lien species (IAS) or a commercial document (for 
example, the airway bill number, the bill of lading number or the commercial 
number of the train or road vehicle)  
                                                 
2  Council Regulation (EC) No 1/2005 of 22  December 2004 on the protection of animals during transport 
and related operations and amending Directives 64/432/EEC and 93/119/EC and Regulation (EC) No 
1255/97 (OJ L 3, 5.1.2005, p. 1).  6 
 Box I.18.  Transport conditions: category of required temperature during the transport of 
products (ambient, chilled, frozen). Only one category may be selected.  
Box I.19.  Container No/Seal No: if applicable, the corresponding numbers.  
The container number must be provided if the goods are transported in closed 
containers.  
Only the official seal nu mber must be stated. An official seal applies if a seal is 
affixed to the container, truck or rail wagon under the supervision of the 
competent authority issuing the certificate.   
Box I.20.  Goods certified as: state the purpose for the placing on the marke t of the 
animals or intended use for products as specified in the relevant European 
Union health certificate.  
Animal feedingstuffs: concerns only animal by -products intended for animal 
feed as referred to in Regulation (EC) No 1069/200 9 of the European 
Parliament and of the Council3 
Approved body: movement of animals to an approved body, an institute or a 
centre in accordance with Council Directive 92/65/EEC4. 
Artificial reproduction: concerns only germinal products.  
Breeding/production: for breeding and pr oduction animals, including 
aquaculture animals intended for farming.  
Canning industry: concerns, for example, tuna intended for the canning 
industry.  
Circus/exhibition: for registered circus and exhibition animals and aquatic 
animals for aquariums or simi lar businesses not for further sale.  
Fattening: concerns ovine and caprine animals only.  
Further process: concerns only products which have to be further processed 
before being placed on the market.  
Game restocking: concerns only game for the purpose of re building stocks.  
Human consumption: concerns only products intended for human consumption 
for which a health or veterinary certificate is required by European Union 
legislation.  
Other: intended for purposes not listed elsewhere in this classification, 
including aquatic animals intended for put -and-take fisheries.  
Pets: commercial movements into the Union of dogs, cats, ferrets and birds. 
For ornamental aquatic animals intended for pet shops or similar businesses for 
further sale.  
                                                 
3  Regulation (EC) No 1069/2009 of the European Parliament and of the Council of 21  October 2009  
laying down health rules as regards animal by -products and derived products not intended for human 
consumption and repealing Regulation (EC) No 1774/2002 (Animal by -products Regulation) (OJ L 
300, 14.11.2009, p. 1).  
4  Council Directive 92/65/EEC of 13  July 1992 laying down animal health requirements governing trade 
in and imports into the Community of animals, semen, ova and embryos not subject to animal health 
requirements laid down in specific Community rules referred to in Annex A (I) to Directive 
90/425/EEC (OJ L 268, 14 .9.1992, p. 54).  7 
 Pharmaceutical use: animal by-products unfit for human or animal 
consumption, as referred to in Regulation (EC) No 1069/2009.  
Quarantine: refers to Commission Implementing Regulation (EU) No 
139/20135 for birds other than poultry, to Directive 92/65/EEC for carnivores, 
primates and bats, and to Council Directive 2006/88/EC6 for aquaculture 
animals.  
Registered equidae: in accordance with Council Directive 2009/156/EC7. 
Relaying: concerns only aquaculture animals.  
Slaughter: for animals destined directly or via an assembly centre to a 
slaughterhouse.  
Technical use: animal by -products unfit for human or animal consumption, as 
referred to in Regulation (EC) No 1069/2009,  
Trade samples: as defined in point 39 of Annex I to Commission Regulation 
(EU) No 142/20118. 
Box I.21.  For transit: onl y for the transit of animals or products through the European 
Union from one third country to another third country or from one part of a 
third country to another part of the same third country. State the name and ISO 
code of the third country of destinati on. 
Box I.22.  For internal market: for all consignments destined to the European Union 
market.  
Definitive import: this option must only be used for consignments intended to 
be placed under the customs procedure ‘release for free circulation’ in the 
Europea n Union.  
For certain animals (for example, registered equidae) only one of the following 
options must be selected:  
Re-entry: this option must only be used for animals authorised for re -entry, 
such as registered horses for racing, competition and cultural e vents re -entering 
the European Union after their temporary export.  
Temporary admission: this option must only be used for the entry of animals 
authorised for temporary entry into the European Union, such as registered 
horses for a period of less than 90 da ys. 
                                                 
5  Commission Implementing Regulation (EU) No 139/2013 of 7  January 2013 laying down animal health 
conditions for imports of certain birds into the Union and the quarantine conditions thereof (OJ L 47, 
20.2.2013, p. 1).  
6  Council Directiv e 2006/88/EC of 24  October 2006 on animal health requirements for aquaculture 
animals and products thereof, and on the prevention and control of certain diseases in aquatic animals 
(OJ L 328, 24.11.2006, p. 14).  
7  Council Directive 2009/156/EC of 30  Novem ber 2009 on animal health conditions governing the 
movement and importation from third countries of equidae (OJ L 192, 23.7.2010, p. 1).  
8  Commission Regulation (EU) No 142/2011 of 25 February 2011 implementing Regulation (EC) No 
1069/2009 of the European  Parliament and of the Council laying down health rules as regards animal 
by-products and derived products not intended for human consumption and implementing Council 
Directive 97/78/EC as regards certain samples and items exempt from veterinary checks at the border 
under that Directive (OJ L 54, 26.2.2011, p. 1).  8 
 Box I.23.  Total number of packages: the number of boxes, cages or stalls, in which the 
animals are being transported, the number of cryogenic containers for germinal 
products or the number of packages for products. In the case of bulk 
consignments, thi s box is optional.  
Box I.24.  Quantity:  
For animals: the total number of heads or straws expressed as units.  
For germinal products: the total number of straws expressed as units.  
For products and aquatic animals, except ornamental fish: the total gross and 
net weight in kilograms.  
Total net weight: this is defined as the mass of the goods themselves without 
immediate containers or any packaging.  
Total gross weight: overall weight in kilograms. This is defined as the 
aggregate mass of the products and of the immediate containers and all their 
packaging, but excluding transport containers and other transport equipment.  
Box I.25.  Description of goods: State the relevant Harmonised System code (HS code) 
and the title defined by the World Customs Organisation as r eferred to in 
Council Regulation (EEC) No 2658/879. This customs description shall be 
supplemented, if necessary, by additional information required to classify the 
animals or the products in veterinary terms. In addition, state any specific 
requirements r elating to the animals or to the nature/processing of the products 
as defined in the relevant European Union model health or veterinary 
certificate.  
Zone: for animals or products affected by the setting up of approved zones or 
compartments in accordance wi th European Union legislation. The zones or 
production areas (for example, in the case of bivalve molluscs) must be 
indicated as published in the European Union lists of approved establishments.  
For animals: the species, breed or category, identification m ethod, 
identification number, age, sex, quantity or net weight.  
For germinal products: collection or production date, approval number of the 
centre or team, identification of the straw, and quantity. In addition, as regards 
donor animals, the species, bree d or category, and identification.  
For products: the species, types of products, type of treatment, approval 
number of establishments together with ISO country code (slaughter house, 
processing plant, cold store), number of packages, type of packaging, batch 
number, net weight, and final consumer (if appropriate).  
Species: the scientific name or as defined in accordance with European Union 
legislation.  
                                                 
9  Council Regulation (EEC) No 2658/87 of 23  July 1987 on the tariff and statistical nomenclature and on 
the Common Customs Tariff (OJ L 256, 7.9.1987, p. 1).  9 
 Type of packaging: identify the type of packaging according to the definition 
given in Recommendation N o 2110 of UN/CEFACT (United Nations Centre 
for Trade Facilitation and Electronic Business).  
 
Part II: Certification  
This part must be completed by an official veterinarian or an official inspector  
Box II.  Health information: please complete this part in acc ordance with the specific 
European Union health requirements relating to the animal species or to the 
nature of the products and as defined in the equivalence agreements with 
certain third countries or in other European Union legislation, such as that for 
certification.  
Where there are no animal or public health attestations for the consignment, 
then the whole of this section shall be deleted or invalidated or not be present 
at all in accordance with the footnotes for Part II of the specific European 
Union health certificates.  
Box II.a.  Certificate reference No: same reference code as in box I.2.  
Box II.b.  IMSOC reference No: same reference code as in box I.2.a.  
Certifying officer:  Official veterinarian or official inspector as defined by the relevant 
Europe an Union legislation: the name in capital letters, qualification 
and title,  where applicable identification number and original stamp of 
the competent authority and date of signature.  
 
  
                                                 
10  Last version: Revision 9 Annexes V  and VI as published on: http://www.unece.org/tradewelcome/un -
centre -for-trade -facilitation -and-e-business -uncefact/outputs/cefactrecommendationsrec -index/list -of-
trade -facilitation -recommendations -n-21-to-24.html  10 
 ANNEX I II 
MODEL OFFICIAL CERTI FICATES FOR THE ENTR Y INTO THE UNION F OR 
PLACING ON THE MARKE T OF ANIMALS AND GOOD S INTENDED FOR 
HUMAN CONSUMPTION  
PART I  
CHAPTER A: MODEL OFFICIAL CERTIFICATE FOR  THE ENTRY IN THE 
UNION FOR PLACING ON THE MARKET OF LIVE BIVALVE MOLLUSCS, 
ECHINODERMS, TUNICATES AND MARINE GASTROPODS  
COUNTRY Official Certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8. Region of origin Code I.9. Country of destination  ISO I.10
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Human consumption
I,21 I.22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name) Nature of commodity Treatment type
Manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.
 11 
 COUNTRY                Live bivalve molluscs, echinoderms, tunicates and  
marine gastropods  
II. Health  information  II.a. Certificate reference number  II.b. 
 
II.1 (1) Public health attestation  for live bivalve molluscs, echinoderms, tunicates and marine 
gastropods  
I, the undersigned, declare that I am aware of the relevant provisions  of Regulation (EC) No 178/2002 
of the European Parliament and of the Council of 28 January 2002 laying down the general principles 
and requirements of food law, establishing the European Food Safety Authority and laying down 
procedures in matters of food safety (OJ L 31, 1.2.20 02, p. 1), Regulation (EC) No 852/2004 of the 
European Parliament and of the Council of 29 April 2004 on the hygiene of foodstuffs (OJ L 139, 
30.4.2004, p. 1) and Regulation (EC) No 853/2004 of the European Parliament and of the Council of 
29 April 2004 la ying down specific hygiene rules for food of animal origin (OJ L 139, 30.4.2004, p. 
55) ) and Regulation (EU) 2017/625 of the European Parliament and of the Council of 15 March 2017 
on official controls and other official activities performed to ensure the  application of food and feed 
law, rules on animal health and welfare, plant health and plant protection products, amending 
Regulations (EC) No 999/2001, (EC) No 396/2005, (EC) No 1069/2009, (EC) No 1107/2009, (EU) 
No 1151/2012, (EU) No 652/2014, (EU) 2016 /429 and (EU) 2016/2031 of the European Parliament 
and of the Council, Council Regulations (EC) No 1/2005 and (EC) No 1099/2009 and Council 
Directives 98/58/EC, 1999/74/EC, 2007/43/EC, 2008/119/EC and 2008/120/EC and repealing 
Regulations (EC) No 854/2004 and (EC) No 882/2004 of the European Parliament and of the Council, 
Council Directives 89/608/EEC, 89/662/EEC, 90/425/EEC, 91/496/EEC, 96/23/EC, 96/93/EC and 
97/78/EC and Council Decision 92/438/EEC (Official Controls Regulation) (OJ L 95, 7.4.2017, p. 1)  
and certify that the (4)[live bivalve molluscs] (4)[live echinoderms] (4)[live tunicates] (4)[live marine 
gastropods] described above were produced in accordance with those requirements, in particular that 
they:  
 come from (an) establishment(s) implementing  a programme based on the HACCP principles 
in accordance with Regulation (EC) No 852/2004;  
 have been harvested, where necessary relayed and transported in accordance with Section 
VII, Chapters I and II of Annex III to Regulation (EC) No 853/2004;  
 were hand led, where necessary purified, and packaged in compliance with Section VII, 
Chapters III and IV of Annex III to Regulation (EC) No 853/2004;  
 satisfy the health standards laid down in Section VII, Chapter V of Annex III to Regulation 
(EC) No 853/2004 and th e criteria laid down in Commission Regulation (EC) No 2073/2005  
of 15 November 2005 on microbiological criteria for foodstuffs  (OJ L 138, 22.12.2005, p. 1) ; 
 have been packaged, stored and transported in compliance with Section VII, Chapters VI and 
VIII of  Annex III to Regulation (EC) No 853/2004;  
 have been marked and labelled in accordance with Section I of Annex II and Section VII, 
Chapter VII of Annex III to Regulation (EC) No 853/2004;  
 in the case of pectinidae, marine gastropods and holothuroidea that are not filter feeders 
harvested outside classified production areas, comply with the specific requirements laid 
down in Section VII, Chapter IX of Annex III to Regulation (EC) No 853/2004, and  
 have satisfactorily undergone the official controls laid down in Articles 42 to 58 of 
Commission Implementing Regulation (EU) [SANTE/10194/2017] . of ../../…. laying down 
uniform practical arrangements for the performance of official controls on products of animal 
origin intended for human consumption in accordance wi th Regulation (EU) 2017/625 and 
Article 7 of Commission Delegated Regulation (EU) [SANTE/10193/2017]  of ../../…. 
concerning specific rules for the performance of official controls on the production of meat 
and for production and relaying areas of live biva lve molluscs in accordance with Regulation 
(EU) 2017/625 of the European Parliament and of the Council (OJ L …., ../../…., p. …).  
 •fulfil the guarantees covering live animals and products thereof, if of aquaculture origin, 
provided by the residue plans sub mitted in accordance with Council Directive 96/23/EC of 
29 April 1996 on measures to monitor certain substances and residues thereof in live animals 
and animal products and repealing Directives 85/358/EEC and 86/469/EEC and Decisions 
89/187/EEC and 91/664/ EEC (OJ L 125, 23.5.1996, p. 10). , and in particular Article 29 12 
 COUNTRY                Live bivalve molluscs, echinoderms, tunicates and  
marine gastropods  
II. Health  information  II.a. Certificate reference number  II.b. 
thereof.  
II.2 (2)(4)Animal health attestation for live bivalve molluscs of aquaculture origin  
II.2.1  (3)(4)[Requirements for species susceptible to Bonamia exitiosa, Perkinsus marinus and Micr ocytos 
mackini  
I, the undersigned official inspector, hereby certify that the live bivalve molluscs referred to in Part I 
of this certificate:  
(5)originate from a country/territory, zone or compartment declared free from (4)[Bonamia exitiosa] 
(4)[Perkinsus marinus] (4)[Mikrocytos mackini] in accordance with Chapter VII of Council Directive 
2006/88/EC of 24 October 2006 on animal health requirements for aquaculture animals and products 
thereof, and on the prevention and control of certain diseases in aquatic animals (OJ L 328, 
24011.2006, p. 14) or the relevant OIE  Standard by the competent authority of my country,  
 where the relevant diseases are notifiable to the competent authority and reports of suspicion of 
infection of the relevant disease mus t be immediately investigated by the official services, and  
 all introduction of species susceptible to the relevant diseases come from an area declared free of 
the disease.]  
II.2.2   (3)(4)[Requirements for species susceptible to Marteilia refringens and Bonamia ostreae intended 
for a Member State, zone or compartment declared disease free or subject to a surveillance or eradication 
programme for the relevant disease  
I, the undersigned official inspector, hereby certify that the live bivalve molluscs refer red to above:  
(6)originate from a country/territory, zone or compartment declared free from (4)[Marteilia refringens] 
(4)[Bonamia ostreae] in accordance with Chapter VII of Directive 2006/88/EC or the relevant OIE  
Standard by the competent authority of my country,  
(i) where the relevant diseases are notifiable to the competent authority authority and reports of 
suspicion of infection of the relevant disease must be immediately investigated by the official 
services, and  
(ii) all introduction of species susce ptible to the relevant diseases come from an area declared free 
of the disease.]  
II.2.3  Transport and labelling  requirements  
I, the undersigned official inspector, hereby certify that:  
II.2.3.1  the live bivalve molluscs referred to above are placed under c onditions, including with a water 
quality, that do not alter their health status,  
II.2.3.2  the transport container or well boat prior to loading is clean and disinfected or previously 
unused; and  
II.2.3.3  the consignment is identified by a legible label on the exterior of the micro container, or when 
transported by well boat, in the ship's manifest, with the relevant information referred to in boxes I.7 
to I.11 of Part I of this certificate, and the following statement:  
"Live bivalve molluscs intended fo r human consumption in the Community”.  
 
Notes  
See notes in Annex II of Commission Implementing Regulation (EU)[SANTE/10281/2018] of ../../…. laying 
down model official certificates for certain animals and goods in accordance with Article 90 of Regulation 
(EU) 2017/625 of the European Parliament and of the Council and amending Implementing Regulation 
(EU) 2016/759 as regard model certificates (OJ …, ../../…., p. ..)  
 
