Part I: Details of dispatched consignment

COUNTRY:

Veterinary certificate to EU

I.1. Consignor

Name

Address

Tel.

I.2. Certificate reference No

I.2.a.

I.3. Central competent authority

I.4. Local competent authority

I.5. Consignee

Name

Address

Postal code

Tel.

I.6. Person responsible for the load in EU

Name

Address

Postal code

Tel.

I.7. Country of origin

ISO code

I.8. Region of origin

Code

I.9. Country of destination

ISO code

I.10. Region of destination

Code

I.11. Place of origin

Name

Approval number

Address

Name

Approval number

Address

Name

Approval number

Address

I.12. Place of destination

Name

Address

Postal code

I.13. Place of loading

I.14.Date of departure

I.15. Means of transport

Aeroplane

Ship

Railway wagon

Road vehicle

Other

Identification

Documentary references

I.16. Entry BIP in EU

I.17.

I.18. Description of commodity

I.19. Commodity code (HS code)

05 11 99 85

I.20. Quantity

I.21.

I.22. Number of packages

I.23. Seal/Container No

I.24.

I.25. Commodities certified for:

Artificial reproduction

I.26. For transit through EU to third country

Third country

ISO code

I.27. For import or admission into EU

I.28. Identification of the commodities

Species

(Scientific name)

Breed

Donor identity

Date of collection

Approval number of the centre

Quantity

Part II: Certification

COUNTRY:

Equine semen — Section A

II. Health information

II.a. Certificate reference No

II.b.

I, the undersigned official veterinarian of the exporting country (2) …, hereby

(name of exporting country)

certify that:

II.1. the semen collection centre (3), in which the semen described above was collected, processed and stored for export to the European Union is approved and supervised by the competent authority in accordance with the conditions of Chapter I(I)(1) and Chapter I(II)(1) of Annex D to Directive 92/65/EEC;

II.2. during the period commencing 30 days prior to the date of first collection of the semen described above until the date the fresh or chilled semen was dispatched or until the 30-day storage period for frozen semen elapsed, the semen collection centre:

II.2.1. was situated in the exporting country or, in the case of regionalisation according to Article 13 of Directive 2009/156/EC (8), in that part of the territory of the exporting country which was:

not considered to be infected with African horse sickness in accordance with Article 5(2)(a) and (b) of Directive 2009/156/EC,

free from Venezuelan equine encephalomyelitis for two years,

free from glanders and dourine for six months;

II.2.2. fulfilled the conditions for a holding laid down in Article 4(5) of Directive 2009/156/EC and in particular:

(1) either [II.2.2.1. not all the animals of species susceptible to the disease located on the holding were slaughtered or killed and the holding has been free:

from any type of equine encephalomyelitis for at least six months, beginning on the day on which the equidae suffering from the disease are slaughtered,

from equine infectious anaemia for at least the period required to obtain a negative result in an agar gel immunodiffusion test (Coggins test) carried out on samples taken after the infected animals were slaughtered on two occasions three months apart from each of the remaining animals,

from vesicular stomatitis for at least six months from the last recorded case,

from rabies for at least one month from the last recorded case,

from anthrax for at least 15 days from the last recorded case,]

(1) or [II.2.2.1. all the animals of species susceptible to the disease located on the holding have been slaughtered or killed and the premises disinfected, the holding has been free for at least 30 days from any type of equine encephalomyelitis, vesicular stomatitis and rabies or 15 days in the case of anthrax, beginning on the day on which following the destruction of the animals the disinfection of the premises was satisfactorily completed;]

II.2.3. contained only equidae which were free of clinical signs of equine viral arteritis and contagious equine metritis;

II.3.prior to entering the semen collection centre the donor stallions and any other equidae located in the centre:

II.3.1. were continuously resident for three months (or since entry if they were directly imported from a Member State of the European Union during the three-month period) in the exporting country or, in the case of regionalisation according to Article 13 of Directive 2009/156/EC, in that part of the territory of the exporting country which was during that period:

not considered to be infected with African horse sickness in accordance with Article 5(2)(a) and (b) of Directive 2009/156/EC),

COUNTRY:

Equine semen — Section A

II. Health information

II.a. Certificate reference No

II.b.

free from Venezuelan equine encephalomyelitis for at least two years,

free from glanders and dourine for at least six months;

(1) either [II.3.2. originated from the country of export which was on the day of admission into the centre free of vesicular stomatitis (VS) for at least six months;]

(1) or [II.3.2. were subjected to a virus neutralisation test for vesicular stomatitis (VS) carried out with negative result at a serum dilution of 1 in 12 on a blood sample taken (4) within 14 days prior to entering the centre;]

II.3.3. originated from holdings which on the day of admission onto the centre fulfilled the requirements of point II.2.2;

II.4. the semen described above was collected from donor stallions, which:

II.4.1. have not shown any clinical sign of an infectious or contagious disease at the time of admission onto the centre and on the day the semen was collected;

II.4.2. have been kept for 30 days prior to the date of semen collection on holdings where no equine animal has shown any clinical sign of equine viral arteritis or contagious equine metritis during that period;

