Document ref. : NVWA_CLH_VE_B_US_kweekvis_EN_0.2_certificaatmodel

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 Landbouw, 

Natuur en Voedselkwaliteit

Ministry of Agriculture, Nature 

and Food Quality

Ministerium für Landwirtschaft, Natur und 

Lebensmittelqualität

Ministère de l’ Agriculture, de 

la Nature et de la Qualité des 

Aliments

Ministerio de Agricultura 

Naturaleza y Calidad 

Alimentaria

Nederlandse Voedsel- en 

Warenautoriteit

Netherlands Food and 

Consumer Product Safety 

Authority

Niederländische Behörde für 

Lebensmittel- und 

Produktsicherheit

Autorité néerlandaise de 

sécurité sanitaire de 

l'alimentation et des produits 

de consommation

Autoridad holandesa de la 

seguridad Alimentaria y de los 

Productos de consumo

Gezondheidscertificaat Health Certificate Gesundheitsbescheinigung Certificat Sanitaire Certificado Sanitario

VETERINARY CERTIFICATE FOR THE EXPORT OF LIVE FISH, FERTILIZED EGGS, AND GAMETES FROM TILAPIA 

LAKE VIRUS (TILV) - SUSCEPTIBLE SPECIES FROM THE NETHERLANDS TO THE UNITED STATES

I. IDENTIFICATION OF THE ANIMALS

Product no. Product Species (Scientific 

name)

Identification number Country of origin Quantity

Total quantity of animals :

Total number of 

packages/containers

:

Intended use of the animals :

Container number :

Import permit number :

II. ORIGIN OF THE ANIMALS

Product no. Approval no. Name and address

Name and address consignor :

Date of veterinary inspection :

Port of embarkation :

III. DESTINATION OF THE ANIMALS

Means of conveyance :

Identification of the means of 

conveyance

:

Country of transit :

Port of entry :

Name and address consignee :

IV. HEALTH INFORMATION

The official veterinarian of the exporting country's competent authority must certify the following 

statements:

1. Either(*) Tilapia from this population to be exported tested negative for TiLV within thirty (30) days 

prior to export;

Or(*) The facility of origin participates in an ongoing TiLV monitoring program for species 

susceptible to TiLV, by testing negative twice annually for a minimum of two (2) 

consecutive years, with at least three (3) months between tests;

And Populations were sampled using an assumed pathogen prevalence of two (2) percent, 

with a corresponding confidence level of ninety-five (95) percent, and found negative for 

TiLV;

And Samples were collected by an official veterinarian, or certifying official, representing the 

Competent Authority;

And Either(*) Samples were tested per the OIE;

Or(*) Samples were tested per a laboratory testing method reviewed and approved 
certificaatnummer: 

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Document ref. : NVWA_CLH_VE_B_US_kweekvis_EN_0.2_certificaatmodel

by the USDA prior to export;

2. No OIE-listed disease(s) affecting tilapia was/were diagnosed at the premises of origin within sixty

(60) days prior to export;

3. Either(*) The tilapia originate in the exporting country;

Or(*) The tilapia were legally imported and verified to be of equal health status before entering 

the population for export;

4. The tilapia were inspected by an official veterinarian of the exporting country's competent authority

within seventy-two (72) hours prior to export, and showed no clinical signs of disease;

5. Either(*) All shipping containers are new;

Or(*) All shipping containers have been properly cleaned and disinfected prior to use to ensure 

removal of organic material and mitigation of diseases of concern the species is 

susceptible to;

6. The shipment will ship directly to the United States with no stops en route other than those provided

for on the USDA import permit per Chapter I.

After the animal inspection, the health certificate is valid for seventy-two (72) hours prior to export.

Note:

(*) Delete as appropriate.

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