T 1800 900 090  
F +61 2 6272 5161  18 Marcus Clarke Street  
Canberra City ACT 2601  GPO Box 858  
Canberra ACT 2601  agriculture .gov.au  
ABN 24 113 085 695  
 
Appendix 1: Health certificate 1 (Approval of pre -export 
quarantine facilities)  
NOTE: Health certificates are negotiated directly between relevant government authorities. In cases 
where a health certificate has not been negotiated, this annex can be used as the basis for developing a 
suitable document.  
Health Certificate 1  
This certificate must ac company the consignment on arrival in Australia, and be signed and dated by a 
government approved veterinarian.  
 
Approval of pre -export quarantine facilities for live pigeons  
Name of Premises:  
 
 
 Name of person responsible:  
 
 
 
 
Address of Premises:  
 
 
 
 
 
 
 
 Contact details:  
Phone:  
Fax: 
Email:  
 
I,………………….. ( name ), being a veterinarian approved by the government of ……………………. 
(exporting  country ), inspected the premises above and found it to be:  
 dedicated  solely to the purpose of the quarantine of the consignment of birds for the 55 days 
immediately prior to their export to Australia.  
 a discrete, insect -proof secure unit physically isolated from any premises containing birds and 
constructed in such a way t hat there is no possibility of contact between birds in quarantine and 
other birds or animals or bird or animal products.  
 run on an all -in-all-out basis for the entire duration from commencement of pre -export 
quarantine to export, excepting that birds may be removed upon direction from the Australian 
Government Department of Agriculture and Water Resources or if they demonstrate clinical 
signs of chlamydophilosis. If birds are removed, they must not have any further contact with 
the remaining birds in pre -export quarantine.  
 be de-populated, thoroughly cleaned and disinfected to comply with standards to eliminate 
Newcastle Disease virus, before commencement of pre -export quarantine.  
 constructed so that all buildings containing feed and feeding equipment, floo ring and or 
bedding materials, or any other equipment which may come into contact with the birds, are 
adequately bird -proofed and vermin -proofed.   
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24.7.2017 10:58:04  am  constructed so that all water supplies to the facility are secure against contamination by wild 
birds.  
 operate d so that all equipment used is either new or has been sterilised or disinfected prior to 
use. 
 operated so that all staff at the centre during a quarantine period should have no contact with 
other birds , including any birds removed during the quarantine pe riod. 
 operated so that all matters relating to the health, disease testing and quarantine of the birds 
will be the control and direct supervision of myself who will provide the prescribed health 
certification.  
I hereby certify that this premises meets the requirements for pre -export quarantine facilities for 
preparation of pigeons for Australia.  
I certify that this consignment began pre -export quarantine in this premises on  
…………………………………  
 
Signature:…………………………………… ………………………………………  
Printed Name: ……………………………… ………………………………………  
Date of Approval:…………………… ……………………………………………..  
Email and contact number: ………………………………………………………….  
   
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24.7.2017 10:58:04  am Appendix 2: Health  certificate 2 (Owner ’s declaration)  
NOTE: Health certificates are negotiated directly between relevant government authoritie s. In cases 
where a health certificate has not been negotiated, this annex can be used as the basis for developing a 
suitable document.  
 
Health Certificate 2  
This certificate must accompany the consignment on arrival in Australia. The certificate must be 
signed and dated by both a government approved veterinarian and the owner or manager of the birds in 
this consignment. Multiple certificates may be required depending on the source of the birds making 
up the consignment.  
 
Owner's/aviary manager's declarati on 
I……………………………………………………………… ( name ), being the owner or the manager, 
of the birds described in this document, declare that:  
1. Each bird to which this declaration applies has been clearly identified with an implanted microchip 
(preferably implanted in pect oral muscle) and a permanent closed leg band and a full description of the 
bird is attached with the following details.  
Pre-export quarantine (P EQ) 
start date:  PEQ Premises:  
 Total number of birds in PEQ:  
Microchip and leg band #  Breed  ID Checked by Government 
Approved Veterinarian Y/N  
   
   
Name of Government 
Approved Veterinarian:  
 Signature of Government 
Approved Veterinarian:  Date:  
 
