Document ref. : 140207 NVWA_CLH_B_US_varkenssperma_EN-certificaatmodel 1 0.rtf

Koninkrijk der Nederlanden

GEZONDHEIDSCERTIFICAAT

(veterinair certificaat) certificaatnummer: 

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Koninkrijk der Nederlanden Kingdom of the Netherlands Königreich der Niederlande Royaume des Pays-Bas Reino de los Países Bajos

Ministerie van Economische 

Zaken

Ministry of Economic Affairs Ministerium für Wirtschaft Ministère des Affaires 

économiques

Ministerio de Economía

Nederlandse Voedsel- en 

Warenautoriteit

Netherlands Food and 

Consumer Product Safety 

Authority

Niederländische Behörde für 

Ernährung und 

Produktsicherheit

Autorité néerlandaise de 

surveillance des produits 

alimentaires et non 

alimentaires

Autoridad holandesa de la 

seguridad Alimentaria y de los 

Productos de consumo

Gezondheidscertificaat Health Certificate Gesundheitsbescheinigung Certificat Sanitaire Certificado Sanitario

HEALTH CERTIFICATE FOR THE EXPORT OF PORCINE SEMEN FROM THE NETHERLANDS

TO THE UNITED STATES

I. IDENTIFICATION OF THE SEMEN

Product no. Product (name of donor) Identification number of donor Species

Product no. Breed of donor Commodities certified for

Artificial reproduction

Batch no. Date of collection Number of straws Identification of the straws

Total number of containers :

Container number :

Seal number :

II. ORIGIN OF THE SEMEN

Product no. Approval number of semen collection centre Name and address of semen collection centre

Name and address exporter :

III. DESTINATION OF THE SEMEN

Means of conveyance :

Identification of the means of 

conveyance

:

Name and address of consignee :

IV. HEALTH INFORMATION

I, the undersigned official veterinarian, hereby certify that I have verified the information provided to me by 

the Centre Veterinarian in charge of the semen collection centre listed II (ORIGIN OF THE SEMEN); and 

that:

The semen described in this certificate:

1. Was collected, processed and stored in a semen collection centre, hereinafter "SCC," approved and 

supervised by the veterinary competent authority of the Netherlands in accordance with Council 

Directive 90/429/EEC, as last amended;

Name and qualification of the centre veterinarian

2. Either(1) Maintained solely under the control of the Centre Veterinarian for the above SCC;

Or(1) Initially maintained under the control of the Centre Veterinarian for the above SCC, and 

subsequently under the control of the Centre Veterinarian for a different semen collection 

centre, hereinafter “SCC2”, currently approved by the veterinary competent authority of the 

Netherlands(2) in accordance with Council Directive 90/429/EEC as last amended
certificaatnummer: 

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Name and qualification of the centre veterinarian

3. Was kept separate(3) from other semen not intended for export to the United States;

4. Was shipped in a new or thoroughly cleaned and disinfected container (that, in the case of frozen 

semen, was charged with fresh, unused liquid nitrogen) that was sealed with an intact, tamperproof 

seal recognized by the Netherlands, and as recorded above;

Each semen donor (and teasers, if used):

5. Was established as a resident of an approved SCC only if admitted by a formal process of quarantine, 

observation, and testing, in accordance with Council Directive 90/429/EEC, as last amended;

6. Was transported to the SCC in a vehicle that was cleaned and disinfected;

7. Was not imported into the Netherlands from a region that is not recognized by the USDA in 9 CFR Part 

94(4) as free of foot-and-mouth disease, rinderpest, and swine vesicular disease, or designated by 

USDA in 9 CFR Part 94 as affected with African swine fever

8. Did not originate from or was not imported into the Netherlands from a region where classical swine 

fever (CSF) is known to occur (except for the APHIS defined European CSF region), as indicated in 9 

CFR Part 94(4) and other official APHIS publications; has not been commingled with domestic swine 

that at any time were in any of these regions; and has not transited such regions unless moved 

directly through the region in a sealed means of conveyance with the seal determined to be intact 

upon arrival at the point of destination;

