REFERENCE NUMBER: 

VETERINARY HEALTH CERTIFICATE 

FOR EXPORT OF COLUMBIFORMES TO THE UNITED STATES OF AMERICA 

Veterinary Authority

Canadian Food Inspection Agency 

Date of Issue Certificate Number 

CERTIFICATION 

This is to certify that the animals described herein conform to the current veterinary import requirements of the United States. 

Health certificates are valid for 30 days from the date of issue by the examining veterinarian of the exporting country. 

1. Consignor/Shipper/Owner: 2. Consignee/Broker/Owner: 

3. Country of Origin: 

CANADA 

4. Date of Shipment: 

5. Country of Destination: 

UNITED STATES 

6. State of Destination: 

7. Home Quarantine Address: 8. Port of Embarkation / Border Crossing: 

9. Date of Veterinary Inspection: 10. Means of Transport: 

11. Description of Commodity (Type of poultry): 

13. Total Quantity: 14. Total Number of Shipping Containers: 

15. Bird Identification (microchip, tattoo, or leg band): 

Row Species/Breed Physical Description/Identification Quantity 

1 

2 

3 

4 

5 

6 

7 

8 

9 

10 

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HA3216 (February XX, 2024) 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REFERENCE NUMBER: 

Veterinary Authority

Canadian Food Inspection Agency 

Date of Issue Certificate Number 

Certification Statements: 

I hereby certify that following due enquiry and to the best of my knowledge and belief, the birds covered under this 

health certificate comply with the following statements: 

1. EITHER: 

During the ninety (90) days prior to export, the birds have been continuously maintained in the region of export. Any 

bird that was imported from a country other than the United States has met Canadian domestic residency requirements 

OR 

The birds have been imported from a country other than the United States, have met all Canadian permanent entry 

conditions but have been in the region of export for less than ninety (90) days. The shipment will be accompanied by a 

health certificate from each country in which the birds have resided during the ninety (90) days prior to entry into the 

United States 

2. The birds were inspected on the premises of origin within the thirty (30) days preceding the date of export and the birds 

were found to be clinically free of signs of communicable diseases of poultry. 

3. In so far as can be determined, the birds were not suspected to have any communicable disease of poultry during the 

ninety (90) days prior to the inspection date. 

4. The birds were not vaccinated for any H5 or H7 subtype of avian influenza. 

5. The birds were either: 

A. Not vaccinated against Newcastle disease 

OR 

B. Vaccinated against Newcastle disease (avian paramyxovirus) at least twenty-one (21) days prior to export, using 

vaccines that do not contain any velogenic strains of Newcastle disease virus. 

Date: Name and Manufacturer of vaccine: ________________ 

6. The birds either: 

A. Do not originate from and have not transited through a control zone established by the Canadian Food Inspection 

Agency (CFIA) due to outbreaks of Newcastle disease or Highly Pathogenic Avian Influenza (HPAI) and are not 

currently under quarantine nor have any restrictions to their movement. 

OR 

B. Originate from and/or will transit a control zone established by the CFIA due to outbreaks of Newcastle disease or 

HPAI and arrangements have been made for quarantine after importation. The exporter has been advised that the 

shipment must be handled without commingling with any of other avian animals after leaving the premises of 

origin. 

7. The exporter has been advised that the birds must be maintained in the region of export until movement of the 

shipment for export and the birds must be placed in new, clean containers or appropriately sanitized packaging 

materials prior to movement from the premises of origin. 

Note: The following is a Canadian import requirement 

Pigeons that will be returning to Canada must be vaccinated prior to export to the USA for avian 

paramyxovirus at least thirty (30) days and not more than one hundred eighty (180) days prior to their 

departure. 

****************Certificate shall be valid for 30 days from date of issue********************* 

Name of Accredited Veterinarian (Printed) Name of Official Veterinarian (Printed) 

Signature of Accredited Veterinarian Signature of Official Veterinarian 

Date (yyyy-mm-dd) Date(yyyy-mm-dd) 

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HA3216 (February XX, 2024)