Part I:  
 Box reference I.8: Region of origin: indicate the production area.  
Part II:  
(1) Part II.1 does not  apply to countries with special public health certification requirements laid 13 
 COUNTRY                Live bivalve molluscs, echinoderms, tunicates and  
marine gastropods  
II. Health  information  II.a. Certificate reference number  II.b. 
down in Equivalence Agreements or other Community legislation.  
(2) Part II.2 does not apply to:  
(a) non-viable molluscs, which means molluscs no longer able to survive as living animals if returned 
to the environment from which they were obtained,  
(b) live bivalve molluscs placed on the market for human consumption without further processing, 
provided that they are packed in retail -sale packages which comply w ith the provisions for such 
packages in Regulation (EC) No 853/2004,  
(c) live bivalve molluscs destined for processing establishments authorised in accordance with 
Article 4(2) of Directive 2006/88/EC, or for dispatch centres, purification centres or simil ar 
businesses which are equipped with an effluent treatment system inactivating the pathogens in 
question, or where the effluent is subject to other types of treatment reducing the risk of 
transmitting diseases to the natural waters to an acceptable level,  
(d) live bivalve molluscs which are intended for further processing before human consumption 
without temporary storage at the place of processing and packed an labelled for that purpose in 
accordance with Regulation (EC) No 853/2004.  
(3) Part II.2.1 and I I.2.2 only apply to species susceptible to one or more of the diseases referred to 
in the title. Susceptible species are listed in Annex IV to Directive 2006/88/EC.  
(4) Keep as appropriate.  
(5) For consignments of species susceptible to Bonamia exitiosa, Perkinsus marinus and 
Microcytos mackini this statement must be kept for the consignment to be authorised into any part of 
the Community.  
(6) To be authorised into a Member State, zone or compartment (boxes I.9 and I.10 of Part I of the 
certificate) declar ed free from Marteilia refringens or Bonamia ostreae or with a surveillance or 
eradication programme established in accordance with Article  44 (1) or (2) of Directive 2006/88/EC, 
one of these statements must be kept if the consignment contain species susce ptible to the disease(s) 
for which disease freedom or programme(s) apply(ies). Data on the disease status of each farms and 
mollusc farming areas in the Community are accessible at 
http://ec.europa.eu/food/animal/liveanimals/aquaculture/index_en.htm . 
 The colour of the stamp and signature must be different to that of the other particulars in the 
certificate.  
  
Official inspector  
 Name (in capital letters):  Qualification and title:  
 Date:  Signature:  
 Stamp:  
 
  14 
 CHAPTER B: ADDITIONAL MODEL OFFICIAL CERTIFICATION FOR 
PROCESSED BIVALVE MOLLUSCS BELONGING TO THE SPECIES 
ACANTHOCARDIA TUBERCULATUM  
The official inspector hereby certifies that the processed bivalve molluscs of the species 
Acanthocardia tuberculatum , certified in the health certificate reference 
No: …………………………………………………………  
1. were harvested in production areas clearly identified, monitored and authorised by the 
competent authority in accordance with Article 12 of Commission Delegated 
Regulation (EU) [SANTE/10279/2018] …. of ….. supplementing Regulation (EU) 
2017/625 of the Europ ean Parliament and of the Council with regard to conditions to 
be respected by consignments of certain animals and good s entering the Union (OJ L 
…., ../../.., p. ..).  and where the paralytic shellfish poisoning (PSP) level in the edible 
parts of these mol luscs is lower than 300 μg for 100g;  
2. were transported in containers or vehicles sealed by the competent authority, directly 
to the establishment:  
…………………………………………………………………………………………  
…………………………………………………………………………………………  
(name and official approval number of th e establishment, authorised specially by the 
competent authority to carry out their treatment);  
3. were accompanied while being transported to this establishment by a document issued 
by the competent authority which authorises the transport, attesting to the nature and 
quantity of the product, area of origin and establishment of destination;  
4. were subjected to the heat treatment outlined in the Annex to Commission Decision 
96/77/EC  of 18 January 1996 establishing the conditions for the harvesting and 
processing  of certain bivalve molluscs coming from areas where the paralytic shellfish 
poison level exceeds  the limits laid down by Council Directive 91/495/EEC (OJ L 15, 
20.1.1996, p. 46) ; 
5. do not contain a PSP level detectable by the bioassay method, as demonstrated by the 
attached analytical report(s) of the test carried out on each lot included in the 
consignment covered by this attestation.  
The official inspector hereby certifies that the competent authority has verified that the ‘own 
health’ checks ca rried out in the establishment referred to in point 2 are specifically applied to 
the heat treatment referred to in point 4.  
The undersigned official inspector hereby declares that he/she is aware of the provisions of 
Decision 96/77/EC and that the attache d analytical report(s) correspond(s) to the test carried 
out on the products after processing.  
 
   Official inspector  
Name (in capitals):     Qualification and title:  
Date:       Signature:  
Stamp:  
  15 
 PART II  
CHAPTER A: MODEL OFFICIAL CERTIFICATE FOR  THE EN TRY IN THE 
UNION FOR PLACING ON THE MARKET OF FISHERY PRODUCTS  
COUNTRY Official Certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8. Region of origin Code I.9. Country of destination  ISO I.10
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Canning industry
Human consumption
I,21 I.22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name) Nature of commodity Treatment type
Zone Vessel / Manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.
 16 
 COUNTRY  Fishery products  
II. Health information  II.a. Certificate reference number  II.b. 
II.1. (1)Public health attestation  
I, the undersigned, declare that I am aware of the relevant provisions of Regulation (EC) No 178/2002 
of the European Parliament and of the Council of 28 January 2002 laying down the general principles 
and requirements of food law, establishing the Europea n Food Safety Authority and laying down 
procedures in matters of food safety (OJ L 31, 1.2.2002, p. 1), Regulation (EC) No 852/2004 of the 
European Parliament and of the Council of 29 April 2004 on the hygiene of foodstuffs (OJ L 139, 
30.4.2004, p. 1) and Regulation (EC) No 853/2004 of the European Parliament and of the Council of 
29 April 2004 laying down specific hygiene rules for food of animal origin (OJ L 139, 30.4.2004, p. 
55) ) and Regulation (EU) 2017/625 of the European Parliament and of the Counci l of 15 March 2017 
on official controls and other official activities performed to ensure the application of food and feed 
law, rules on animal health and welfare, plant health and plant protection products, amending 
Regulations (EC) No 999/2001, (EC) No 3 96/2005, (EC) No 1069/2009, (EC) No 1107/2009, (EU) 
No 1151/2012, (EU) No 652/2014, (EU) 2016/429 and (EU) 2016/2031 of the European Parliament 
and of the Council, Council Regulations (EC) No 1/2005 and (EC) No 1099/2009 and Council 
Directives 98/58/EC, 19 99/74/EC, 2007/43/EC, 2008/119/EC and 2008/120/EC and repealing 
Regulations (EC) No 854/2004 and (EC) No 882/2004 of the European Parliament and of the Council, 
Council Directives 89/608/EEC, 89/662/EEC, 90/425/EEC, 91/496/EEC, 96/23/EC, 96/93/EC and 
97/78 /EC and Council Decision 92/438/EEC (Official Controls Regulation) (OJ L 95, 7.4.2017, p. 1)  
and certify that the fishery products described above were produced in accordance with those 
requirements, in particular that they:  
– come from (an) establishment(s)  implementing a programme based on the hazard analysis and 
critical control points (HACCP) principles in accordance with Regulation (EC) No 852/2004;  
– have been caught and handled on board vessels, landed, handled and where appropriate 
prepared, processed, frozen and thawed hygienically in compliance with the requirements laid 
down in Section VIII, Chapters I to IV of Annex III to Regulation (EC) No 853/2004;  
– satisfy the health standards laid down in Section VIII, Chapter V of Annex III to Regulation 
(EC) No  853/2004 and the criteria laid down in Commission Regulation (EC) No 2073/2005  
of 15 November 2005 on microbiological criteria for foodstuffs (OJ L 138, 22.12.2005, p. 1);  
– have been packaged, stored and transported in compliance with Section VIII, Chapte rs VI to 
VIII of Annex III to Regulation (EC) No 853/2004;  
– have been marked in accordance with Section I of Annex II to Regulation (EC) No 853/2004;  
– fulfil the guarantees covering live animals and products thereof, if of aquaculture origin, 
provided by the residue plans submitted in accordance with Council Directive 96/23/EC of 29 
April 1996 on measures to monitor certain substances and residues thereo f in live animals and 
animal products and repealing Directives 85/358/EEC and 86/469/EEC and Decisions 
89/187/EEC and 91/664/EEC (OJ L 125, 23.5.1996, p. 10). , and in particular Article  29 
thereof; and  
– have satisfactorily undergone the official controls la id down in Articles 59 to 65 of 
Commission Implementing Regulation (EU) [SANTE/10194/2017] . of ../../…. laying down 
uniform practical arrangements for the performance of official controls on products of animal 
origin intended for human consumption in accordance with Regulation (EU) 2017/625 . 
II.2. (2)(4)Animal health attestation for fish and crustaceans of aquaculture origin  
II.2.1.  (3)(4)[Requirements for species susceptible to epizootic haematopoietic necrosis (EHN), taura 
syndrome and yellowhead dis ease 
I, the undersigned official inspector, hereby certify that the aquaculture animals or products thereof 
referred to in Part I of this certificate:  
(5)originate from a country/territory, zone or compartment declared free from (4)[EHN (4)[Taura 
syndrome]  (4)[Yellowhead disease] in accordance with Chapter VII of Council Directive 2006/88/EC 
of 24 October 2006 on animal health requirements for aquaculture animals and products thereof, and 
on the prevention and control of certain diseases in aquatic animals (OJ L 328, 24011.2006, p. 14)  or 
the relevant OIE  Standard by the competent authority of my country,  
(i) where the relevant diseases are notifiable to the competent authority and reports of suspicion of 17 
 COUNTRY  Fishery products  
II. Health information  II.a. Certificate reference number  II.b. 
infection of the relevant disease must be immediately  investigated by the competent authority,  
(ii) all introduction of species susceptible to the relevant diseases come from an area declared free 
of the disease, and 
(iii) species susceptible to the relevant diseases are not vaccinated against the relevant d iseases.]  
II.2.2.  (3)(4)[Requirements for species susceptible to viral haemorrhagic septicaemia (VHS), infectious 
haematopoietic necrosis (IHN), infectious salmon anaemia (ISA), koi herpes virus (KHV) and 
white spot disease intended for a Member State, zon e or compartment declared disease free or 
subject to a surveillance or eradication programme for the relevant disease  
I, the undersigned official inspector, hereby certify that the aquaculture animals or products thereof 
referred to in Part I of this certi ficate:  
(6)originate from a country/territory, zone or compartment declared free from (4)[VHS] (4)[IHN] (4)[ISA] 
(4)[KHV] (4)[White spot disease] in accordance with Chapter VII of Directive 2006/88/EC or the 
relevant OIE  Standard by the competent authority  of my country,  
(i) where the relevant diseases are notifiable to the competent authority and reports of suspicion of 
infection of the relevant disease must be immediately investigated by the competent authority,  
(ii) all introduction of species susceptibl e to the relevant diseases come from an area declared free 
of the disease, and 
(iii) species susceptible to the relevant diseases are not vaccinated against the relevant diseases.]  
II.2.3.  Transport and labelling requirements  
I, the undersigned official in spector, hereby certify that:  
II.2.3.1.  the aquaculture animals referred to above are placed under conditions in which the water quality does 
not alter their health status;  
II.2.3.2.  prior to landing the transport container or well boat is clean and disinf ected or  
previously unused; and  
II.2.3.3.  the consignment is identified by a legible label on the exterior of the container, or when transported by 
well boat, in the ship’s manifest, with the relevant information referred to in boxes I.7 to I.11 of Part  I 
of this certificate, and the following statement:  
‘(4)[Fish](4)[Crustaceans] intended for human consumption in the Union’.  
 
Notes  
See notes in Annex II of  Commission  Implementing Regulation (EU)[SANTE/10281/ 2018] of ../../…. laying 
down model official certificates for certain animals and goods in accordance with Article 90 of Regulation 
(EU) 2017/625 of the European Parliament and of the Council and amending Implementing Regulation 
(EU) 2016/759 as regard model certificates (OJ …, ../../…., p. ..)  
 
Part  I: 
- Box reference I.8: Region of origin: For frozen or processed bivalve molluscs, indicate the production 
area.  
- Box reference I.20: Canning industry: where freezing in brine of whole fish intended for canning is 
practiced in accordance with the requir ements of Section VIII, Chapter I; point II(7) of annex III to 
Regulation (EC) No 853/2004  
- Box reference I.25: Use the appropriate Harmonised System (HS) codes of the World Customs 
Organisation of the following headings: 0301, 0302, 0303, 0304, 0305, 03 06, 0307, 0308, 0511, 1504, 
1516, 1518, 1603, 1604, 1605 or 2106.  
- Box reference I.25:  Nature of commodity : specify whether aquaculture or wild origin.  
 Treatment type : specify whether live, chilled, frozen or processed.  
 Manufacturing plant : includes factory vessel, freezer vessel, cold store, and
 processing plant.  
Part II:  
(1) Part II.1 of this certificate does not  apply to countries with special public health certification 18 
 COUNTRY  Fishery products  
II. Health information  II.a. Certificate reference number  II.b. 
requirements laid down in equivalence agreements or other EU legislation.  
(2) Part II.2 of this certificate does not  apply to:  
(a) non-viable crustaceans, meaning crustaceans that cannot survive as living animals if returned 
to the environment from which they were obtained,  
(b) fish which are slaughtered and eviscerated before dispa tch, 
(c) aquaculture animals and products thereof, which are placed on the market for human 
consumption without further processing, provided that they are packed in retail -sale packages 
which comply with the provisions for such packages in Regulation (EC) No 853/2004,  
(d) crustaceans destined for processing establishments authorised in accordance with Article  4(2) 
of Directive 2006/88/EC, or for dispatch centres, purification centres or similar businesses 
which are equipped with an effluent treatment system  that inactivates the pathogens in 
question, or where the effluent undergoes other types of treatment reducing the risk of 
transmitting diseases to the natural waters to an acceptable level,  
(e) crustaceans which are intended for further processing before human consumption without 
temporary storage at the place of processing and packed and labelled for that purpose in 
accordance with Regulation (EC) No 853/2004.  
(3) Parts II.2.1 and II.2.2 of this certificate only apply to species susceptible to one or more  of the diseases 
referred to in the heading of the point concerned. Susceptible species are listed in Annex IV to 
Directive 2006/88/EC.  
(4) Keep as appropriate.  
(5) For consignments of species susceptible to EHN, taura syndrome and/or yellowhead disease th is 
statement must be kept for the consignment to be authorised into any part of the EU.  
(6) In order to be authorised into a Member State, zone or compartment (boxes I.9 and I.10 of Part I of the 
certificate) declared free from VHS, IHN, ISA, KHV or white spot disease or with a surveillance or 
eradication programme drawn up in accordance with Article  44(1) or (2) of Directive 2006/88/EC, 
one of these statements must be kept if the consignment contain species susceptible to the disease(s) 
for which disease f reedom or programme(s) apply(ies). Data on the disease status of each farm and 
mollusc farming area in the EU are accessible at 
http://ec.europa.eu/food/animal/liveanimals/aquaculture/index_en.htm.  
 The colour of the stamp and signature must be different to that of the other particulars in the 
certificate.  
 
Official inspector  
 Name (in capital letters):  Qualification and title:  
 Date:  Signature:  
 Stamp:  
 
 
 
 
  19 
 CHAPTER B: Model of official certificate for fishery products caught by vessels flying  
the flag of a Member State and transferred in third countries with or without storage  
 
COUNTRY Official Certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8. Region of origin Code I.9. Country of destination  ISO I.10
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Canning industry
Human consumption
I,21 I.22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name) Nature of commodity Treatment type
Zone Vessel / Manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.20 
 COUNTRY  Fishery products transferred in third countries  
II. Health information  II.a. Certificate reference number  II.b. 
 