9. Either* Has not been in, or commingled with any domestic swine from, a restricted zone(5) in the 

APHIS-defined European CSF region established because of an outbreak of CSF in domestic 

swine or wild boar;

Or* Has been in a restricted zone(5) in the APHIS-defined European CSF region established 

because of an outbreak of CSF in domestic swine, but was not commingled with any

domestic swine of such a region, and was not collected for export to the United States, from 

the time of detection until the designation of restricted zone was removed by the competent 

veterinary authority of the Netherlands or until 6 months following depopulation of the 

domestic swine on affected premises in the restricted zone and the cleaning and disinfection 

of the last affected premises in the zone, whichever time was later. Dates of outbreak 

designation and removal of restrictions: ........................... ;

Or* Has been in a restricted zone(5) in the APHIS-defined European CSF region established 

because of the detection of CSF in wild boar; but was not commingled with any domestic 

swine of such a region, and was not collected for export to the United States from the time 

of detection until the designation of restricted zone is removed by the competent veterinary 

authority of the Netherlands. Dates of outbreak and removal of restrictions: ...................... ;

10. Has not transited a restricted zone(5) as described in IV. 9., unless moved directly through the zone in 

a sealed means of conveyance with the seal determined to be intact upon arrival at the point of 

destination, or unless the semen was collected after the periods described;

11. During the 60 days prior to semen collection for export to the United States, was/were not corralled, 

pastured or held with other animals under any restrictions due to animal health concerns;

Additional (post-collection) certifications:

12. Any outbreaks of communicable disease reported by the SCC after collection from the donors listed in 

this certificate, but prior to the time of the shipment’s consignment to the United States, have been 

investigated and resolved by the national Competent Authority;

13. There have been no cases reported or suspected of foot-and-mouth disease, rinderpest, African swine 

fever or swine vesicular disease in the country or region of origin between the time when the semen 

for export to the United States was last collected and the date of shipment.

Notes:

- This certificate must be issued within 30 days of arrival of the consignment in the United States.

- Every straw should be marked and the numerical or alphanumerical sequences should include the SCC approval 

number, donor breed, individual animal ID and date of semen collection.

- The sealed shipping containers must be delivered to the port of embarkation for direct shipment to the United 

States with no stops other than those provided for on the USDA import permit.

- Date of collection: shall be indicated in the following format: dd/mm/yyyy.

- Donor identity: shall include the official identification mark of the animal in accordance with Council Directive 

2008/71/EC of 15 July 2008 on the identification and registration of pigs (OJ L 213, 8.8.2008, p.321).

(1) Delete as appropriate.

(2) In cases where porcine semen was collected, processed and stored in one Member State, but further traded to or 

stored at an approved porcine SCC2 in another Member State prior to export to the U.S., copies of animal health 

certificates for Intracommunity trade, as set out in Annex D to Directive 90/429/EEC, must accompany the 

shipment.
certificaatnummer: 

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(3) Semen collected for export to the U.S. may not be stored in the same container with other porcine (or ruminant) 

semen. Storage containers must be locked (or sealed and held in a locked room) and maintained under the custody 

of the approved SCC veterinarian.

(4) The current APHIS-recognized disease status for different countries is found at the following website: 

http://www.aphis.usda.gov/import_export/animals/animal_disease_status.shtml

(5) A restricted zone for CSF (as defined in 9 CFR Part 94) refers to an area, delineated by the relevant competent 

veterinary authorities of the region in which the area is located, that surrounds and includes the location of an 

outbreak of CSF in domestic swine, or detection of the disease in wild boar; and from which the movement of 

domestic swine is restricted.

Gedaan te / Done at / Ausgefertigt in / Fait à / Hecho en 

Op / On / Am / Le / El 

Handtekening officiële dierenarts / Signature of the official veterinarian / 

Unterschrift des amtlichen Tierarztes / Signature du vétérinaire officiel / 

Firma veterinario oficial

Naam in hoofdletters / Name in capital letters / Name in Grossbuchstaben / 

Nom en lettres capitales / Nombre en letras capitales 

The signature and the stamp must be in a different colour from that of the printing.