2. Each bird has been captive bred, and has been continuously resident in the source flock either since 
hatching, or during the six month period immediately prior to entry to the pre -export quarantine 
facility. During this six -month period the flock has been  housed in the aviary/loft located at:  
………………………………………………………………………………………………  
………………………………………………………………………………………………  
………………………………………………………………………………………………  
3. No birds selected for export have been raced, or exhibited, during the 21 days immediately prior to 
the birds entering pre -export quarantine.  
4. No birds selected for export were treated with antibiotics during the six -week period immediately 
prior to the birds entering pre -export quarantine. Details of any other medications/ treatments 
administered during this period are attached.  
5. No birds have been added into pre -export quarantine since the commencement of pre -export 
quarantine.   
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24.7.2017 10:58:04  am 6. If, for any reason, pre -export quarantine was re -commenced at a later date, the pre -export quarantine 
facility was de -popul ated, cleaned and disinfected to comply with standards to eliminate Newcastle 
Disease virus before the new consignment began pre -export quarantine.  
 
7. To the best of my knowledge and belief,  
EITHER  
a) All cases of disease or ill -thrift occurring in the so urce flock(s) and any other premises managed, 
owned or operated by the same company, group or individual, during the six week period immediately 
preceding the entry of the birds into the approved pre -export quarantine facility, have been subjected to 
veter inary investigation. A list of diagnoses and treatments applied is attached to this certificate. *  
OR 
b) No cases of disease or ill -thrift have occurred in the source flock(s), or any other premises managed, 
owned or operated by the same company, group or individual, during the six week period immediately 
preceding the entry of the birds into the approved pre -export quarantine facility. *  
* Delete if not applicable.  
8. No birds for export have been vaccinated against avian influenza. Vaccination carried out  against 
other diseases is as follows:  
Disease  
  Date(s) of Vaccination  
 
 Type of Vaccine  
 
 
  
    
 
   
 
 
  
    
 
   
 
 
  
    
 
   
 
 
Signature………………………………………………………….Date…………………  
Owner/Manager  
Name…………………………………………………….  
Address……………………………………………………………………………..  
………………………………………………………………………………………  
I have explained the contents of this Declaration to the Owner/Manager. I have witnessed the above 
signature, and after due enquiry, I have no reason to doubt the truth of this declaration.  
Signature…………………………………………………………. Date…………………  
Government Approved Veterinarian  
Name…………………………………………………….   
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24.7.2017 10:58:04  am Address……………………………………………………………………………...  
………………………………………………………………………………………  
Email and contact number …………………………………………………………  
NOTE: All pages, including the attached Schedules, are to be endorsed with the Official Stamp.  
Copies of Health  Certificates 1 & 2 must be forwarded to the Department of Agriculture and Water 
Resources within 7 days following entry into pre -export quarantine.    
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24.7.2017 10:58:04  am Appendix 3: Health certificate 3 ( Health certificate)  
NOTE: Health certificates are negotiated directly between relevant government authorities. In cases 
where a health certificate has not been negotiated, this annex can be used as the basis for developing a 
suitable document.  
 
Certificate 3  
This certificate must accompany the consignment on arrival in Australia, and be signed and dated by a 
government approved veterinarian.  
 
