FSIS Form 9060-5EP (Egg Product Export Certificate of Wholesomeness) – Completion Instructions 

Block 1: District Office - Enter the District Office name and number covering the exporting establishment

Block 2: Country of Destination - Enter the name of the intended receiving country. 

Block 3: Exported By - Enter the applicant’s (exporter/consignor) name and address including zip code. The 

"Exported By" block is intended to identify the exporter or consignor. This is usually the owner and/or exporter of

the product. In some cases, the applicant plant may own the product and also be the consignor.

Block 4: Consigned To - Consignee/ Importer’s name and physical address including zip code. The 

consignee/importer is located in the country of destination. Check that the consignee/importer address is in the same 

country listed in the “Country of Destination” box.

Block 5: Total Marked Net Weight - Enter the total weight of the lot. Check that the total net weight equals the 

combined marked weight of each individual lot of product.

Block 6: Total Containers - Enter the total number of shipping containers in the lot. Check that total container

number equals the combined number of packages in the lot. 

Block 7: Certificate Number - Pre-printed serial number for FSIS Form 9060-5EP.

Block 8: Est/Plant Number - Enter the establishment number where the product is exported from. This is usually

where the product is stamped for export. 

Block 9: City - Enter the city where the exporting establishment is located

Block 10: Warehouse, Processing Plant, Other (Please Specify) - Check the correct box for type of FSIS inspected

exporting facility.

Block 11: This block intentionally left blank

Block 12: Product as Labeled - Enter the name of the product as it appears on the label of the immediate 

container(s) (Liquid, Frozen or Dried) unless specified differently by the importing country in the FSIS egg export 

library.

Block 13: Marked Weight of Lot - Enter the marked weights for each individual lot of product. 

Block 14: Number of Packages In Lot - Enter the number of packages of each lot of product (combos, cartons,

drums, boxes, cases, etc.).

Block 15: Shipping Marks/Lot Numbers - Enter the lot number or production code and any shipping marks used by

the establishment to identify product. Check export library to determine if the importing country requires shipping

marks, company seals, or transport vessel numbers.

Block 16: Est./Plant Number on Product - Enter the establishment number marked on the shipping

cartons/containers of the product intended for export.

Block 17: Remarks - Enter only the certification statements specified in the export library for the importing country. 

The certification statements must be exactly as listed in the Export Library.

Block 18: Attestation - Checking the box attests that the egg products in the shipment meet FSIS requirements and are 

eligible for commerce.

Block 19: Inspector and District - The certifying official should sign the certificate using any color other than black

ink, type or print their name and their district number and if the importing country requires a PHV signature, include 

his or her professional degree.

Block 20: Date Signed- The date the FSIS Form 9060-5 EP was signed. 
U.S. DEPARTMENT OF AGRJCULTUR.E 

FOOD SAFETY AND INSPECTION SERVICE 

AELO OPERATIONS 

EGG PRODUCTS EXPORT CERTIFICATE OF 

WHOLESOMENESS 

DISTRICT OFFICE COUNTRY OF DESTINATION 

...,(_:--

~~~, -=:> • •'AJ..::. 

EXPORTED BY(" - u~~ -,,J 11~»:/hRJucling ZIP Code} fl~ ~ ,... 

~·fi;:; ~ 1) ,%~ i~ ,, ~~ i t-·, \.,.. ,~.M l,I

, ·~.. ·- - ,L4. 

CONSIGNED TO 1 (Name andAt1lltfP'ftl¢1Jd7,tg ZIP Code) 

TOTAL MARKED NET WEIGHT TOTAL CONTAINERS 

MARKED PRODUCT AS LABELED WEIGHT OF LOT' 

A knowingty false entry or alteration or any entry on the certificate m.ay 

result in a fine of not more than $10,000 or imprisonment for not more 

lhan five years or bolh (18 USC 1001). Additiona.l Prohibited Acts and 

Penalties exist under the Egg Produd Inspection Act [21 USC 1037 (e) 

(2). (3), and (6), 21 USC 1041) ror an unauthorized or false alteration or 

misuse of !his certificate. 

EPA- 000006 

PRODUCT f:XPORTED FROM 

EST. / Pt.ANT NUMBER (if applicable) 

CITY 

WAREHOUSE

□ PROCESSING PLANT 

□ OllfER (l"JNse Specify/

□ 

NUMBER OF SHIPPING MARKS / LOT NUMBER • EST. I PLANT NUMBER 

PACKAGES ON 

IN LOT' PRODUCT 

•~- --Dv - IIDDIIC8flt or contractor 

REIIARKS 

ICERTIFY lhal the egg products specified on this form have been inspected and passed In accordance with the applicable laws and regulations 

□ al lhe United States Department of Agriculture and are wholesome and fit for tunan consumption.

NOT VALID UNLESS SIGNED BY A fst."'!. INSPECTrn1 

INSPECTOR AND DISTRICT Date Signed (MM/00/VVYV) 

By order ofthe 

s«nJtary ofAgrit;ulture 

This certificate is receivable In all courts of the United States as prima fade evidence of lhe truth or the statement herein contained, 

This certificate does not excuse failure to comply with any of the regulatory laws enforced by the United States Department of AgrlCl.llture. 

FSIS FORM 9060-SEP (Edition date - 08/15/2015)