II.1. Public health attestation  
 
I, the undersigned official inspector, declare that I am aware of the relevant provisions of Regulation (EC) No 178/2002 
of the European Parliament and of the Council of 28 January 2002 laying down the general principles and requirements 
of fo od law, establishing the European Food Safety Authority and laying down procedures in matters of food safety (OJ 
L 31, 1.2.2002, p. 1), Regulation (EC) No 852/2004 of the European Parliament and of the Council of 29 April 2004 on 
the hygiene of foodstuffs (OJ L 139, 30.4.2004, p. 1) and Regulation (EC) No 853/2004 of the European Parliament and 
of the Council of 29 April 2004 laying down specific hygiene rules for food of animal origin (OJ L 139, 30.4.2004, p. 
55) ) and Regulation (EU) 2017/625 of the Europ ean Parliament and of the Council of 15 March 2017 on official 
controls and other official activities performed to ensure the application of food and feed law, rules on animal health and 
welfare, plant health and plant protection products, amending Regulat ions (EC) No 999/2001, (EC) No 396/2005, (EC) 
No 1069/2009, (EC) No 1107/2009, (EU) No 1151/2012, (EU) No 652/2014, (EU) 2016/429 and (EU) 2016/2031 of the 
European Parliament and of the Council, Council Regulations (EC) No 1/2005 and (EC) No 1099/2009 and  Council 
Directives 98/58/EC, 1999/74/EC, 2007/43/EC, 2008/119/EC and 2008/120/EC and repealing Regulations (EC) No 
854/2004 and (EC) No 882/2004 of the European Parliament and of the Council, Council Directives 89/608/EEC, 
89/662/EEC, 90/425/EEC, 91/496/E EC, 96/23/EC, 96/93/EC and 97/78/EC and Council Decision 92/438/EEC (Official 
Controls Regulation) (OJ L 95, 7.4.2017, p. 1)  and certify that the fishery products described above:  
 
- have been landed and unloaded hygienically from the approved/registered vessel(s)  ……………………(indicate 
approval/registration number(s) and name of the flag Member State(s)) in compliance with the relevant requirements 
laid down in Chapter II of Section VIII, of Annex III to Regulation (EC) No 853/2004;  
- if applicable, have been stored in approved cold store(s)  ………………….(indicate approval number(s)) in compliance 
with the relevant requirements of Chapter VII of Section VIII of Annex III to Regulation (EC) No 853/2004;  
- if applicable, have been loaded hygienically on the approved v essel(s)  ……………………………….(indicate 
approval number(s)) of the Member State(s) or third country(ies) and the name of the flag Member State(s) or third 
country(ies)) in compliance with the relevant requirements laid down in Chapter I and VIII of Section VIII of  Annex 
III to Regulation (EC) No 853/2004;  
- if applicable, have been loaded in a container.………………… (indicate container number) or in a 
truck  ………………(indicate registration number plate of truck and of trailer) or in an aeroplane  ……… (indicate the 
flight num ber) in compliance with the requirements laid down in Chapter VIII of Section VIII of Annex III to 
Regulation (EC) No 853/2004;  
- are accompanied by the print out(s)** of the fishing logbook(s) or relevant parts thereof.**  
 
** Electronic format is also acc epted.  
 
 
Notes  
See notes in Annex II of Commission Implementing Regulation (EU)[SANTE/10281/ -2018] of ../../…. laying down 
model official certificates for certain animals and goods in accordance with Article 90 of Regulation (EU) 
2017/625 of the European P arliament and of the Council and amending Implementing Regulation (EU) 
2016/759 as regard model certificates (OJ …, ../../…., p. ..)  
 
Part I:  
- Box reference I.7:  State the name of the third country of dispatch.  
- Box reference I.11: Place of dispatch: Sta te the name, address and approval number of the cold store in the third country of 
dispatch or, if the product was not in cold storage, state the name and approval or registration number of the 
Member State flagged vessel of origin.  
- Box reference I.15: S tate the means of transport leaving the third country of dispatch. In the case of freezer/reefer vessels, 
state the name of the vessel, approval number and flag State; in the case of a fishing vessel state the registration 
number and flag State. If the mea ns of transport are containers, trucks or aeroplanes the same indications 
provided for in the fourth indent of Part II.1 must be stated.  
Box reference I.20: Canning industry: where freezing in brine of whole fish intended for canning is practiced in accord ance 
with the requirements of Section VIII, Chapter I; point II(7) of annex III to Regulation (EC) No 853/2004  
- Box reference I.25: Use the appropriate Harmonised System (HS codes of the World Customs Organisation of the following 
headings: 0302, 0303, 0 304, 0305, 0306, 0307, 0308, 1504, 1516, 1518, 1603, 1604, 1605 and 2106.  21 
 COUNTRY  Fishery products transferred in third countries  
II. Health information  II.a. Certificate reference number  II.b. 
- Box reference I.25: Treatment type: specify whether chilled, frozen or processed.  
 * includes fishing vessel, factory vessel, freezer and reefer vessel as applicable.  
. 
 
 
 
Official inspector  
 Name (in capital letters):  Qualification and title:  
 Date:  Signature:  
 Stamp:  
 
 
 
  22 
 CHAPTER C: Model of official certificate to be signed by the captain accompanying 
frozen fishery products when entering the Union for placing on the market directly into 
the Union from a freezer, reefer or factory vessel.  
  
 
 
 
Official certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I,3
Address
I,4
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8. Region of origin Code I.9. Country of destination  ISO I,10 Code
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I,13 I,14
I,15 I.16. Entry BCP
I.17. Accompanying documents
I,18 Type
No
I,19
I.20. Goods certified as
Canning industry
Human consumption
I,21 I,22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name)
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.23 
  
 COUNTRY  Fishery products  
  I.(bis)  Other information  
Fishing area(s):  
 
IMO/Lloyd’s number (if issued) or call sign of the vessel:  
 
Fishing period:  Start date:  …./…./…….  Stop date:  …./…./…….  
 
  II. Health attestation   II.a. Certificate reference 
number  II.b. 
  II.1 Public health attestation  
 I, the undersigned, declare that I am aware of the relevant provisions of Regulation (EC) 
No 178/2002 of the European Parliament and of the Council of 28 January 2002 laying 
down the general principles and requirements of food law, establishing  the European 
Food Safety Authority and laying down procedures in matters of food safety (OJ L 31, 
1.2.2002, p. 1), Regulation (EC) No 852/2004 of the European Parliament and of the 
Council of 29 April 2004 on the hygiene of foodstuffs (OJ L 139, 30.4.2004 , p. 1) and 
Regulation (EC) No 853/2004 of the European Parliament and of the Council of 29 
April 2004 laying down specific hygiene rules for food of animal origin (OJ L 139, 
30.4.2004, p. 55) ) and Regulation (EU) 2017/625 of the European Parliament and o f the 
Council of 15 March 2017 on official controls and other official activities performed to 
ensure the application of food and feed law, rules on animal health and welfare, plant 
health and plant protection products, amending Regulations (EC) No 999/200 1, (EC) No 
396/2005, (EC) No 1069/2009, (EC) No 1107/2009, (EU) No 1151/2012, (EU) No 
652/2014, (EU) 2016/429 and (EU) 2016/2031 of the European Parliament and of the 
Council, Council Regulations (EC) No 1/2005 and (EC) No 1099/2009 and Council 
Directives 98/58/EC, 1999/74/EC, 2007/43/EC, 2008/119/EC and 2008/120/EC and 
repealing Regulations (EC) No 854/2004 and (EC) No 882/2004 of the European 
Parliament and of the Council, Council Directives 89/608/EEC, 89/662/EEC, 
90/425/EEC, 91/496/EEC, 96/23/EC, 96/93/ EC and 97/78/EC and Council Decision 
92/438/EEC (Official Controls Regulation) (OJ L 95, 7.4.2017, p. 1)  and certify that the 
fishery products described above were produced in accordance with those requirements, 
in particular that the vessel appears on the  list of vessels from which imports to the 
Union are permitted (being ‘EU -listed’);  
 the vessel has a programme based on the hazard analysis and critical control points  
(HACCP) principles to control hazards in accordance with Regulation (EC) No 
852/2004;  
 have been caught and handled on board vessels, landed, handled and where appropriate 
prepared, processed, frozen and thawed hygienically in compliance with the 
requirements laid down in Section VIII, Chapters I to IV of Annex III to Regulation 
(EC) No 853/ 2004.Viscera and parts that may pose a danger to public health have been 
removed as quickly as possible and kept apart from products intended for human 
consumption  
 satisfy the health standards laid down in Section VIII, Chapter V of Annex III to 
Regulation  (EC) No 853/2004 and, where appropriate, the criteria laid down in 
Commission Regulation (EC) No 2073/2005  of 15 November 2005 on microbiological 
criteria for foodstuffs (OJ L 138, 22.12.2005, p. 1);  
 have been packaged, stored and transported in complian ce with Section VIII, Chapters 
VI to VIII of Annex III to Regulation (EC) No 853/2004;  
 have been marked in accordance with Section I of Annex II to Regulation (EC) No 
853/2004;  Part II: Certification  
 
 
 
 24 
  COUNTRY  Fishery products  
 fulfil the guarantees covering live animals and products thereof, if of aquacul ture origin, 
provided by the residue plans submitted in accordance with Council Directive 96/23/EC 
of 29 April 1996 on measures to monitor certain substances and residues thereof in live 
animals and animal products and repealing Directives 85/358/EEC and 8 6/469/EEC and 
Decisions 89/187/EEC and 91/664/EEC (OJ L 125, 23.5.1996, p. 10). , and in particular 
Article 29 thereof  
 ; 
 frozen fishery products have been kept at a temperature of not more than – 18 °C in all 
parts of the product, except whole fish initiall y frozen in brine intended for the 
manufacture of canned food which may be kept at a temperature of not more than –
 9 °C ; 
 
 
 
Notes  
See notes in Annex II of  Commission  Implementing Regulation (EU)[SANTE/10281/ -2018] of 
../../…. laying down model official certificates for certain animals and goods in 
accordance with Article 90 of Regulation (EU) 2017/625 of the European Parliament 
and of the Council and amending Implementing Regulation (EU) 2016/759 as regard 
model certificates (OJ …, ../../…., p. ..)  
 
Part  I: 
. 
 Box reference I.2: A unique document number according to your own classification.  
 Box reference I.5:  
 The name and address (street, town and post code) of the physical or legal person to 
whom the consignment is imported directly to in the Member State  of destination.  
 Box reference I.7: The country whose flag is being flown by the vessel issuing this 
document..  
 Box reference I.11: The name of the vessel and approval number as listed in 
accordance with Article  14(1) of Commission Delegated Regulation (EU ) …/…. of 
../../…. supplementing Regulation (EU) 2017/625 of the European Parliament and of 
the Council with regard to conditions to be respected by consignments of certain 
animals and goods entering the Union (OJ L …., ../../…., p. …).  from which the 
fishery products are directly imported.  
 Box reference I.25: Use the appropriate harmonised system (HS) code of the World Customs 
Organisation under the chapter 0303.  
 
 Captain of the  vessel  
 Name (in capital letters):  
 Date:  Signature:  
 Stamp:  25 
 PART III  
MODEL OFFICIAL CERTIFICATE FOR THE ENTRY IN TO THE UNION FOR 
PLACING ON THE MARKET OF CHILLED, FROZEN OR PREPARED FROGS’ 
LEGS INTENDED FOR HUMAN CONSUMPTION  
 
COUNTRY Official Certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8 I.9. Country of destination  ISO I.10
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Human consumption
I,21 I.22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name) Treatment type
Manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.26 
  COUNTRY  Model FRG  
 Chilled, frozen or prepared frogs' legs  
 II. Health information  II.a. Certificate reference No  II.b. 
 II.1. Public health attestation  
 I, the undersigned, declare that I am aware of the relevant provisions of Regulation (EC) No  178/2002 of 
the European Parliament and of the Council  of 28  January 2002 laying down the general principles and 
requirements of food law, establishing the European Food Safety Authority and laying down procedures 
in matters of food safety (OJ L 31, 1.2.2002, p. 1), Regulation (EC) No 852/2004 of the European  
Parliament and of the Council of 29  April 2004 on the hygiene of foodstuffs (OJ L 139, 30.4.2004, p. 1) 
and Regulation (EC) No 853/2004 of the European Parliament and of the Council of 29  April 2004 laying 
down specific hygiene rules for food of animal or igin (OJ L 139, 30.4.2004, p. 55)  ) and Regulation (EU) 
2017/625 of the European Parliament and of the Council of 15 March 2017 on official controls and other 
official activities performed to ensure the application of food and feed law, rules on animal hea lth and 
welfare, plant health and plant protection products, amending Regulations (EC) No 999/2001, (EC) No 
396/2005, (EC) No 1069/2009, (EC) No 1107/2009, (EU) No 1151/2012, (EU) No 652/2014, (EU) 
2016/429 and (EU) 2016/2031 of the European Parliament and  of the Council, Council Regulations (EC) 
No 1/2005 and (EC) No 1099/2009 and Council Directives 98/58/EC, 1999/74/EC, 2007/43/EC, 
2008/119/EC and 2008/120/EC and repealing Regulations (EC) No 854/2004 and (EC) No 882/2004 of 
the European Parliament and of  the Council, Council Directives 89/608/EEC, 89/662/EEC, 90/425/EEC, 
91/496/EEC, 96/23/EC, 96/93/EC and 97/78/EC and Council Decision 92/438/EEC (Official Controls 
Regulation)  (OJ L 95, 7.4.2017, p. 1),  and  
I certify that the frogs’ legs described above were produced in accordance with these requirements, in 
particular that they:  
 - come from (an) establishment(s) implementing a programme based on the hazard analysis and critical 
control points  (HACCP) principles in accordance with Article  5 of Regulation  (EC) No 852/2004;  
-  have been handled and, where appropriate, prepared, packaged and stored in a hygienic manner in 
accordance with the requirements of Annex II to Regulation (EC) No 852/2004;  
 and 
 - originate from frogs that have been bled, prepared an d, where appropriate, chilled, frozen or 
processed, packaged and stored in a hygienic manner in accordance with the requirements of 
Section  XI of Annex  III to Regulation (EC) No  853/2004.  
 
 
 
 
 
 
 
 
Notes  
See notes in Annex II of Commission Implementing Regulation (EU)[SANTE/10281/ -2018] of ../../…. laying 
down model official certificates for certain animals and goods in accordance with Article 90 of Regulation 
(EU) 2017/625 of the European Parliament and of the Council and amending Implementing Regulatio n (EU) 
2016/759 as regard model certificates (OJ …, ../../…., p. ..)  
 
Part I:  
 Box reference I.25: Use the appropriate CN code under the following headings: 0208 90 70 , 0210 99 39 
or 1602 90 99 . 
 Box reference I.25: Treatment type : fresh, treated.  
 
Part II:  
 The colour of the stamp and signature must be different from that of the other particulars in the certificate.  
 Part II: Certification  
 
 
 
 27 
  COUNTRY  Model FRG  
 Chilled, frozen or prepared frogs' legs  
 II. Health information  II.a. Certificate reference No  II.b. 
 Official inspector  
 Name (in capital letters):  Qualification and title:  
 Date:  Signature:  
 Stamp:  28 
 PART IV  
MODEL OFFICIAL CERTIFICATE FOR THE ENTRY IN TO THE UNION FOR 
PLACING ON THE MARKET OF CHILLED, FROZEN, SHELLED, COOKED, 
PREPARED OR PRESERVED SNAILS INTENDED FOR HUMAN CONSUMPTION  
COUNTRY Official Certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8 I.9. Country of destination  ISO I.10
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Human consumption
I,21 I.22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name) Treatment type
Manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.
 29 
  COUNTRY  Model SNS  
 Chilled, frozen, cooked, prepared or preserved snails  
 II. Health information  II.a. Certificate reference No  II.b. 
 II.1. Public health attestation  
 I, the undersigned, declare that I am aware of the relevant provisions of Regulation (EC) No 178/2002 of 
the European Parliament and of the Council of 28  January 2002 laying down the general principles and 
requirements of food law, establishing the Europea n Food Safety Authority and laying down procedures 
in matters of food safety (OJ L 31, 1.2.2002, p. 1), Regulation (EC) No 852/2004 of the European 
Parliament and of the Council of 29  April 2004 on the hygiene of foodstuffs (OJ L 139, 30.4.2004, p. 1) 
and Regulation (EC) No 853/2004 of the European Parliament and of the Council of 29  April 2004 laying 
down specific hygiene rules for food of animal origin (OJ L 139, 30.4.2004, p. 55) and Regulation (EU) 
2017/625 of the European Parliament and of the Council of 15 March 2017 on official controls and other 
official activities performed to ensure the application of food and feed law, rules on animal health and 
welfare, plant health and plant protection products, amending Regulations (EC) No 999/2001, (EC) No 
396/2005, (EC) No 1069/2009, (EC) No 1107/2009, (EU) No 1151/2012, (EU) No 652/2014, (EU) 
2016/429 and (EU) 2016/2031 of the European Parliament and of the Council, Council Regulations (EC) 
No 1/2005 and (EC) No 1099/2009 and Council Directives 98/58/EC, 1999 /74/EC, 2007/43/EC, 
2008/119/EC and 2008/120/EC and repealing Regulations (EC) No 854/2004 and (EC) No 882/2004 of 
the European Parliament and of the Council, Council Directives 89/608/EEC, 89/662/EEC, 90/425/EEC, 
91/496/EEC, 96/23/EC, 96/93/EC and 97/78/E C and Council Decision 92/438/EEC (Official Controls 
Regulation)  (OJ L 95, 7.4.2017, p. 1), and  
I certify that the snails described above were produced in accordance with these requirements, in 
particular that they:  
 - come from (an) establishment(s) implementing a programme based on the hazard analysis and critical 
control points  (HACCP) principles in accordance with Article  5 of Regulation (EC) No 852/2004;  
-   have been handled and, where appropriate, prepared, packag ed and stored in a hygienic manner in 
accordance with the requirements of Annex II to Regulation (EC) No 852/2004;  
 and 
 - have been handled and, where appropriate, shelled, cooked, prepared, preserved, frozen, packaged and 
stored in a hygienic manner in accordance with the requirements of Section  XI of Annex III to 
Regulation (EC) No 853/2004.  
 
 
 
 
 
 
 
 
 
Notes  
See notes in Annex II of  Commission  Implementing Regulation (EU)[SANTE/10281/ -2018] of ../../…. laying 
down model official certificates for certain a nimals and goods in accordance with Article 90 of Regulation 
(EU) 2017/625 of the European Parliament and of the Council and amending Implementing Regulation (EU) 
2016/759 as regard model certificates (OJ …, ../../…., p. ..) ] 
Part I:  
 Box reference I.25: Use the appropriate CN/HS code under the following headings: 03 07 60 00, or 1605.  
 Box reference I.25: Treatment type : fresh, treated.  
 