Health certificate  
I……………………………………………………………… ( name ), being a Government Approved 
Veterinarian*, certify in relation to the birds listed in the Schedule attached to the accompanying 
Owner’s/Manager’s Declaration that:  
[* A Government Approved Veterinarian is either a civil service veterinarian or a specially appointed 
veterinarian, as authorised by the Veterinary Administration of the expor ting country.]  
a) After due enquiry, I am satisfied, that during the 21 days prior to the entry of the birds into pre -
export quarantine, that clinical:  
· Newcastle disease  
· Pigeon paramyxovirus type 1 infection  
· avian influenza  
have not been diagnosed:  
· in any of the source flocks, or  
· on any premises managed, owned or operated by the same company, group or individual as any of 
the source flocks, or  
· on the pre -export quarantine facility, or  
· within 40 kms of any of these properties.  
b) After due enqu iry, I am satisfied that all cases of disease or ill -thrift occurring in the source flock(s) 
and any other premises managed, owned or operated by the same company, group or individual, during 
the six week period immediately preceding the entry of the birds  into the approved pre -export 
quarantine facility, have been subjected to veterinary investigation. I have no reason to doubt the 
accuracy or completeness of the list of diagnoses and treatments applied, as attached to the 
Owner's/Aviary Manager's Declarat ion relevant to this consignment.  
d) EITHER  
No bird in the pre -export quarantine facility showed any clinical sign of infection with 
chlamydophilosis during the pre -export quarantine period.  
OR 
A bird or birds in the pre -export quarantine facility showed c linical signs of infection with 
chlamydophilosis during the pre -export quarantine period. Such birds were tested for the presence of 
Chlamydophila psittaci  by direct isolation by egg inoculation or approved cell culture techniques 
and/or ELISA antigen capt ure technique of cloacal swabs or a validated faecal PCR test. Birds 
showing positive results for the presence of C. psittaci  were removed from the consignment.  
e) Before the birds entered the approved pre -export quarantine facility, the facility was clean ed and 
disinfected to comply with standards required to eliminate Newcastle disease virus.   
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24.7.2017 10:58:04  am f) I examined each bird for export within 48 hours prior to its entering the pre -export quarantine 
facility. All birds were found to be free from evidence of infecti ous or contagious disease and external 
parasites.  
g) The birds listed in the schedule attached to the Owner's/Aviary Manager's Declaration have been 
maintained for a period of at least 55 days in the pre -export quarantine facility. During this period, 
there have been no birds in the facility other than the birds assembled for this consignment, and the 
facility met at all times the conditions for approval specified in Certificate 1 of this permit.  
h)  
During the pre -export quarantine period, each bird fo r export was observed regularly by me for 
evidence of disease and, where abnormalities were observed, a full investigation was carried out and 
copies of all reports have been provided to the Government Veterinary Officer with responsibility for 
this shipme nt. Post mortem examinations were carried out on all dead birds and   avian paramyxovirus, 
avian influenza or pigeon herpesvirus encephalomyelitis infection was not detected in any of these 
dead birds  
 
i) At least 28 days after the commencement of the qua rantine period cloacal swabs were collected from 
each bird. Cloacal swabs from groups of no more than 5 birds were pooled and tested for freedom 
from the following pathogens with negative results in each case:  
 haemagglutinating agents by direct inoculation  of the allantoic cavity of 9 -11 day -old chick 
embryos with cloacal swabs. Any agents detected were specifically identified and influenza 
virus type A, Newcastle disease virus  (APMV -1), pigeon , paramyxovirus type 1  (PPMV -1), 
and avian paramyxovirus type 3  (APMV -3) were not found.  
 Salmonella Gallinarum, Salmonella Pullorum, Salmonella Enteritidis and Salmonella  Arizona 
(by faecal culture).  
j) At least 28 days after the commencement of the quarantine period blood samples were collected 
from each bird for export and using the tests indicated each individual blood sample was:  
tested negative for antibody to the following pathogens:  
 type A infl uenza virus (ELISA  or  AGID)  
 Newcastle disease virus (APMV -1) (HI)  
 Pigeon paramyxovirus type 1 (PPMV -1) (HI)   
 West Nile  virus (ELISA or PRNT)   
 equine encephalomyelitis virus* (PRNT  or HIT)  
 infectious bursal disease virus* (AGID  or VN) 
*Delete if Governme nt Veterinary Officer certifies that the country of origin is free of the specified 
pathogen.  
All tests were carried out at the………………………………………………… laboratory which is 
either a Government laboratory or a laboratory approved by the Government of the exporti ng country 
for this specific purpose.  
All laboratory reports have been provided to the Australian Government Department of Agriculture 
and Water Resources for review and all directions by the department have been actioned  accordingly . 
l) During the pre -export quarantine period, each pigeon was subjected to the following treatments:  
 an external parasiticide effective against ticks, lice and mites, specifically containing the active 
ingredient ………………….. at a strength of…….mg/kg, was applied twice as a powder/ wash,  
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24.7.2017 10:58:04  am as recommended by the manufacturer, at an interval of 10 days, with the first treatment being 
within 24 hours after the commencement of the quarantine period.  
 a broad -spectrum anthelmintic effective against nematodes, specifically containing the active 
ingredient ……………….. at a dose rate of …………. mg/kg, and a broad spectrum 
anthelmintic effective against cestodes, specifically containing the active ingredient 
………… … at a dose rate of …………… mg/kg, were administered twice at an interval of 21 
days, with the final treatment being within 3 -7 days prior to the scheduled date of export  
m) I scanned each bird’s microchip number and examined each bird’s leg band identification code. I 
found that each bird’s microchip number and leg band number was consistent and identifiable across 
all the pre -export laboratory testing results. Any problem with bird identification was notif ied in 
writing to the Department of Agriculture and Water Resources prior to export. n) No antibiotics were 
administered to any pigeon during the pre export quarantine without permission in writing of the 
Department of Agriculture and Water Resources. Detai ls of this and any treatments administered 
during pre export quarantine are attached.  
o) I examined all birds for export within 24 hours prior to their leaving the pre -export quarantine 
facility and found them to be free from evidence of infectious or cont agious disease and external 
parasites and fit to travel.  
p) The containers for the transport of the birds (which are of a type approved by IATA and the 
Director of Biosecurity) were cleaned and disinfected to my satisfaction, prior to the caging of the 
birds for transport.  
q) The birds were moved by the most direct practical route and were not at any time in contact with 
birds not tested to an equivalent health status.  
r) The compartments of the aircraft/vessel to be occupied by the birds and the compartmen ts' 
removable fittings were cleaned and disinfected with a prescribed disinfectant to my satisfaction prior 
to the loading of the birds.  
Signature………………………………………………………….Date…………………  
Government Approved Veterinarian  
Name…………………………………………………….  
Address……………………… ……………………………………………………  
……………………………………………………………………………………  
Email and contact number …………………………………………………………  
 
