Wingband / Legband if Quantity Species Breed Strains of Poultry available

 

 

 

Reference Number:

VETERINARY HEALTH CERTIFICATE

EXPORT OF POULTRY TO THE UNITED STATES OF AMERICA

OWNER:

ADDRESS OF FLOCK OF ORIGIN:

PURCHASER:

ADDRESS:

MEANS OF TRANSPORTATION:

REGION OF EXPORT:

REASONS FOR EXPORT: ________BREEDING ________SLAUGHTER ________OTHER

This is to certify:

The poultry described below and the flocks of origin have been inspected and as a result of a careful

examination, no evidence of Newcastle disease or any communicable disease of poultry was found nor, insofar

as it has been possible to determine, were the poultry exposed to any such disease during the ninety (90)* days

immediately prior to the inspection date. Newcastle disease, fowl plague or highly pathogenic avian influenza

has not occurred on the premises of origin, nor on any adjoining premises during the ninety (90)* day period

preceding exportation and the area where the premises is located has not been under quarantine for any poultry

disease during the preceding ninety (90)* days. Poultry/hatching eggs covered by this certificate do not originate

from flocks nor had contact with any birds or poultry originating in a control zone established by federal animal

health authorities due to outbreaks of Newcastle disease or Highly Pathogenic Avian Influenza (HPAI). In the

case of commercial poultry, the flock of origin participates in a pullorum eradication program recognized by the

veterinary officials of Canada. Other types of poultry must have the flock of origin’s pullorum status confirmed

through the use of other sampling methods such as environmental/fluff samples within 90 days of export.

* For HPAI, this time frame is reduced to 28 days.

Poultry were either vaccinated against avian paramyxovirus a minimum of 21 days prior to export with a vaccine

that does not contain any velogenic strains OR

were not vaccinated for avian paramyxovirus (delete option not used).

The poultry have not been vaccinated with a vaccine for any H5 or H7 subtype of avian influenza, and have not

transited through regions where any HPAI subtype exists while en route to the United States. The poultry have

been maintained in the region from which they are offered for exportation for at least ninety (90) days

immediately preceding the date of export or since hatching except in the case of show poultry where poultry

must have been maintained in the region of exportation and/or the United States for the 90 days preceding

exportation.

For purposes of certification for entry into the United States of America, poultry is defined as chickens,

ducks, geese, swans, turkeys, pheasants, grouse partridges, quail, guinea fowl, and pea fowl.

Identification of the Poultry:

Date of Inspection Accredited Veterinary Practitioner

Date Official Export Stamp Official Veterinarian

Canadian Food Inspection Agency

RDIMS#3774803 Page______ of ______

HA1943 (Amended February 28, 2024)
 

 

 

Identification of the Poultry (continued):

Wingband / Legband if Quantity Species Breed Strains of Poultry available

 

 

 

Reference Number:

Date of Inspection Accredited Veterinary Practitioner

Date Official Export Stamp Official Veterinarian

Canadian Food Inspection Agency

RDIMS#3774803 Page______ of ______

HA1943 (Amended February 28, 2024)