Part II:  
 The colour of the stamp and signature must be different from that of the other particulars in the certificate . 
 Part II: Certification  
 
 
 
 30 
  COUNTRY  Model SNS  
 Chilled, frozen, cooked, prepared or preserved snails  
 II. Health information  II.a. Certificate reference No  II.b. 
 Official inspector  
 Name (in capital letters):  Qualification and title:  
 Date:  Signature:  
 Stamp:  31 
 PART V  
MODEL OFFICIAL CERTIFICATE FOR THE ENTRY IN TO THE UNION FOR 
PLACING ON THE MARKET OF RENDERED ANIMAL FATS AND GREAVES  
INTENDED FOR HUMAN CONSUMPTION  
COUNTRY Official Certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8 I.9. Country of destination  ISO I.10
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Human consumption
I,21 I.22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name)
Manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.
 32 
  COUNTRY  Rendered animal fats and greaves  
intended for human consumption  
 II. Health information  II.a. Certificate reference No  II.b. 
 II.1. Public health attestation  
 I, the undersigned, declare that I am aware of the relevant provisions of Regulation (EC) No  178/2002 of 
the European Parliament and of the Council of 28  January 2002 laying down the general  principles and 
requirements of food law, establishing the European Food Safety Authority and laying down procedures 
in matters of food safety (OJ L 31, 1.2.2002, p. 1), Regulation (EC) No  852/2004 of the European 
Parliament and of the Council of 29  April 2004 on the hygiene of foodstuffs (OJ L 139, 30.4.2004, p. 1) 
and Regulation (EC) No 853/2004 of the European Parliament and of the Council of 29  April 2004 laying 
down specific hygiene rules for food of animal origin (OJ L 139, 30.4.2004, p. 55)  and Regulation (EU) 
2017/625 of the European Parliament and of the Council of 15 March 2017 on official controls and other 
official activities performed to ensure the application of food and feed law, rules on animal health and 
welfare, plant health and plant protection products, amending Regulations (EC) No 999/2001, (EC) No 
396/2005, (EC) No 1069/2009, (EC) No 1107/2009, (EU) No 1151/2012, (EU) No 652/2014, (EU) 
2016/429 and (EU) 2016/2031 of the European Parliament and of the Council, Council Regulations (EC ) 
No 1/2005 and (EC) No 1099/2009 and Council Directives 98/58/EC, 1999/74/EC, 2007/43/EC, 
2008/119/EC and 2008/120/EC and repealing Regulations (EC) No 854/2004 and (EC) No 882/2004 of 
the European Parliament and of the Council, Council Directives 89/608/ EEC, 89/662/EEC, 90/425/EEC, 
91/496/EEC, 96/23/EC, 96/93/EC and 97/78/EC and Council Decision 92/438/EEC (Official Controls 
Regulation)  (OJ L 95, 7.4.2017, p. 1), and  
I certify that the rendered animal fats and greaves described above were produced in accordance with 
these requirements, in particular:  
 - that they  come  from (an) establishment(s) implementing a programme based on the hazard analysis 
and critical control points  (HACCP) principles in accordance with Regulation (EC) No 852/2004;  
 - that the y have  been handled and, where appropriate, prepared, packaged and stored in a hygienic 
manner in accordance with the requirements of Annex II to Regulation (EC) No 852/2004; and  
 - that they comply with the requirements of Section XII of Annex III to Regu lation (EC) No  853/2004.  
  
II.2 Animal health attestation  
I, the undersigned official veterinarian, hereby certify, that the rendered animal fats and greaves described 
above meet the following requirements and comes from  
 
II.2.1. either third countries te rritories and parts thereof appearing in the list authorised for export to the 
Union of fresh meat in accordance with Part I, of Annex II to x II to Commission Regulation (EU) No 
206/2010 of 12 March 2010 laying down lists of third countries, territories o r parts thereof authorised for 
the introduction into the European Union of certain animals and fresh meat and the veterinary certification 
requirements (OJ L 73, 20.3.2010 : 
 
II.2.1. or third countries, territories and parts thereof authorised for export to  the Union of fresh meat of 
poultry in accordance with Part 1, of Annex I to to Commission Regulation (EC) 798/2008 of 8 August 
2008 laying down a list of third countries, territories, zones or compartments from which poultry and 
poultry products may be im ported into and transit through the Community and the veterinary certification 
requirements (OJ L 226, 23.8.2008, p. 1) ; 
 
II.2.1. or third countries, territories and parts thereof authorised for export to the Union of meat products 
of the species of concer n subject to the application of the treatment specified for the animal species of 
origin of the meat product and set out in the list of third countries and territories in Part 1, of Annex II of  
Commission Decision 2007/777 /EC of 29 November 2007 laying down the animal and public health 
conditions and model certificates for imports of certain meat products and treated stomachs, bladders and 
intestines for human consumption from third countries and repealing D ecision 2005/432/EC ( OJ L 312, 
30.11.2007, p. 4 9). 
 
Notes  
See notes in Annex II of  Commission  Implementing Regulation (EU) [SANTE/10281/ -2018]  of ../../…. laying 
down model official certificates for certain animals and goods in accordance with Arti cle 90 of Regulation 
(EU) 2017/625 of the European Parli ament and of the Council and amending Implementing Regulation (EU) 
2016/759 as regard model certificates  (OJ …, ../../…., p. ..)  
 Part II: Certification  
 
 
 
 33 
  COUNTRY  Rendered animal fats and greaves  
intended for human consumption  
 II. Health information  II.a. Certificate reference No  II.b. 
Part I:  
. 
 Box reference I.25: Use the appropriate CN/HS code under the headings of 1501, 1502, 1503 00, 1504, 1506 
00 00, 15 16 10, 1517, 1518 00 91, 1518 00 95, 1518 00 99.. or 2301.  
 
Part II:  
 The colour of the stamp and signature must be different from that of the other particulars in the certificate.  
 
 Official veterinarian  Name (in capital letters):
 Qualification and title:  
 Date:  Signature:  
 Stamp:  34 
 PART VI  
MODEL OFFICIAL CERTIFICATE FOR THE ENTRY IN TO THE UNION FOR 
PLACING ON THE MARKET OF GELATINE INTENDED FOR HUMAN 
CONSUMPTION  
COUNTRY Official Certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8 I.9. Country of destination  ISO I.10
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Human consumption
I,21 I.22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name)
Manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.
 35 
  COUNTRY  Model GEL  
 Gelatine intended for human consumption  
 II. Health information  II.a. Certificate reference No  II.b. 
 II.1. Public health attestation  
 I, the undersigned, declare that I am aware of the relevant provisions of Regulation (EC) No 
178/2002 of the  European Parliament and of the Council of 28  January 2002 laying down the 
general principles and requirements of food law, establishing the European Food Safety 
Authority and laying down procedures in matters of food safety (OJ L 31, 1.2.2002, p.1), 
Regul ation (EC) No 852/2004 of the European Parliament and of the Council of 29  April 2004 
on the hygiene of foodstuffs (OJ L 139, 30.4.2004, p. 1) and Regulation (EC) No 853/2004 of 
the European Parliament and of the Council of 29  April 2004 laying down specif ic hygiene 
rules for food of animal origin (OJ L 139, 30.4.2004, p.55)  and Regulation (EU) 2017/625 of 
the European Parliament and of the Council of 15 March 2017 on official controls and other 
official activities performed to ensure the application of foo d and feed law, rules on animal 
health and welfare, plant health and plant protection products, amending Regulations (EC) No 
999/2001, (EC) No 396/2005, (EC) No 1069/2009, (EC) No 1107/2009, (EU) No 1151/2012, 
(EU) No 652/2014, (EU) 2016/429 and (EU) 2016/ 2031 of the European Parliament and of the 
Council, Council Regulations (EC) No 1/2005 and (EC) No 1099/2009 and Council Directives 
98/58/EC, 1999/74/EC, 2007/43/EC, 2008/119/EC and 2008/120/EC and repealing Regulations 
(EC) No 854/2004 and (EC) No 882/200 4 of the European Parliament and of the Council, 
Council Directives 89/608/EEC, 89/662/EEC, 90/425/EEC, 91/496/EEC, 96/23/EC, 96/93/EC 
and 97/78/EC and Council Decision 92/438/EEC (Official Controls Regulation ) (OJ L 95, 
7.4.2017, p. 1), and  
I certify that  the gelatine described above was produced in accordance with these requirements, 
in particular that:  
– it comes from (an) establishment(s) implementing a programme based on the hazard 
analysis and critical control points (HACCP) principles in accordance with Article  5 of 
Regulation (EC) No 852/2004;  
– it has been produced from raw materials that met the requirements of Chapters I and II 
of Section XIV of Annex III to Regulation (EC) No  853/2004;  
– it has been manufactured in compliance with the conditions set  out in Chapter III of 
Section XIV of Annex III to Regulation (EC) No  853/2004;  
– it satisfies the criteria of Chapter IV of Section XIV of Annex III to Regulation (EC) No 
853/2004 and of Commission Regulation (EC) No  2073/2005 of 15  November 2005 on 
microbi ological criteria for foodstuffs (OJ L 338, 22.12.2005, p. 1);  
(1)and, if of bovine, ovine and caprine animal origin,  
it has been derived from animals which have passed ante -mortem and post -mortem inspections,  
(1)and, except for gelatine derived from hides  and skins,  
(1)either  
– [it comes from a country or a region classified under Commission Decision 
2007/453/EC  of 29  June 2007 establishing the BSE status of Member States or third 
countries or regions thereof according to their BSE risk (OJ L 172, 30.6.2007,  p. 84) as 
a country or region posing a negligible BSE risk;  
– the gelatine does not contain and is not derived from specified risk material as defined 
in point 1 of Annex V to  Regulation (EC) No  999/2001 of the European Parliament and 
of the Council of 22  May 2001 laying down rules for the prevention, control and 
eradication of certain transmissible spongiform encephalopathies (OJ L 147, 31.5.2001, 
p. 1)(2); 
– the gelatine does not contain and is not derived from mechanically separated meat 
obtained from the bones of bovine, ovine or caprine animals, except for gelatine derived 
from animals that were born, continuously reared and slaughtered in a country or region 
classified under Decision 2007/453/EC as a country or region posing a negligible BSE 
risk in whic h there has been no indigenous BSE cases;  
– the animals, from which the gelatine is derived were not slaughtered after stunning by Part II: Certification  
 
 
 
 36 
  COUNTRY  Model GEL  
 Gelatine intended for human consumption  
 II. Health information  II.a. Certificate reference No  II.b. 
means of gas injected into the cranial cavity or killed by the same method or 
slaughtered, after stunning, by laceration of cen tral nervous tissue by means of an 
elongated rod -shaped instrument introduced into the cranial cavity, except if the 
animals were born, continuously reared and slaughtered in a country or region classified 
under Decision 2007/453/EC as a country or region posing a negligible BSE risk;  
– (1)[the animals, from which the gelatine is derived, originate from a country or region 
classified under Decision 2007/453/EC as a country or region posing an undetermined 
BSE risk, and the animals were not fed with meat -and-bone meal or greaves, as defined 
in the Terrestrial Animal Health Code of the World Organisation for Animal Health] ; 
– (1)[the animals, from which the gelatine is derived, originate from a country or region 
classified under Decision 2007/453/EC as a country or region posing an undetermined 
BSE risk, and the gelatine was produced and handled in a manner which ensures that it 
did not contain and was not contaminated with nervous and lymphatic tissues exposed 
during the deboning process .]] 
(1)Or 
– [it comes from a country or a region classified und er Decision 2007/453/EC of 29  June 
2007 establishing the BSE status of Member States or third countries or regions thereof 
according to their BSE risk (OJ L 172, 30.6.2007, p. 84) as a country or region posing a 
controlled BSE risk;  
– the animals, from which  the gelatine is derived, were not killed, after stunning, by 
laceration of central nervous tissue by means of an elongated rod -shaped instrument 
introduced into the cranial cavity, or by means of gas injected into the cranial cavity;  
– the gelatine does not  contain and is not derived from specified risk material as defined 
in point 1 of Annex V to Regulation (EC) No  999/2001, or mechanically separated meat 
obtained from the bones of bovine, ovine or caprine animals.]  
 (1)Or 
– [it comes from a country or a regi on classified under Decision 2007/453/EC  of 29  June 
2007 establishing the BSE status of Member States or third countries or regions thereof 
according to their BSE risk (OJ L 172, 30.6.2007, p. 84)  as a country or region with an 
undetermined BSE risk;  
– the a nimals, from which the gelatine is derived, were not fed meat -and-bone meal or 
greaves derived from ruminants, as defined in the Terrestrial Animal health Code of the 
World Organisation for Animal Health;  
– the animals, from which the gelatine is derived, we re not killed, after stunning, by 
laceration of central nervous tissue by means of an elongated rod -shaped instrument 
introduced into the cranial cavity, or by means of gas injected into the cranial cavity;  
– the gelatine is not derived from:  
(i) specified r isk material as defined in point 1 of Annex V to Regulation (EC) No 
999/2001;  
(ii) nervous and lymphatic tissues exposed during the deboning process;  
(iii) mechanically separated meat obtained from the bones of bovine, ovine or 
caprine animals.  
 
 
 
 
Notes  
See notes in Annex II of Commission Implementing Regulation (EU)[SANTE/10281/ -2018] of ../../…. laying 
down model official certificates for certain animals and goods in accordance with Article 90 of Regulation 
(EU) 2017/625 of the European Parliament and o f the Council and amending Implementing Regulation (EU) 37 
  COUNTRY  Model GEL  
 Gelatine intended for human consumption  
 II. Health information  II.a. Certificate reference No  II.b. 
2016/759 as regard model certificates (OJ …, ../../…., p. ..)  
 
Part I:  
 Box reference I.25: Use the appropriate Harmonised System (HS) code under the heading of 3503.  
 
Part II:  
(1) Delete as appropriate.  
(2) The removal of specified risk material is not required if the gelatine is derived from animals born, continuously 
reared and slaughtered in a third country or region of a third country classified in accordance with Decision 
2007/453/EC as posing a negligible BSE risk.  
 The colour of the stamp and signature must be different from that of the other particulars in the certificate.  
 
 Official veterinarian  Name (in capital letters):
 Qualification and title:  
 Date:  Signature:  
 Stamp:  
 38 
 PART VII  
MODEL OFFICIAL CERTIFICATE FOR THE ENTRY IN TO THE UNION FOR 
PLACING ON THE MARKET OF COLLAGEN  INTENDED FOR HUMAN 
CONSUMPTION  
COUNTRY Official Certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8 I.9. Country of destination  ISO I.10
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Human consumption
I,21 I.22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name)
Manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.
 39 
  COUNTRY  Model COL  
 Collagen  intended for human consumption   
 II. Health information  II.a. Certificate reference No  II.b. 
 II.1. Public health attestation  
 I, the undersigned, declare that I am aware of the relevant provisions of Regulation (EC) No 
178/2002 of the European Parliament and of the Council of 28  January 2002 laying down the 
general principles and requirements of food law, establishing the Europea n Food Safety 
Authority and laying down procedures in matters of food safety (OJ L 31, 1.2.2002, p. 1), 
Regulation (EC) No 852/2004 of the European Parliament and of the Council of 29  April 2004 
on the hygiene of foodstuffs (OJ L 139, 30.4.2004, p. 1) and Regulation (EC) No 853/2004 of 
the European Parliament and of the Council of 29  April 2004 laying down specific hygiene 
rules for food of animal origin (OJ L 139, 30.4.2004, p. 55) and Regulation (EU) 2017/625 of 
the European Parliament and of the Council of 15 March 2017 on official controls and other 
official activities performed to ensure the application of food and feed law, rules on animal 
health and welfare, plant health and plant protection products, amending Regulations (EC) No 
999/2001, (EC) No 396 /2005, (EC) No 1069/2009, (EC) No 1107/2009, (EU) No 1151/2012, 
(EU) No 652/2014, (EU) 2016/429 and (EU) 2016/2031 of the European Parliament and of the 
Council, Council Regulations (EC) No 1/2005 and (EC) No 1099/2009 and Council Directives 
98/58/EC, 1999 /74/EC, 2007/43/EC, 2008/119/EC and 2008/120/EC and repealing Regulations 
(EC) No 854/2004 and (EC) No 882/2004 of the European Parliament and of the Council, 
Council Directives 89/608/EEC, 89/662/EEC, 90/425/EEC, 91/496/EEC, 96/23/EC, 96/93/EC 
and 97/78/E C and Council Decision 92/438/EEC (Official Controls Regulation ) (OJ L 95, 
7.4.2017, p. 1), and  
I certify that the collagen described above was produced in accordance with these requirements, 
in particular that:  
– it comes from (an) establishment(s) implementing a programme based on the hazard 
analysis and critical control points (HACCP) principles in accordance with Article  5 of 
Regulation (EC) No 852/2004;  
– it has been produced from raw materials that met the requirements of Chapters I and II 
of Section XV of Annex III to Regulation (EC) No  853/2004;  
– it has been manufactured in compliance with the conditions set out in Chapter III of 
Section XV of Annex III to Regulation (EC) No  853/2004;  
– it satisfies the criteria of Chapter IV of Section XV of An nex III to Regulation (EC) No 
853/2004 and of Commission Regulation (EC) No  2073/2005 of 15  November 2005 on 
microbiological criteria for foodstuffs (OJ L 338, 22.12.2005, p. 1);  
(1)and, if of bovine, ovine and caprine animal origin,  
it has been derived fr om animals which have passed ante -mortem and post -mortem inspections,  
(1)and, except for collagen derived from hides and skins,  
(1)either  
– [it comes from a country or a region classified under Commission Decision 
2007/453/EC  of 29  June 2007 establishing the  BSE status of Member States or third 
countries or regions thereof according to their BSE risk (OJ L 172, 30.6.2007, p. 84) as 
a country or region posing a negligible BSE risk;  
– the collagen does not contain and is not derived from specified risk material a s defined 
in point 1 of Annex V to  Regulation (EC) No 999/2001 of the European Parliament and 
of the Council of 22  May 2001 laying down rules for the prevention, control and 
eradication of certain transmissible spongiform encephalopathies (OJ L 147, 31.5.2 001, 
p. 1)(2); 
– the collagen does not contain and is not derived from mechanically separated meat 
obtained from bones of bovine, ovine or caprine animals, except for collagen derived 
from animals that were born, continuously reared and slaughtered in a coun try or region 
classified in accordance with Decision 2007/453/EC as a country or region posing a 
negligible BSE risk in which there has been no indigenous BSE cases;  
– the animals from which the collagen was derived have not been slaughtered after Part II: Certification  
 