[NOTE: All pages, including any attached Schedules, are to be endorsed with the Official Stamp.]   
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24.7.2017 10:58:04  am Appendix 4: Health certificate 4 (Government Veterinary Officer 
certification)  
NOTE: Health certificates are negotiated directly between relevant government authorities. In cases 
where a health certificate has not been negotiated, this annex can be used as the basis for developing a 
suitable document.  
 
Health C ertificate  4 
This certificate must accompany the consignment on arrival in Australia, and be signed and dated by 
an official veterinarian.  
 
Government Veterinary Officer certification  
I,................................................................... (p lease print name), being a full time Government 
Veterinary Officer, certify in relation to the birds listed in Schedule 1 to the Owner's/Aviary Manager's 
Declaration relating to this consignment that:  
1. Disease freedom declaration  
a) ………………………( country  of export ) is free from highly pathogenic notifiable avian influenza 
and avian influenza has not been reported within 40 kilometres of any of the source flocks for the 
consignment, or of the approved pre -export quarantine facility, at any time within 21 days prior to the 
entry of the birds into pre -export quarantine;  
b) EITHER:  
…………………….. ( country  of export ) is free from strains of paramyxovirus type 1 which are 
classified as mesogenic or velogenic.*  
OR 
Clinical Newcastle disease has not been reported within 40 kilometres of any of the source flocks for 
the consignment, or of the approved pre -export quarantine facility, at any time within 21 days prior to 
the entry of the birds into pre -export quarantine;*  
Delete if not applicable  
c) Equine viral encephalomyel itis does not occur in .........................…….( country  of export ).** 
d) Infectious bursal disease does not occur in commercial poultry in ………………………( country  of 
export ) ** 
** Delete if not applicable  
2. Pre -export quarantine  
a) Where post mortem laborat ory reports from birds dying in pre -export quarantine indicate the 
presence of a disease of quarantine concern, as listed in these conditions, copies of those reports were 
submitted to the Department of Agriculture and Water Resources prior to shipment of the birds.  
b) The birds for export were inspected by me within 48 hours (preferably 24 hours) prior to leaving the 
pre-export quarantine facility and were found to be free from evidence of infectious or contagious 
disease and external parasites, and fit to  travel.  
3. Health certification  
I have read the Health Certificate provided in relation to the birds listed in the attached schedules and I 
have no reason to doubt the truth of that certification.  
Signature………………………………………………………….Date…………………   
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24.7.2017 10:58:04  am Government Vet erinary Officer  
Name…………………………………………………….  
Address………………………………………………………………………………………  
……………………………………………………………………………………… ……….  
Email and contact number …………………………………………………………………..  
 
[Note: All pages, including any attached Schedules, are to be endorsed with the O fficial Stamp.]