 
 
 40 
  COUNTRY  Model COL  
 Collagen  intended for human consumption   
 II. Health information  II.a. Certificate reference No  II.b. 
stunning b y means of gas injected into the cranial cavity or killed by the same method 
or slaughtered, after stunning, by laceration of central nervous tissue by means of an 
elongated rod -shaped instrument introduced into the cranial cavity, except if the 
animals we re born, continuously reared and slaughtered in a country or region classified 
in accordance with Decision 2007/453/EC as a country or region posing a negligible 
BSE risk;  
– (1)[the animals, from which the collagen is derived, originate from a country or reg ion 
classified under Decision 2007/453/EC, and the animals were not fed with meat -and-
bone meal or greaves, as defined in the OIE Terrestrial Animal Health Code ]; 
– (1)[the animals, from which the collagen is derived, originate from a country or region 
class ified under Decision 2007/453/EC as a country or region posing an undetermined 
BSE risk, and the collagen was produced and handled in a manner which ensures that it 
did not contain and were not contaminated with nervous and lymphatic tissues exposed 
during  the deboning process .]] 
(1)or 
– [it comes from a country or a region classified under Decision 2007/453/EC of 29  June 
2007 establishing the BSE status of Member States or third countries or regions thereof 
according to their BSE risk (OJ L 172, 30.6.2007, p . 84) as a country or region posing a 
controlled BSE risk;  
– the animals, from which the collagen is derived, were not killed, after stunning, by 
laceration of central nervous tissue by means of an elongated rod -shaped instrument 
introduced into the cranial cavity, or by means of gas injected into the cranial cavity;  
– the collagen does not contain and is not derived from specified risk material as defined 
in point 1 of Annex V to Regulation (EC) No  999/2001, or mechanically separated meat 
obtained from the bon es of bovine, ovine or caprine animals.]  
(1)or 
– [it comes from a country or a region classified under in accordance with Decision 
2007/453/EC of 29  June 2007 establishing the BSE status of Member States or third 
countries or regions thereof according to the ir BSE risk (OJ L 172, 30.6.2007, p. 84) as 
a country or region with an undetermined BSE risk;  
– the animals, from which the collagen is derived, were not fed meat -and-bone meal or 
greaves derived from ruminants, as defined in the Terrestrial Animal health C ode of the 
World Organisation for Animal Health;  
– the animals, from which the collagen is derived were not killed, after stunning, by 
laceration of central nervous tissue by means of an elongated rod -shaped instrument 
introduced into the cranial cavity, or by means of gas injected into the cranial cavity;  
– the collagen is not derived from:  
(i) specified risk material as defined in point 1 of Annex V to Regulation (EC) No 
999/2001;  
(ii) nervous and lymphatic tissues exposed during the deboning process;  
(iii) mechanically separated meat obtained from the bones of bovine, ovine or 
caprine animals.]  
 
Notes  
See notes in Annex II of  Commission  Implementing Regulation (EU)[SANTE/10281/ -2018] of ../../…. laying 
down model official certificates for certain animals and goods in accordance with Article 90 of Regulation 
(EU) 2017/625 of the European Parliament and of the Council and amending Implementing Regulation (EU) 
2016/759 as regard model certificates (OJ …, ../../…., p. ..)  
 
Part I:  41 
  COUNTRY  Model COL  
 Collagen  intended for human consumption   
 II. Health information  II.a. Certificate reference No  II.b. 
 Box reference I.25: This certif icate may also be used for importing collagen casings.  
 Box reference I.25: Use the appropriate harmonised System (HS) code under the headings of 3504 or 3917.  
 
Part II:  
(1) Delete as appropriate.  
(2) The removal of specified risk material is not required  if the collagen is derived from animals born, 
continuously reared and slaughtered in a third country or region of a third country classified under Decision 
2007/453/EC as posing a negligible BSE risk.  
 The colour of the stamp and signature must be differ ent from that of the other particulars in the certificate.  
 
 Official veterinarian  
 Name (in capital letters):  Qualification and title:  
 Date:  Signature:  
 Stamp:  42 
 PART VIII  
MODEL OFFICIAL CERTIFICATE FOR THE ENTRY IN TO THE UNION FOR 
PLACING ON THE MARKET OF RAW MATERIALS FOR THE PRODUCTION OF 
GELATINE/COLLAGEN INTENDED FOR HUMAN CONSUMPTION  
 
  
COUNTRY Official Certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8. Region of origin Code I.9. Country of destination  ISO I.10
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Human consumption
I,21 I.22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name) Nature of commodity
Manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.43 
  
 COUNTRY  Model RCG  
 Raw materials for the production of collagen/  
 gelatine  intended for human consumption   
 II. Health information  II.a. Certificate reference No  II.b. 
 II.1. Public health attestation  
 ‘I, the undersigned, declare that I am aware of the relevant provisions of Regulation (EC) No 
178/2002 of the European Parliament and of the Council of 28  January 2002 laying down the 
general principles and requirements of food law, establishing the Europe an Food Safety 
Authority and laying down procedures in matters of food safety (OJ L 31, 1.2.2002, p. 1), 
Regulation (EC) No 852/2004 of the European Parliament and of the Council of 29  April 2004 
on the hygiene of foodstuffs (OJ L 139, 30.4.2004, p. 1), Re gulation (EC) No  853/2004 of the 
European Parliament and of the Council of 29  April 2004 laying down specific hygiene rules 
for food of animal origin (OJ L 139, 30.4.2004, p. 55) and Regulation (EU) 2017/625 of the 
European Parliament and of the Council of  15 March 2017 on official controls and other 
official activities performed to ensure the application of food and feed law, rules on animal 
health and welfare, plant health and plant protection products, amending Regulations (EC) No 
999/2001, (EC) No 396/2 005, (EC) No 1069/2009, (EC) No 1107/2009, (EU) No 1151/2012, 
(EU) No 652/2014, (EU) 2016/429 and (EU) 2016/2031 of the European Parliament and of the 
Council, Council Regulations (EC) No 1/2005 and (EC) No 1099/2009 and Council Directives 
98/58/EC, 1999/7 4/EC, 2007/43/EC, 2008/119/EC and 2008/120/EC and repealing Regulations 
(EC) No 854/2004 and (EC) No 882/2004 of the European Parliament and of the Council, 
Council Directives 89/608/EEC, 89/662/EEC, 90/425/EEC, 91/496/EEC, 96/23/EC, 96/93/EC 
and 97/78/EC and Council Decision 92/438/EEC (Official Controls Regulation ) (OJ L 95, 
7.4.2017, p. 1) , and  
I certify that the raw materials described above comply with these requirements, in particular 
that: 
– (1) [bones, hides and skins of domestic and farmed ruminant animals, pigs and poultry, 
as well as tendons and sinews described above are derived from animals which were 
slaughtered in a slaughterhouse and the carcasses of which were found to be fit for 
human consumption following ante - and post -mortem inspection;]  
and/or  
– (1)[wild game hides, skins and bones described above are derived from killed animals 
whose carcasses have been found to be fit for human consumption following post -
mortem inspection;]  
and/or  
– (1)[fish skins and bones described above are derived from plants that manufacture 
fishery products for human consumption which are authorised for export;]  
(1) and, if of bovine, ovine and caprine animal origin,  
– they have been derived from animals which passed ante -mortem and post -mortem 
inspections,  
(1) and, exce pt for hides and skins of ruminants,  
(1) either  
– [they come from a country or a region classified under Decision 2007/453/EC  of 
29 June 2007 establishing the BSE status of Member States or third countries or regions 
thereof according to their BSE risk (OJ L  172, 30.6.2007, p. 84)  as a country or region 
posing a negligible BSE risk;  
– they do not contain and are not derived from specified risk material as defined in point 
1 of Annex V to Regulation (EC) No 999/2001 of the European Parliament and of the 
Council of 22  May 2001 laying down rules for the prevention, control and eradication 
of certain transmissible spongiform encephalopathies (OJ L 147, 31.5.2001, p. 1)(6); 
– they do not contain and are not derived from mechanically separated meat obtained 
from bones o f bovine, ovine or caprine animals, except for raw materials derived from Part II: Certification  
 
 
 
 44 
  COUNTRY  Model RCG  
 Raw materials for the production of collagen/  
 gelatine  intended for human consumption   
 II. Health information  II.a. Certificate reference No  II.b. 
animals that were born, continuously reared and slaughtered in a country or region 
classified in accordance with Decision 2007/453/EC as a country or region posing a 
negligible BSE r isk in which there has been no indigenous BSE cases;  
– the animals, from which the raw materials are derived, were not slaughtered after  
stunning by means of gas injected into the cranial cavity or killed by the same method 
or slaughtered, after stunning, b y laceration of central nervous tissue by means of an 
elongated rod -shaped instrument introduced into the cranial cavity, except if the 
animals were born, continuously reared and slaughtered in a country or region classified 
under Decision 2007/453/EC as a  country or region posing a negligible BSE risk;  
– (1)[the animals, from which the raw materials are derived, originate from a country or 
region classified under Decision 2007/453/EC as a country or region posing an 
undetermined BSE risk, and the animals wer e not fed with meat -and-bone meal or 
greaves, as defined in the Terrestrial Animal Health Code of the World Organisation for 
Animal Health] ; 
– (1)[the animals, from which the raw materials are derived, originate from a country or 
region classified under Deci sion 2007/453/EC as a country or region posing an 
undetermined BSE risk, and the raw materials were produced and handled in a manner 
which ensures that they did not contain and were not contaminated with nervous and 
lymphatic tissues exposed during the deb oning process .]] 
(1)or 
– [they come from a country or a region classified under Decision 2007/453/EC of 
29 June 2007 establishing the BSE status of Member States or third countries or regions 
thereof according to their BSE risk (OJ L 172, 30.6.2007, p. 84) as a country or region 
posing a controlled BSE risk;  
– the animals, from which the raw materials of bovine, ovine and caprine animal origin 
intended for export are derived, were not killed, after stunning, by laceration of central 
nervous tissue by means of an elongated rod -shaped instrument introduced into the 
cranial cavity, or by means of gas injected into the cranial cavity;  
– the raw materials of bovine, ovine and caprine animal origin do not contain and are not 
derived from specified risk material as defi ned in point 1 of Annex V to Regulation 
(EC) No 999/2001, or mechanically separated meat obtained from the bones of bovine, 
ovine or caprine animals;]  
(1)or 
– [they come from a country or a region classified under Decision 2007/453/EC  of 
29 June 2007 establi shing the BSE status of Member States or third countries or regions 
thereof according to their BSE risk (OJ L 172, 30.6.2007, p. 84)  as a country or region 
with an undetermined BSE risk;  
– the animals, from which the raw materials are derived, were not fed m eat-and-bone 
meal or greaves derived from ruminants, as defined in the Terrestrial Animal Health 
Code of the World Organisation for Animal Health;  
– the animals from which the raw materials of bovine, ovine and caprine animal origin 
are derived, were not killed, after stunning, by laceration of central nervous tissue by 
means of an elongated rod -shaped instrument introduced into the cranial cavity, or by 
means of gas injected into the cranial cavity;  
– the raw materials are not derived from:  
(i) specified ri sk material as defined in point 1 of Annex V to Regulation (EC) No 
999/2001;  
(ii) nervous and lymphatic tissues exposed during the deboning process;  
(iii) mechanically separated meat obtained from the bones of bovine, ovine or 45 
  COUNTRY  Model RCG  
 Raw materials for the production of collagen/  
 gelatine  intended for human consumption   
 II. Health information  II.a. Certificate reference No  II.b. 
caprine animals.]  
II.2. Anima l Health Attestation(1) 
 I, the undersigned official veterinarian, certify that the raw materials described above:  
II.2.1.  consist of animal products that satisfy the animal health requirements below;  
II.2.2.  have been obtained in the territory of (1) either [:…………………….] (1) or […………….] (2)(3)(4) 
from::……………………………(2) from:  
(1)either  [II.2.2.1  animals that come from holdings and have remained in that territory since birth or for at 
least the last three months before slaughter; and have been obtained from ani mals coming 
from holdings]  
(1)either [(i) consist of materials derived from the species referred to in Commission 
Regulation (EU) No 206/2010 of 12 March 2010 laying down lists of third countries, 
territories or parts thereof authorised for the introductio n into the European Union of certain 
animals and fresh meat and the veterinary certification requirements (OJ L 73, 20.3.2010, p. 
1), satisfying all the relevant animal health import requirements laid down in that 
Regulation, and that were slaughtered for human consumption on a date for which import 
into the Union of fresh meat from animals of those species was authorised from the country 
or territory thereof in accordance with Column 8 of Part 1 of Annex II to that Regulation:]  
 
(1)Or  [(ii) consist of mat erials derived from the species referred to in Commission 
Regulation (EC) No 119/2009 laying down a list of third countries or parts thereof, for 
imports into, or transit through, the Community of meat of wild leporidae, of certain wild 
land mammals and of  farmed rabbits and the veterinary certification requirements (OJ L 39, 
10.2.2009, p.  12), satisfying all the relevant animal health import requirements laid down in 
that Regulation.]]  
 
(1)Or  
 
II.2.2.1  poultry that have remained in that territory since hatching or have been imported as day -old chicks or 
slaughter poultry from (a) third country(ies) listed for that commodity in Part 1 of Annex I 
to Commission Regulation (EC) No 798/2008  of 8 August 2008 laying down a list of third 
countries, territories, zones or compartments from which poultry meat may be imported into 
and transit through the Community and the veterinary certification requirements (OJ L 226, 
23.8.2008, p. 1), under conditions at least eq uivalent to those in that Regulation satisfying 
all the relevant animal health import requirements laid down in that Regulation and were 
slaughtered for human consumption on a date for which import into the Union of meat from 
animals of those species was a uthorised from the country or territory thereof in accordance 
with Column 6 B of Part 1 to Annex 1 to that Regulation.  
 
(1)Or   
 
[II.2.2.1] animals that have been killed in the wild in that territory(5); and captured and killed in an area:  
 (i) in which within 25 km there has been no case/outbreak of any of the following 
diseases for which the animals are susceptible: foot and mouth disease, rinderpest, 
Newcastle disease or highly pathogenic avian influenza during the prior 30 days, nor 
of classical or Af rican swine fever during the prior 40 days and  
 (ii) that is situated at a distance that exceeds 20 km from the borders separating another 
territory of a country or part thereof, which is not authorised on these dates to export 
these raw materials into the  Union, and  
 (iii) in which after killing were transported within 12 hours for chilling either to a 
collection centre and immediately afterwards to a game -handling establishment, or 
directly to a game -handling establishment;]  
II.2.3.  have been obtained in an establishment around which, within a radius of 10 km, there has been no 
case/outbreak of the following diseases that the animals are susceptible to: foot and mouth disease, 
rinderpest, Newcastle disease or highly pathogenic avian influenza, and classica l or African swine 46 
  COUNTRY  Model RCG  
 Raw materials for the production of collagen/  
 gelatine  intended for human consumption   
 II. Health information  II.a. Certificate reference No  II.b. 
fever during the prior 30 days or, in the event of a case of one of those diseases, the preparation of raw 
materials for export to the Union has been authorised only after the removal of all meat and the total 
cleaning and disinfection o f the establishment under the control of an official veterinarian;  
II.2.4.  have been obtained and prepared without contact with other materials that do not comply with the 
conditions required above, and have been handled so as to avoid contamination with pathogenic 
agents; and  
II.2.5.  have been transported in clean and officially sealed containers or lorries.  
 
 
 
Notes  
See notes in Annex II of Commission Implementing Regulation (EU)[SANTE/10281/ -2018] of ../../…. laying 
down model official certificates for certain animals and goods in accordance with Article 90 of Regulation 
(EU) 2017/625 of the European Parliament and of the Council and amending Implementing Regulation (EU) 
2016/759 as regard model certificates (OJ …, ../../…., p. ..)  
 
Part I:  
 Box reference I.8: provide the code of territory as appearing in Part I of Annex I to Regulation (EC) 798/2008 
and/or in Part 1 of Annex I to Regulation (EC) No 119/2009 and/or Part 1 of Annex II to Regulation (EU) No 
206/2010.  
 Box reference I.19: use the ap propriate HS code under the following headings: 0206, 0207, 0208, 0302, 0303, 
0305, 0505, 0506, 0511.91, 0511.99, 4101, 4102, and 4103.  
 Box reference I.25:  Nature of commodity:  hides, skins, bones, tendons and sinews;  
 Manufacturing plant : includes slaug hterhouse, factory vessel, cutting plant, game -handling 
establishment and processing plant.  
 
Part II:  
(1) Delete as appropriate. In the case of products derived from fishery products, the whole section II.2 should be 
deleted.  
(2) The name and ISO code numb er of the exporting country or territory or zone as laid down in:  
 - the Annex II of Commission Delegated Regulation (EU) …. of ….. supplementing Regulation (EU) 
2017/625 of the European Parliament and of the Council with regard to conditions to be respected by 
consignments of certain animals and good s entering the Union (OJ L …., ../../.., p. ..). ; 
 - Annex I to Regulation (EC) 798/2008;  
 - Part 1 of Annex II to Regulation (EC) No 119/2009;  
 - Part 1 of Annex II to Regulation (EC) No 206/2010.  
(3) If parts of the materials were derived from animals originating from (an)other third country(ies) listed in 
Annex II to Regulation (EU) No 206/2010 for import of that commodity into the EU, then the code(s) of 
country(ies) or territory(ies) and of the third  country slaughtering the animals shall be stated (the material 
cannot come from a country or territory that has supplementary guarantees A or F as indicated in column 5 of 
that Annex).  
(4)    If the meat comes from slaughter poultry originating from an(other) third country(ies) listed in Part 1 of Annex 
I to Regulation (EC) No 798/2008 for imports of that commodity into the EU, then the code(s) of country(ies) 
or territory(ies) and of the third country slaughtering the poultry shall be stated.  
(5)  Only for countries from where game meat intended for human consumption of the same animal species is 
authorised for importation into the Union.  
(6) The removal of specified risk material is not required if the raw materials derive from animals that are born,  
continuously reared and slaughtered in a third country or region of a third country classified under Decision 
2007/453/EC as posing a negligible BSE risk.  
 The signature and the stamp must be in a different colour to that of the printing.  
NB Note for the  person responsible for the consignment in the EU: this certificate is only for veterinary purposes 
and has to accompany the consignment until it reaches the border control post. The consignment must be 
transported directly to the manufacturing plant of de stination.  47 
  COUNTRY  Model RCG  
 Raw materials for the production of collagen/  
 gelatine  intended for human consumption   
 II. Health information  II.a. Certificate reference No  II.b. 
 
 Official veterinarian  
 Name (in capital letters):  Qualification and title:  
 Date:  Signature:  
 Stamp:  48 
 PART IX  
MODEL OFFICIAL CERTIFICATE FOR THE ENTRY IN TO THE UNION FOR 
PLACING ON THE MARKET  OF TREATED RAW MATERIALS FOR THE 
PRODUCTION OF GELATINE/COLLAGEN  INTENDED FOR HUMAN 
CONSUMPTION  
 
COUNTRY Official Certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8. Region of origin Code I.9. Country of destination  ISO I.10
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Human consumption
I,21 I.22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name) Nature of commodity
Manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.49 
  COUNTRY  Model TCG  
 Treated raw materials  for the production  
 of gelatine and collagen  intended for human consumption  
 II. Health information  II.a. Certificate reference No  II.b. 
 II.1. Public health attestation  
 I, the undersigned, certify that the treated raw materials described above comply with the 
following requirements:  
– they have been derived from establishments under the control of and listed by the 
competent authority  
and 
– (1)[bones, hides and skins of domestic and farmed ruminant animals, pigs and poultry 
described above are derived from animals which were slaughtered in a slaughterhouse 
and the carcasses of which were found to be fit for human consumption following ante - 
and post -mortem inspection,]  
(1)and/or  
– [wild game hides, skins and bones described above are derived from animals whose 
carcasses were found to be fit for human consumption following post -mortem 
inspection,]  
(1)and/or  
– [fish skins and bones described above are derived from plants that manufacture fishery 
products for human consumption which are authorised for export,]  
and 
(1)either  
– [they are dried bones of species from bovine, ovine, caprine, porcine and equine 
animals, including farmed and wild animals, poultry including ratites and feathered 
game for the production of collagen or gelatine, and they are derived from healthy 
animals slaughtered in a slaughterhouse, and they have been treated as follows:  
(1)either  
– [crushed  to pieces of approximately 15 mm and degreased with hot water at a minimum 
temperature of 70  °C for at least 30 minutes, a minimum of 80  °C for at least 15 
minutes, or a minimum of 90  °C for at least 10 minutes; then separated and 
subsequently washed and dried for at least 20 minutes in a stream of hot air with an 
initial minimum temperature of 350˚C, or for 15 minutes in a stream of hot air with an 
initial temperature of over 700  °C;] 
(1)or [sun-dried for a minimum of 42 days at an average temperature of at least 20ºC;]  
(1)or [have undergone an acid treatment such that the pH is maintained at less than 6 to the 
core for at least one hour before drying;]]  
(1)or [if they are hides and skins of farmed ruminant animals, pig skins, poultry skins or wild 
game hi des and skins, they are derived from healthy animals and they:  
(1)either  
– [have undergone an alkali treatment which ensures a PH>12 to the core followed by 
salting for at least seven days;]  
(1)or [were dried for at least 42 days at a temperature of at least  20 °C;] 
(1)or [have undergone an acid treatment that provides at least a pH of less than 5 to the core 
for a minimum of one hour;]  
(1)or [have undergone an alkali treatment which ensures a pH > 12 to the core for at least 8 
hours;]]  
(1)or [if they are bon es, hides or skins of farmed ruminant animals, pig skins, poultry skins, 
fish skins and wild game hides and skins from third countries, parts of third countries 
and territories referred to in Part IV of Annex I to Commission Implementing Part II: Certification  
 
 
 
 50 
  COUNTRY  Model TCG  
 Treated raw materials  for the production  
 of gelatine and collagen  intended for human consumption  
 II. Health information  II.a. Certificate reference No  II.b. 
Regulation (EU) 20 16/759 of 28  April 2016 drawing up lists of third countries, parts of 
third countries and territories from which Member States are to authorise the 
introduction into the Union of certain products of animal origin intended for human 
consumption, laying down  certificate requirements, amending Regulation (EC) No 
2074/2005 and repealing Decision 2003/812/EC (OJ L 126, 14.5.2016, p. 13) that they 
have undergone any other treatment than those listed above, and that they come from 
establishments registered or appr oved in accordance with to Regulation (EC) No 
852/2004 or in accordance with Regulation (EC) No 853/2004;  
(1)and, if of bovine, ovine and caprine animal origin,  
– they are derived from animals which passed ante -mortem and post -mortem inspections,  
(1)and, exc ept for hides and skins of ruminants,  
(1)either  
– [they come from a country or a region classified under Decision 2007/453/EC  of 
29 June 2007 establishing the BSE status of Member States or third countries or regions 
thereof according to their BSE risk (OJ L  172, 30.6.2007, p. 84)  as a country or region 
posing a negligible BSE risk;  
– they do not contain and are not derived from specified risk material as defined in point 
1 of Annex V to Regulation (EC) No 999/2001 of the European Parliament and of the 
Council of 22  May 2001 laying down rules for the prevention, control and eradication 
of certain transmissible spongiform encephalopathies (OJ L 147, 31.5.2001, p. 1)(4); 
– they do not contain and are not derived from mechanically separated meat obtained 
from the bon es of bovine, ovine or caprine animals, except for treated raw materials 
derived from animals that were born, continuously reared and slaughtered in a country 
or region classified in accordance with Decision 2007/453/EC as a country or region 
posing a negl igible BSE risk in which there has been no BSE indigenous cases;  
– the animals, from which the treated raw materials are derived, were not slaughtered 
after stunning by means of gas injected into the cranial cavity or killed by the same 
method or slaughtered , after stunning, by laceration of central nervous tissue by means 
of an elongated rod -shaped instrument introduced into the cranial cavity, except if the 
animals were born, continuously reared and slaughtered in a country or region classified 
under Decisi on 2007/453/EC as a country or region posing a negligible BSE risk;  
– (1)[the animals, from which the treated raw materials are derived, originate from a 
country or region classified under Decision 2007/453/EC as a country or region posing 
an undetermined BS E risk, and they have not been fed with meat -and-bone meal or 
greaves, as defined in the Terrestrial Animal Health Code of the World Organisation for 
Animal Health] ; 
– (1)[the animals, from which the treated raw materials are derived, originate from a 
country or region classified under Decision 2007/453/EC as a country or region posing 
an undetermined BSE risk, and the products were produced and handled in a manner 
which ensures that they did not contain and were not contaminated with nervous and 
lympha tic tissues exposed during the deboning process ;]] 
(1)or 
– [they come from a country or a region classified under Decision 2007/453/EC of 
29 June 2007 establishing the BSE status of Member States or third countries or regions 
thereof according to their BSE r isk (OJ L 172, 30.6.2007, p. 84) as a country or region 
posing a controlled BSE risk;  
– the animals, from which the treated raw materials of bovine, ovine and caprine animal 
origin destined for export are derived, were not killed, after stunning, by lacerati on of 
central nervous tissue by means of an elongated rod -shaped instrument introduced into 
the cranial cavity, or by means of gas injected into the cranial cavity;  51 
  COUNTRY  Model TCG  
 Treated raw materials  for the production  
 of gelatine and collagen  intended for human consumption  
 II. Health information  II.a. Certificate reference No  II.b. 
– the treated raw materials of bovine, ovine and caprine animal origin do not contain and 
are not derived from specified risk material as defined in point 1 of Annex V to 
Regulation (EC) No 999/2001, or mechanically separated meat obtained from bones of 
bovine, ovine or caprine animals;]  
(1)or 
– [they come from a country or a region classified under  Decision 2007/453/EC of 
29 June 2007 establishing the BSE status of Member States or third countries or regions 
thereof according to their BSE risk (OJ L 172, 30.6.2007, p. 84) as a country or region 
with an undetermined BSE risk;  
– the animals from which t he treated raw materials were derived have not been fed meat -
and-bone meal or greaves derived from ruminants, as defined in the Terrestrial Animal 
Health Code of the World Organisation for Animal Health;  
– the animals, from which the treated raw materials of  bovine, ovine and caprine animal 
origin are derived, were not killed, after stunning, by laceration of central nervous tissue 
by means of an elongated rod -shaped instrument introduced into the cranial cavity, or 
by means of gas injected into the cranial c avity;  
– the treated raw materials are not derived from:  
(i) specified risk material as defined in point 1 of Annex V of Regulation (EC) No 
999/2001;  
(ii) nervous and lymphatic tissues exposed during the deboning process;  
(iii) mechanically separated meat ob tained from bones of bovine, ovine or caprine 
animals.]]  
 
II.2. Animal Health Attestation(1) 
 I, the undersigned official veterinarian, certify that the treated raw materials described above:  
II.2.1.  consist of animal products that satisfy the animal health requirements below;  
II.2.2.  have been obtained in the territory of:………………………………….…(2); 
II.2.3.  have been obtained and prepared without contact with other materials that do not comply with the 
conditions required above, and have been handled so as to  avoid contamination with pathogenic agents;  
II.2.4.  have been transported in clean and officially sealed containers or lorries;  
 
 
Notes  
See notes in Annex II of Commission Implementing Regulation (EU)[SANTE/10281/ -2018] of ../../…. laying 
down model offic ial certificates for certain animals and goods in accordance with Article 90 of Regulation 
(EU) 2017/625 of the European Parliament and of the Council and amending Implementing Regulation (EU) 
2016/759 as regard model certificates (OJ …, ../../…., p. ..)  
 
Part I:  
 Box reference I.8: Provide the code of the territory as it appears in:  
 in Part I of Annex I to Commission Regulation (EC) 798/2008 of 8  August 2008 laying down a list of third 
countries, territories, zones or compartments from which poultry and p oultry products may be imported 
into and transit through the Community and the veterinary certification requirements (OJ L 226, 
23.8.2008, p. 1); or  
  in Part 1 of Annex I to Commission Regulation (EC) No 119/2009 laying down a list of third countries or 
parts thereof, for imports into, or transit through, the Community of meat of wild leporidae, of certain 
wild land mammals and of farmed rabbits and the veterinary certification requirements (OJ L 39, 
10.2.2009, p. 12); or  
  in Part 1 of Annex II to Commissio n Regulation (EU) No 206/2010 of 12  March 2010 laying down lists of 
third countries, territories or parts thereof authorised for the introduction into the European Union of 52 
  COUNTRY  Model TCG  
 Treated raw materials  for the production  
 of gelatine and collagen  intended for human consumption  
 II. Health information  II.a. Certificate reference No  II.b. 
certain animals and fresh meat and the veterinary certification requirements (OJ L 73, 20.3.2010, p. 1).  
. 
 Box reference I.19: Use the appropriate HS code under the following headings: 0210, 0305, 0505, 0506, 
0511.91, 0511.99, 1602, 1604, 4101, 4102, and 4103.  
 Box reference I.25:  Nature of commodity:  hides, skins, bones, tendons and sinews;  
 Manufacturing plant:  includes slaughterhouse, factory vessel, cutting plant, game
 handling establishment and processing plant.  
Approval number:  when applicable.  
 
Part II:  
(1) Delete as appropriate. In the case of products derived from fishery products, the whole section II.2 should be 
deleted.  
(2) The name and ISO code number of the exporting country or territory or zone as laid down in:  
 - Part 1 of Annex II to Regulation (EC) No 206/2010;  
 - Annex I to Regulation  (EC) 798/2008;  
 - Part 1 of Annex II to Regulation (EC) No 119/2009.  
(3)    …If parts of the materials were derived from animals originating from an(other) third country(ies) listed in 
Annex I to Commission Implementing Regulation (EU) 2016/759 of 28  April 2016 drawing up lists of 
third countries, parts of third countries and territories from which Member States are to authorise the 
introduction into the Union of certain products of animal origin intended for human consumption, laying 
down certificate requ irements, amending Regulation (EC) No 2074/2005 and repealing Decision 
2003/81/EC (OJ L 14.5.2016, p. 13), the code(s) of country(ies) or territory(ies) shall be stated. 
(4) The removal of specified risk material is not required if the treated raw material s are derived from animals 
born, continuously reared and slaughtered in a third country or region of a third country classified under 
Decision 2007/453/EC as posing a negligible BSE risk.  
 The signature and the stamp must be in a different colour to that of the printing.  
NB Note for the person responsible for the consignment in EU: this certificate is only for veterinary purposes and 
has to accompany the consignment until it reaches the border control post. The consignment must be 
transported directly to t he manufacturing plant of destination.  
 The time of transportation may be included in the duration of treatment.  
 
 Official veterinarian  
 Name (in capital letters):  Qualification and title:  
 Date:  Signature:  
 Stamp:  53 
 PART X  
MODEL OFFICIAL CERTIFICATE FOR THE ENTRY IN TO THE U NION FOR 
PLACING ON THE MARKET  OF HONEY  AND OTHER APICULTURE 
PRODUCTS INTENDED FOR HUMAN CONSUMPTION  
COUNTRY Official Certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8 I.9. Country of destination  ISO I.10
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Human consumption
I,21 I.22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name) Treatment type
Manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.
 54 
  COUNTRY  Model HON  
 Honey  and other apiculture products  intended for human consumption  
 II. Health information  II.a. Certificate reference No  II.b. 
 II.1. Public health attestation  
 I, the undersigned, declare that I am aware of the relevant provisions of Regulation (EC) No  178/2002 of 
the European Parliament and of the Council of 28  January 2002 laying down the general principles and 
requirements of food law, establishing the Europea n Food Safety Authority and laying down procedures 
in matters of food safety (OJ L 31, 1.2.2002, p. 1), Regulation (EC) No  852/2004 of the European 
Parliament and of the Council of 29  April 2004 on the hygiene of foodstuffs (OJ L 139, 30.4.2004, p. 1) 
and Regulation (EC) No 853/2004 of the European Parliament and of the Council of 29  April 2004 laying 
down specific hygiene rules for food of animal origin (OJ L 139, 30.4.2004, p. 55)  and Regulation (EU) 
2017/625 of the European Parliament and of the Council  of 15 March 2017 on official controls and other 
official activities performed to ensure the application of food and feed law, rules on animal health and 
welfare, plant health and plant protection products, amending Regulations (EC) No 999/2001, (EC) No 
396/2005, (EC) No 1069/2009, (EC) No 1107/2009, (EU) No 1151/2012, (EU) No 652/2014, (EU) 
2016/429 and (EU) 2016/2031 of the European Parliament and of the Council, Council Regulations (EC) 
No 1/2005 and (EC) No 1099/2009 and Council Directives 98/58/EC, 199 9/74/EC, 2007/43/EC, 
2008/119/EC and 2008/120/EC and repealing Regulations (EC) No 854/2004 and (EC) No 882/2004 of 
the European Parliament and of the Council, Council Directives 89/608/EEC, 89/662/EEC, 90/425/EEC, 
91/496/EEC, 96/23/EC, 96/93/EC and 97/78/ EC and Council Decision 92/438/EEC (Official Controls 
Regulation ) (OJ L 95, 7.4.2017, p. 1), and  
I certify that honey  and other apiculture products described above were produced in accordance with 
these requirements, in particular that they:  
 - come  from (an) establishment(s) implementing a programme based on the hazard analysis and critical 
control points  (HACCP) principles in accordance with Regulation (EC) No 852/2004;  
 - have  been handled and, where appropriate, prepared, packaged and stored in a  hygienic manner in 
accordance with the requirements of Annex II to Regulation (EC) No 852/2004;  
 and 
 - fulfil the guarantees covering live animals and products thereof provided by the residue plans 
submitted in accordance with Council Directive 96/23/EC  of 29  April 1996 on measures to monitor 
certain substances and residues thereof in live animals and animal products and repealing Directives 
85/358/EEC and 86/469/EEC and Decisions 89/187/EEC and 91/664/EEC (OJ L 125, 23.5.1996, 
p. 10), and in particular A rticle  29 thereof.  
 
Notes  
See notes in Annex II of Commission Implementing Regulation (EU)[SANTE/10281/ -2018] of ../../…. laying 
down model official certificates for certain animals and goods in accordance with Article 90 of Regulation 
(EU) 2017/625 of the  European Parliament and of the Council and amending Implementing Regulation (EU) 
2016/759 as regard model certificates (OJ …, ../../…., p. ..)  
 
Part I:  
 Box reference I.11: place of dispatch: Approval number means registration number.  
 Box reference I.2 5: use the appropriate Harmonised System (HS) code under the following headings:  0409, 
0410, 0510, 1521, 1702 and 2106 .. 
 Box reference I.25: Treatment type : state ‘ultrasonication’, ‘homogenisation’, ultrafiltration’, ‘pasteurisation’, 
‘no thermal treatm ent’. 
 
Part II:  
 The colour of the stamp and signature must be different from that of the other particulars in the certificate.  
 Part II: Certification  
 
 
 
 55 
  COUNTRY  Model HON  
 Honey  and other apiculture products  intended for human consumption  
 II. Health information  II.a. Certificate reference No  II.b. 
 Official inspector  
 Name (in capital letters):  Qualification and title:  
 Date:  Signature:  
 Stamp:  56 
 PART XI  
MODEL OFFICIAL CERTIFICATE FOR THE ENTRY IN TO THE UNION FOR 
PLACING ON THE MARKET OF HIGHLY REFINED CHONDROITIN SULPHATE, 
HYALURONIC ACID, OTHER HYDOLYSED CARTILAGE PRODUCTS, 
CHITOSAN, GLUCOSAMINE, RENNET, ISINGLASS  AND AMINO ACIDS 
INTENDED FOR HUMAN CONSUMPTION  
COUNTRY Official Certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8 I.9. Country of destination  ISO I.10
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Human consumption
I,21 I.22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name)
Manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.
 57 
  COUNTRY  Model HRP  
 Highly refined chondroitin sulphate, 
hyaluronic acid, other hydrolysed cartilage products,  
 chitosan, glucosamine, rennet,  
 isinglass and amino acids  intended for 
human consumption   
 II. Health information  II.a. Certificate reference No  II.b. 
 II.1. Public health attestation  
 I, the undersigned, declare that I am aware of the relevant provisions of Regulation (EC) No  178/2002 of 
the European Parliament and of the Council of 28  January 2002 laying down the general principles and 
requirements of food law, establishing the Europea n Food Safety Authority and laying down procedures 
in matters of food safety (OJ L 31, 1.2.2002, p. 1), Regulation (EC) No  852/2004 of the European 
Parliament and of the Council of 29  April 2004 on the hygiene of foodstuffs (OJ L 139, 30.4.2004, p. 1) 
and Regulation (EC) No 853/2004 of the European Parliament and of the Council of 29  April 2004 laying 
down specific hygiene rules for food of animal origin (OJ L 139, 30.4.2004, p. 55) and Regulation (EU) 
2017/625 of the European Parliament and of the Council of 15 March 2017 on official controls and other 
official activities performed to ensure the application of food and feed law, rules on animal health and 
welfare, plant health and plant protection products, amending Regulations (EC) No 999/2001, (EC) No 
396/2005, (EC) No 1069/2009, (EC) No 1107/2009, (EU) No 1151/2012, (EU) No 652/2014, (EU) 
2016/429 and (EU) 2016/2031 of the European Parliament and of the Council, Council Regulations (EC) 
No 1/2005 and (EC) No 1099/2009 and Council Directives 98/58/EC, 1999 /74/EC, 2007/43/EC, 
2008/119/EC and 2008/120/EC and repealing Regulations (EC) No 854/2004 and (EC) No 882/2004 of 
the European Parliament and of the Council, Council Directives 89/608/EEC, 89/662/EEC, 90/425/EEC, 
91/496/EEC, 96/23/EC, 96/93/EC and 97/78/E C and Council Decision 92/438/EEC (Official Controls 
Regulation ) (OJ L 95, 7.4.2017, p. 1), and  
I certify that the highly refined products described above were produced in accordance with these 
requirements, in particular:  
 - that they  come  from (an) establishment(s) implementing a programme based on the hazard analysis 
and critical control points  (HACCP) principles in accordance with Regulation (EC) No 852/2004;  
 - that they  have  been handled and, where appropriate, prepared, packaged and s tored in a hygienic 
manner in accordance with the requirements of Annex II to Regulation (EC) No 852/2004;  
 - that they comply with the requirements of Section XVI of Annex III to Regulation (EC) No  853/2004;  
 and 
 - (1) if amino acids, that  
 (i) human  hair was not used as a source for their manufacture; and  
 (ii) that they comply with Regulation (EC) No 1333/2008 of the European Parliament and of the 
Council of 16  December 2008 on food additives ((OJ L 354, 31.12.2008, p. 16)  
 
 
 
Notes  
See notes in Annex II  of Commission Implementing Regulation (EU)[SANTE/10281/ -2018] of ../../…. laying 
down model official certificates for certain animals and goods in accordance with Article 90 of Regulation 
(EU) 2017/625 of the European Parliament and of the Council and ame nding Implementing Regulation (EU) 
2016/759 as regard model certificates (OJ …, ../../…., p. ..)  
 
Part I:  
 Box reference I.25: Use the appropriate Harmonised System (HS) code under the heading of 2833, ex 3913, 
2930, ex 2932, 3507 or 3503.  
 
Part II:  
(1) Delete as appropriate.  
 The colour of the stamp and signature must be different from that of the other particulars in the certificate.  
 Part II: Certification  
 
 
 
 58 
  COUNTRY  Model HRP  
 Highly refined chondroitin sulphate, 
hyaluronic acid, other hydrolysed cartilage products,  
 chitosan, glucosamine, rennet,  
 isinglass and amino acids  intended for 
human consumption   
 II. Health information  II.a. Certificate reference No  II.b. 
 Official veterinarian  Name (in capital letters):
 Qualification and title:  
 Date:  Signature:  
 Stamp:  59 
 PART XII  
MODEL OFFICIAL CERTIFICATE FOR THE ENTRY IN TO THE UNION FOR 
PLACING ON THE MARKET OF REPTILE MEAT  INTENDED FOR HUMAN 
CONSUMPTION  
COUNTRY Official Certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8 I.9. Country of destination  ISO I.10
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Human consumption
I,21 I.22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name)
Manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.
 60 
  COUNTRY  Reptile Meat  intended for human 
consumption  
 II. Health information  II.a. Certificate reference No  II.b. 
 II.1. Public health attestation  
 I, the undersigned, declare that I am aware of the relevant provisions of Regulation (EC) No  178/2002 of 
the European Parliament and of the Council of 28  January 2002 laying down the general principles and 
requirements of food law, establishing the Europea n Food Safety Authority and laying down procedures 
in matters of food safety (OJ L 31, 1.2.2002, p. 1), Regulation (EC) No  852/2004 of the European 
Parliament and of the Council of 29  April 2004 on the hygiene of foodstuffs (OJ L 139, 30.4.2004, p. 1) 
and Regulation (EC) No 853/2004 of the European Parliament and of the Council of 29  April 2004 laying 
down specific hygiene rules for food of animal origin (OJ L 139, 30.4.2004, p. 55) and Regulation (EU) 
2017/625 of the European Parliament and of the Council of 15 March 2017 on official controls and other 
official activities performed to ensure the application of food and feed law, rules on animal health and 
welfare, plant health and plant protection products, amending Regulations (EC) No 999/2001, (EC) No 
396/2005, (EC) No 1069/2009, (EC) No 1107/2009, (EU) No 1151/2012, (EU) No 652/2014, (EU) 
2016/429 and (EU) 2016/2031 of the European Parliament and of the Council, Council Regulations (EC) 
No 1/2005 and (EC) No 1099/2009 and Council Directives 98/58/EC, 1999 /74/EC, 2007/43/EC, 
2008/119/EC and 2008/120/EC and repealing Regulations (EC) No 854/2004 and (EC) No 882/2004 of 
the European Parliament and of the Council, Council Directives 89/608/EEC, 89/662/EEC, 90/425/EEC, 
91/496/EEC, 96/23/EC, 96/93/EC and 97/78/E C and Council Decision 92/438/EEC (Official Controls 
Regulation ) (OJ L 95, 7.4.2017, p. 1), and  
I certify that the reptile meat described above was produced in accordance with these requirements, in 
particular:  
 - that it  comes  from (an) establishment(s) implementing a programme based on the hazard analysis and 
critical control points  (HACCP) principles in accordance with Regulation (EC) No 852/2004;  
 - that it  has been handled and, where appropriate, prepared, packaged and stored in a hygienic manner in 
accordance with the requirements of Annex II to Regulation (EC) No 852/2004;  
 - that Salmonella has been controlled using sampling and testing procedures providing at least 
equivalent guarantees as the requirements  once  laid down in Commission Regulation (EC) No 
2073/2005 of 15 November 2005 on microbiological criteria for foodstuffs (OJ L 338, 22.12.2005, p. 
1); 
and 
 - (1) if crocodile or alligator meat that the car cass has been tested negative during post -mortem 
inspection for the presence of  Trichinella  spp. in accordance with Commission Implementing 
Regulation (EU) 2015/1375  of 10 August 2015 laying down specific rules on official controls for 
Trichinella in meat (OJ L 212, 11.8.2015, p. 7) . 
 
 
 
Notes  
See notes in Annex II of Commission Implementing Regulation (EU)[SANTE/10281/ -2018] of ../../…. laying 
down model official certificates for certain animals and goods in accordance with Article 90 of Regulation 
(EU) 201 7/625 of the European Parliament and of the Council and amending Implementing Regulation (EU) 
2016/759 as regard model certificates (OJ …, ../../…., p. ..)  
 
Part I:  
 Box reference I.25: Use the appropriate CN/HS code under the headings of 0208 50 00, 0210  93 00, 1506, 
1601, 1602 and 1603.  
 
Part II:  
(1) Delete as appropriate.  
 The colour of the stamp and signature must be different from that of the other particulars in the certificate.  
 Part II: Certification  
 
 
 
 61 
  COUNTRY  Reptile Meat  intended for human 
consumption  
 II. Health information  II.a. Certificate reference No  II.b. 
 Official veterinarian  Name (in capital letters):
 Qualification and title:  
 Date:  Signature:  
 Stamp:  
 
  62 
 PART XIII  
MODEL OFFICIAL CERTIFICATE FOR THE ENTRY IN TO THE UNION FOR 
PLACING ON THE MARKET OF INSECTS  INTENDED FOR HUMAN 
CONSUMPTION  
COUNTRY Official Certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8 I.9. Country of destination  ISO I.10
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Human consumption
I,21 I.22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name)
Manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.
 63 
  COUNTRY  Model Insects  intended for human 
consumption  
 II. Health information  II.a. Certificate reference No  II.b. 
 II.1. Public health attestation  
 I, the undersigned, declare that I am aware of the relevant provisions of Regulation (EC) No  178/2002 of the 
European Parliament and of the Council of 28  January 2002 laying down the general principles and 
requirements of food law, establishing the Europea n Food Safety Authority and laying down procedures in 
matters of food safety (OJ L 31, 1.2.2002, p. 1), Regulation (EC) No  852/2004 of the European Parliament and 
of the Council of 29  April 2004 on the hygiene of foodstuffs (OJ L 139, 30.4.2004, p. 1) and Regulation (EC) 
No 853/2004 of the European Parliament and of the Council of 29  April 2004 laying down specific hygiene 
rules for food of animal origin (OJ L 139, 30.4.2004, p. 55) and Regulation (EU) 2017/625 of the European 
Parliament and of the Council of 15 March 2017 on official controls and other official activities performed to 
ensure the application of food and feed law, rules on animal health and welfare, plant health and plant protection 
products, amending Regulations (EC) No 999/2001, (EC) No 396 /2005, (EC) No 1069/2009, (EC) No 
1107/2009, (EU) No 1151/2012, (EU) No 652/2014, (EU) 2016/429 and (EU) 2016/2031 of the European 
Parliament and of the Council, Council Regulations (EC) No 1/2005 and (EC) No 1099/2009 and Council 
Directives 98/58/EC, 1999 /74/EC, 2007/43/EC, 2008/119/EC and 2008/120/EC and repealing Regulations (EC) 
No 854/2004 and (EC) No 882/2004 of the European Parliament and of the Council, Council Directives 
89/608/EEC, 89/662/EEC, 90/425/EEC, 91/496/EEC, 96/23/EC, 96/93/EC and 97/78/E C and Council Decision 
92/438/EEC (Official Controls Regulation  (OJ L 95, 7.4.2017, p. 1), and  
I certify that the insects described above were produced in accordance with these requirements, in particular:  
 - that they  come  from (an) establishment(s) implementing a programme based on the hazard analysis and 
critical control points  (HACCP) principles in accordance with Regulation (EC) No 852/2004;  
 - that they  have  been handled and, where appropriate, prepared, packaged and s tored in a hygienic manner in 
accordance with the requirements of Annex I (primary producing) or Annex II (other stages) to Regulation 
(EC) No 852/2004;  
 - that they comply with the requirements  once laid down  in Section  XVII of Annex III to Regulation (EC) 
No 853/2004;  
 - that if case of food consisting of, isolated from or produced from insects or  their parts, when applicable ,,the 
food has  been authorised on the Union market in accordance with Article 6 of Regulation (EU) 2015/2283 of 
the European Parl iament and of the Council of 25 November 2015 on novel foods, amending Regulation 
(EU) No 1169/2011 of the European Parliament and of the Council and repealing Regulation (EC) No 
258/97 of the European Parliament and of the Council and Commission Regulatio n (EC) No 1852/2001 (OJ 
L 327, 11.12.2015, p. 1)  and listed in the Union list of novel foods . 
 
 
Notes  
See notes in Annex II of Commission Implementing Regulation (EU)[SANTE/10281/ -2018] of ../../…. laying down 
model official certificates for certain animal s and goods in accordance with Article 90 of Regulation (EU) 2017/625 
of the European Parliament and of the Council and amending Implementing Regulation (EU) 2016/759 as regard 
model certificates (OJ …, ../../…., p. ..)  
 
Part I:  
 Box reference I.25: Use t he appropriate CN/HS code under the heading of 0106 49 00, 0410 or 2106.  
 
Part II:  
(1) Delete as appropriate  
 Box II.1 a programme based on the HACCP principles is not required if the products come directly from a primary 
producer.  
 The colour of the stamp  and signature must be different from that of the other particulars in the certificate.  
  
 
 
 
 64 
  COUNTRY  Model Insects  intended for human 
consumption  
 II. Health information  II.a. Certificate reference No  II.b. 
 Official veterinarian  Name (in capital letters):
 Qualification and title:  
 Date:  Signature:  
 Stamp:  
  65 
 PART XIV   
MODEL OFFICIAL CERTIFICATE FOR THE ENTRY IN TO THE UNION FOR 
PLACING ON THE MARKET OF OTHER PRODUCTS OF ANIMAL ORIGIN  NOT 
COVERED BY ARTICLE S 7 TO 25 OF COMMISSION  IMPLEMENTING 
REGULATION (EU) [SANTE/10281/2018]  
COUNTRY Official Certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8 I.9. Country of destination  ISO I.10
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Human consumption
I,21 I.22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name)
Manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.
 66 
   67 
  COUNTRY  Model PAO  
 Other Products of Animal Origin  not 
covered by Article s 3 to 21 of Commission Implementing Regulation [SANTE/10281/ -
2018]  
 II. Health information  II.a. Certificate reference No  II.b. 
 II.1. Public health attestation  
 I, the undersigned, declare that I am aware of the relevant provisions of Regulation (EC) No  178/2002 of 
the European Parliament and of the Council of 28  January 2002 laying down the general principles and 
requirements of food law, establishing the Europea n Food Safety Authority and laying down procedures 
in matters of food safety (OJ L 31, 1.2.2002, p. 1), Regulation (EC) No  852/2004 of the European 
Parliament and of the Council of 29  April 2004 on the hygiene of foodstuffs (OJ L 139, 30.4.2004, p. 1) 
and Regulation (EC) No 853/2004 of the European Parliament and of the Council of 29  April 2004 laying 
down specific hygiene rules for food of animal origin (OJ L 139, 30.4.2004, p. 55) Regulation (EU) 
2017/625 of the European Parliament and of the Council of 1 5 March 2017 on official controls and other 
official activities performed to ensure the application of food and feed law, rules on animal health and 
welfare, plant health and plant protection products, amending Regulations (EC) No 999/2001, (EC) No 
396/200 5, (EC) No 1069/2009, (EC) No 1107/2009, (EU) No 1151/2012, (EU) No 652/2014, (EU) 
2016/429 and (EU) 2016/2031 of the European Parliament and of the Council, Council Regulations (EC) 
No 1/2005 and (EC) No 1099/2009 and Council Directives 98/58/EC, 1999/74/ EC, 2007/43/EC, 
2008/119/EC and 2008/120/EC and repealing Regulations (EC) No 854/2004 and (EC) No 882/2004 of 
the European Parliament and of the Council, Council Directives 89/608/EEC, 89/662/EEC, 90/425/EEC, 
91/496/EEC, 96/23/EC, 96/93/EC and 97/78/EC an d Council Decision 92/438/EEC (Official Controls 
Regulation ) (OJ L 95, 7.4.2017, p. 1), and  
I certify that the products described above were produced in accordance with these requirements, in 
particular:  
 - that they  come  from (an) establishment(s) implementing a programme based on the hazard analysis 
and critical control points  (HACCP) principles in accordance with Regulation (EC) No 852/2004;  
 - that they  have  been handled and, where appropriate, prepared, packaged and s tored in a hygienic 
manner in accordance with the requirements of Annex II to Regulation (EC) No 852/2004;  
  
 
 
 
Notes  
See notes in Annex II of Commission Implementing Regulation (EU)[SANTE/10281/ -2018] of ../../…. laying 
down model official certificates fo r certain animals and goods in accordance with Article 90 of Regulation 
(EU) 2017/625 of the European Parliament and of the Council and amending Implementing Regulation (EU) 
2016/759 as regard model certificates (OJ …, ../../…., p. ..)  
 
Part I:  
 Box refer ence I.25: Use the appropriate Harmonised System (HS) code.  
 
Part II:  
 The colour of the stamp and signature must be different from that of the other particulars in the certificate.  
 Part II: Certification  
 
 
 
 
 Official veterinarian  Name (in capital letters):
 Qualification and title:  
 Date:  Signature:  
 Stamp:  
 68 
   69 
 PART XV  
MODEL OFFICIAL CERTIFICATE FOR THE ENTRY IN TO THE UNION FOR 
PLACING ON THE MARKET OF SPROUTS AND SEEDS INTENDED FOR THE 
PRODUCTION OF SPROUTS  
COUNTRY Official Certificate to the EU
I.1. Consignor/Exporter I.2. Certificate reference No
Name
I.3. Central Competent Authority
Address
I.4. Local Competent Authority
Tel. No
I.5. Consignee/Importer I.6. Operator responsible for the consignment
Name Name
Address Address
Postal code Postal code
Tel. No
I.7.Country of origin  ISO I.8 I.9. Country of destination  ISO I.10
I.11. Place of dispatch I.12. Place of destination
Name Approval No Name
Address
Address
I.13. Place of loading I.14. Date and time of departure
I.15. Means of transport I.16. Entry BCP
Aeroplane Vessel Other
Road vehicle Railway
Identification: I.17. Accompanying documents
I.18. Transport conditions Type
Ambient Chilled Frozen No
I.19. Container No / Seal No
I.20. Goods certified as
Human consumption
I,21 I.22
I.23. Total number of packages I.24. Quantity
Total number Total net weight (Kg) Total gross weight (Kg)
I.25. Description of goods
No Code and CN title
Species (Scientific name)
Manufacturing plant Cold store
Final consumer Number of packages Net weight Batch No Type of packagingPart I : Details of dispatched consignment I.2.a IMSOC Reference No.
 70 
  COUNTRY  Certificate for the import of sprouts or seeds 
intended for the production of sprouts  
 II. Health information  II.a Certificate reference No   
  I, the undersigned official inspector, hereby declare that I am aware of the relevant provisions 
of Regulation (EC) No 852/2004 and certify that:  
 
II.1.11     the seeds described above were produced under conditions which comply with Regulation (EC) 
No 852/2004 and in particular with the general hygiene provisions for primary produ ction 
and associated operations set out in Part A of Annex I thereto];  
II.1.21. the sprouts were produced in establishments approved in accordance with the requirements 
laid down in Article  2 of Commission Regulation (EU) No 210/2013 of 11 March 2013 on 
the approval of establishments producing sprouts pursuant to Regulation (EC) No 852/2004 
of the European Parliament and of the Cou ncil (OJ L 68, 12.3.2013 p. 24) ; 
II.1.31. the sprouts were produced under conditions which comply with the traceability requirem ents 
laid down in Commission Implementing Regulation (EU) No 208/2013 of 11 March 2013 on 
traceability requirements for sprouts and seeds intended for the production of sprouts (OJ L 
68, 12.3.2013, p. 16). and respect the microbiological criteria laid down in Annex I to 
Commission Regulation (EC) No 2073/2005 of 15 November 2005 on microbiological 
criteria for foodstuffs (OJ L 338, 22.12.2005, p. 1)... 
 
 
 
 
 
Notes  
See notes in Annex II of  Commission  Implementing Regulation (EU)[SANTE/10281/ -2018] of 
../../…. laying down model official certificates for certain animals and goods in 
accordance with Article 90 of Regulation (EU) 2017/625 of the European Parliament 
and of the Council and amending Implementing Regulation (EU) 2016/759 as regard 
model certificates (O J …, ../../…., p. ..)  
 
Part I:  
● Box reference I.25: Use the appropriate CN/HS codes: 0704 90, 0706 90, 0708 10, 0708 20, 
0708 90, 0713 10  0713 33, 0712 34, 0712 35, 0713 39, 0713 40, 0712 50, 0712 60, 0713 90, 
0910 99, 1201 10, 1201 90, 1207 50, 1207 99, 1209 10  1209 21  1209 91, and 1214 90.  
● Box reference I.25: Manufacturing plant: insert the name of the establishments which 
produced the sprouts or seeds.  
  
 
Part II:  
(1) Delete as appropriate (e.g. if sprouts or seeds).  
● The colour of the signature shall be  different to that of the printing. The same rule applies to 
stamps other than those that are embossed or are a watermark.  Part II: Certification  
 
 
 
 71 
  COUNTRY  Certificate for the import of sprouts or seeds 
intended for the production of sprouts  
 II. Health information  II.a Certificate reference No   
 Official inspector  
 Name (in capital letters):  Qualification and title:  
 Date:  Signature:  
 Stamp  
 
  72 
 ANNEX IV  
Model official certificates in the case of ante -mortem inspection at the holding of 
provenance  
Part I:  MODEL OFFICIAL CERTIFICATE FOR LIVE ANIMALS  
OFFICIAL CERTIFICATE  
for live animals transported to the slaughterhouse in the case of ante-mortem inspection at 
the holding of provenance  in accordance with Article 5 (2)(f) of Commission Delegated 
Regulation (EU) [SANTE/10193/2017]11. 
Name of the official veterinarian:  ................................ ................................ ................................ .........   
No:  ................................ ................................ ................................ ................................ .........................   
1. Identification of the animals  
Species:  ................................ ................................ ................................ ................................ ..................   
Number of animals:  ................................ ................................ ................................ ...............................   
Identification marking:  ................................ ................................ ................................ ..........................   
 
2. Provenance of the animals  
Address of holding of provenance:  ................................ ................................ ................................ .......  
Identification of house*:  ................................ ................................ ................................ ........................   
 
3. Destination of the animals  
The animals will be transported to the following slaughterhouse:  ................................ ........................   
 ................................ ................................ ................................ ................................ ................................   
by the following means of transport:  ................................ ................................ ................................ .....  
 
4. Other relevant information  
 ................................ ................................ ................................ ................................ ................................   
5. Declaration  
I, the undersigned, declare that:  
 the animals described above were examined before slaughter at the above -
mentioned holding at  ……… (time) on  ……… (date) and were found to  be fit 
for slaughter,  
 the following observations on the health and welfare of animals were 
made:  …………………………………………………………………………  
 the records and documentation concerning these animals satisfied the legal 
requirements and do not prohibit the slaughter of the animals,  
 I verified the food chain information  
Done at:  ................................ ................................ ................................ ................................ ................  , 
(Place)  
on:  ................................ ................................ ................................ ................................ ..........................   
(Date)  
                                                 
11  Commission Delegated Regulation (EU) …/ … of ../../…. concerning specific rules for the performance 
of official controls on the production of meat and for production and relaying areas of live bivalve 
molluscs in accordance with Regulation (EU) 2017/625 of the European Parliament and of the Coun cil 
(OJ L …., ../../…., p. …).  73 
 Stamp  
………………………………………….  
(Signature of official veterinarian)  
* optional  
  74 
 Part II: MODEL OFFICIAL CERTIFICATE FOR POULTRY INTENDED FOR THE 
PRODUCTION OF FOIE GRAS AND DELAYED E VISCERATED POULTRY  
 
OFFICIAL CERTIFICATE  
for poultry intended for the production of foie gras and delayed eviscerated poultry 
slaughtered at the holding of provenance  in accordance with Article 6(1) of Commission 
Delegated Regulation (EU) [SANTE/10193/2017]12 
 
Name of the official veterinarian:  ................................ ................................ ................................ .........   
No:  ................................ ................................ ................................ ................................ .........................   
 
1. Identification of uneviscerated carcasses  
Species:  ................................ ................................ ................................ ................................ ..................   
Number:  ................................ ................................ ................................ ................................ .................   
 
2. Provenance of uneviscerated carcasses  
Address of holding:  ................................ ................................ ................................ ...............................   
 
3. Destination of uneviscerated carcasses  
The uneviscerated carcasses will be transported to the following cutting plant:  ................................ ..  
 ................................ ................................ ................................ ................................ ................................   
 
4. Declaration  
I, the undersigned, declare that:  
 the uneviscerated carcasses described above are of birds which were examined 
before slaughter on the above -mentioned holding at  ……… (time) on  ……… 
(date) and found to be fit for slaughter;  
 the following observations on the health and welfare of animals were 
made:  ……………………………………………………………………………  
 the records and documentation concerning these animals satisfied the legal 
requirements and do not prohibit the slaughte r of the birds.  
 
Done at:  ................................ ................................ ................................ ................................ ................  , 
(Place)  
on:  ................................ ................................ ................................ ................................ ..........................   
 (Date)  
Stamp  
………………………………………….  
(Signature of the official veterinarian)  
 
  
                                                 
12  Commission Delegated Regulation (EU) …/… of ../../…. concerning specific rules for the performance 
of official controls on the production of meat and for production and relaying areas of live bivalve 
molluscs in accordance  with Regulation (EU) 2017/625 of the European Parliament and of the Council 
(OJ L …., ../../…., p. …).  75 
 Part III:  MODEL OFFICIAL CERTIFICATE FOR FARMED GAME 
SLAUGHTERED AT THE HOLDING OF PROVENANCE  
OFFICIAL CERTIFICATE  
for farmed game slaughtered at the holding  in accordance with Article 6(2) of Commission 
Delegated Regulation (EU)  [SANTE/10193/2017]13 
 
Name of the official veterinarian:  ................................ ................................ ................................ .........   
No:  ................................ ................................ ................................ ................................ .........................   
1. Identification of the animals  
Species:  ................................ ................................ ................................ ................................ ..................   
Number of animals:  ................................ ................................ ................................ ...............................   
Identification marking:  ................................ ................................ ................................ ..........................   
 
2. Provenance of the animals  
Address of holding of provenance:  ................................ ................................ ................................ .......  
Identification of house*:  ................................ ................................ ................................ ........................   
 
3. Destination of the animals  
The animals will be transported to the following slaughterhouse:  ................................ ........................   
 ................................ ................................ ................................ ................................ ................................   
by the following means of transport:  ................................ ................................ ................................ .....  
 
4. Other relevant informa tion 
 ................................ ................................ ................................ ................................ ................................   
5. Declaration  
 
I, the undersigned, declare that:  
(1) the animals described above were examined before slaughter at the 
above -mentioned holding at  ……… (time) on  ……… (date) and were 
found to be fit for slaughter,  
(2) they were slaughtered at the holding at ……… (time) on  ……… (date) 
and the slaughter and bleeding were carried out correctly,  
(3) the following observations on the health and welfare of animals were 
made:  ……………………………………………………………………
………  
(4) the records and documentation concerning these animals satisfied  the 
legal requirements and did not prohibit the slaughter of the animals.  
 
Done at:  ................................ ................................ ................................ ................................ ................  , 
(Place)  
on:  ................................ ................................ ................................ ................................ ..........................   
(Date)  
                                                 
13  Commission Delegated Regulation (EU) …/… of ../../…. concerning specific rules for the performance 
of official controls on the production of meat and  for production and relaying areas of live bivalve 
molluscs in accordance with Regulation (EU) 2017/625 of the European Parliament and of the Council 
(OJ L …., ../../…., p. …).  76 
 Stamp  
………………………………………….  
(Signature of official veterinarian)  
* optional  
 
 
  77 
 Part IV: MODEL OFFICIAL CERTIFICATE FOR FARMED GAME SLAUGHTERED AT 
THE HOLDING in accordance with point 3(a) of Section III of Annex III to Regulation (EC) 
No 853/2004  
OFFICIAL CERTIFICATE  
For farmed game slaughtered on the holding in accordance with Article 6 (3)  of Commission 
Delegated Regulation (EU) [SANTE/10193/2017]14 
 
Name of the official veterinarian:  ................................ ................................ ................................ .........   
No:  ................................ ................................ ................................ ................................ .........................   
1. Identification of the animals  
Species:  ................................ ................................ ................................ ................................ ..................   
Number of animals:  ................................ ................................ ................................ ...............................   
Identification marking:  ................................ ................................ ................................ ..........................   
 
2. Provenance of the animals  
Address of holding of provenance:  ................................ ................................ ................................ .......  
Identification of house*:  ................................ ................................ ................................ ........................   
 
3. Destination of the animals  
The animals will be transported to the following slaughterhouse:  ................................ ........................   
 ................................ ................................ ................................ ................................ ................................   
by the following means of transport:  ................................ ................................ ................................ .....  
 
4. Other relevant information  
 ................................ ................................ ................................ ................................ ................................   
5. Declaration  
 
I, the undersigned, declare that:  
(5) the animals described above were examined before slaughte r at the 
above -mentioned holding at  ……… (time) on  ……… (date) and were 
found to be fit for slaughter,  
(6) the following observations on the health and welfare of animals were 
made:  ……………………………………………………………………
………  
(7) the records and documentation concerning these ani mals satisfied the 
legal requirements and did not prohibit the slaughter of the animals.  
 
Done at:  ................................ ................................ ................................ ................................ ................  , 
(Place)  
on:  ................................ ................................ ................................ ................................ ..........................   
(Date)  
Stamp  
                                                 
14  Commission Delegated Regulation (EU) …/… of ../../…. concerning specific rul es for the performance 
of official controls on the production of meat and for production and relaying areas of live bivalve 
molluscs in accordance with Regulation (EU) 2017/625 of the European Parliament and of the Council 
(OJ L …., ../../…., p. …).  78 
 ………………………………………….  
(Signature of official veterinarian)  
* optional  
 
  79 
 Annex V  
Model official certificates in the case of emergency slaughter outside the slaughterhouse 
in accordance with Article  4 of Commission Delegated Regulation  (EU)  
[SANTE/10193/2017]15 
 
MODEL OFFICIAL CERTIFICATE IN THE CASE OF EMERGENCY SLAUGHTER 
OUTSIDE THE SL AUGHTERHOUSE  
OFFICIAL CERTIFICATE  
In the case of emergency slaughter outside the slaughterhouse  
 
Name of the official veterinarian:  ................................ ................................ ................................ .........   
No:  ................................ ................................ ................................ ................................ .........................   
1. Identification of the animals  
Species:  ................................ ................................ ................................ ................................ ..................   
Number of animals:  ................................ ................................ ................................ ...............................   
Identification marking:  ................................ ................................ ................................ ..........................   
 
2. Place of emergency slaughter  
Address:  ................................ ................................ ................................ ................................ .................   
Identification of house*:  ................................ ................................ ................................ ........................   
 
3. Destination of the animals  
The animals will be transported to the following slaughterhouse:  ................................ ........................   
 ................................ ................................ ................................ ................................ ................................   
by the following means of transport:  ................................ ................................ ................................ .....  
 
4. Other relevant information  
 ................................ ................................ ................................ ................................ ................................   
5. Declaration  
 
I, the undersigned,  declare that:  
(1) the animals described above were examined before slaughter at the 
above -mentioned holding at  ……… (time) on  ……… (date) and were 
found to be fit for slaughter,  
(2) they were slaughtered at at  ……… (time) on  ……… (date) and the 
slaughter and bleeding  were carried out correctly,  
(3) the following was the reason for the emergency 
slaughter:  ……………………………………………………………….  
(4) the following observations on the health and welfare of animals were 
made:  …………………………………………………………………  
                                                 
15  Com mission Delegated Regulation (EU) …/… of ../../…. concerning specific rules for the performance 
of official controls on the production of meat and for production and relaying areas of live bivalve 
molluscs in accordance with Regulation (EU) 2017/625 of the  European Parliament and of the Council 
(OJ L …., ../../…., p. …).  80 
 (5) The following treatments were administered  to the 
animal(s):  …………………………………………………………  
(6) the records and documentation concerning these animals satisfied the 
legal requirements and did not prohibit the slaughter of the animals.  
 
Done at:  ................................ ................................ ................................ ................................ ................  , 
(Place)  
on:  ................................ ................................ ................................ ................................ ..........................   
(Date)  
Stamp  
………………………………………….  
(Signature of off icial veterinarian)  
* optional  
 
  81 
 ’