II.4.3. have not been used for natural mating during at least 30 days prior to the date of first semen collection and between the dates of the first sample referred to in points II.4.5.1, II.4.5.2 and/or II.4.5.3 and until the end of the collection period;

II.4.4. have undergone the following tests, which meet at least the requirements of the relevant Chapter of the Manual of Diagnostic Tests and Vaccines for Terrestrial Animals of the OIE, carried out on samples taken in accordance with one of the programmes specified in point II.4.5 in a laboratory recognised by the competent authority:

(1) (5) either [II.4.4.1. an agar-gel immuno-diffusion test (Coggins test) for equine infectious anaemia (EIA) with negative result;]

(1) (5) or [II.4.4.1. an ELISA for equine infectious anaemia (EIA) with negative result;]

and (1) either [II.4.4.2. a serum neutralisation test for equine viral arteritis (EVA) with negative result at a serum dilution of one in four;]

(1) or [II.4.4.2. a virus isolation test for equine viral arteritis (EVA) carried out with negative result on an aliquot of the entire semen of the donor stallion;]

and II.4.4.3. an agent identification test for contagious equine metritis (CEM) carried out on two occasions on samples collected with an interval of seven days by isolation of Taylorella equigenitalis after a cultivation of 7 to 14 days from pre-ejaculatory fluid or a semen sample and from genital swabs taken at least from the penile sheath, urethra and urethral fossa with negative result in each case;

II.4.5. have been subjected with the results specified in II.4.4 in each case to at least one of the test programmes (6) detailed in points II.4.5.1, II.4.5.2 and II.4.5.3 as follows:

II.4.5.1. The donor stallion was continuously resident on the semen collection centre for at least 30 days prior to the date of the first collection and during the period of collection of the semen described above, and no equidae on the semen collection centre came during that time into direct contact with equidae of lower health status than the donor stallion.

The tests described in point II.4.4 have been carried out on samples taken (4) prior to the first semen collection and at least 14 days following the date of the commencement of the residence period of at least 30 days.

COUNTRY:

Equine semen — Section A

II. Health information

II.a. Certificate reference No

II.b.

II.4.5.2. The donor stallion was resident on the semen collection centre for at least 30 days prior to the date of the first collection and during the period of collection of the semen described above, but has left the centre under the responsibility of the centre veterinarian for a continuous period of less than 14 days, and/or other equidae on the collection centre came into direct contact with equidae of lower health status.

The tests described in point II.4.4 have been carried out on samples taken (4) prior to the date of the first semen collection of the breeding season or collection period in the year the semen described above was collected and at least 14 days following the date of the commencement of the residence period of at least 30 days,

and the test described in point II.4.4.1 for equine infectious anaemia was last carried out on a sample of blood taken (4) not more than 90 days before the semen described above was collected,

and (1) either [one of the tests described in point II.4.4.2 for equine viral arteritis was last carried out on a sample taken (4) not more than 30 days before the semen described above was collected, ]

(1) or [a virus isolation test for equine viral arteritis was carried out with negative result on an aliquot of the entire semen of the donor stallion taken (4) not more than six months before the semen described above was collected and a blood sample taken on the same date (4) reacted positive in a serum neutralisation test for equine viral arteritis at a serum dilution of more than one in four,]

and the test described in point II.4.4.3 for contagious equine metritis was last carried out on samples taken (4) not more than 60 days before the semen described above was collected.

II.4.5.3. The tests described in point II.4.4 have been carried out on samples taken (4) prior to the date of the first semen collection of the breeding season or collection period in the year the semen described above was collected,

and the tests described in point II.4.4 have been carried out on samples taken (4) between 14 and 90 days after the collection of the semen described above;

II.4.6. have undergone the testing provided for in points II.3.2 (1) and II.4.5 on samples taken on the following dates:

Identification of semen

Test programme

Start date (4)

Date of sampling for health tests (4)

Donor residence

Semen collection

VS (1) II.3.2

EIA II.4.4.1

EVA II.4.4.2

CEM II.4.4.3

Blood sample

Semen sample

1. sample

2. sample

COUNTRY:

Equine semen — Section A

II. Health information

II.a. Certificate reference No

II.b.

(1) either [II.5. no antibiotics were added to the semen;]

(1) or [II.5. the following antibiotic or combination of antibiotics was added to produce a concentration in the final diluted semen of not less than (7):

…;]

II.6. the semen described above was:

II.6.1. collected, processed, stored and transported under conditions which comply with the requirements of Chapters II(I)(1) and III(I) of Annex D to Directive 92/65/EEC;

II.6.2. sent to the place of loading in a sealed container in accordance with point 1.4 of Chapter III(I) of Annex D to Directive 92/65/EEC and bearing the number indicated in Box I.23.

Notes

Part I:

Box I.11: Place of origin shall correspond to the semen collection centre of the semen origin.

Box I.22: Number of packages shall correspond to the number of containers.

Box I.23: Identification of container and seal number shall be indicated.

Box I.28: Donor identity shall correspond to the official identification of the animal.

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

Approval number of the centre shall correspond to the approval number of the semen centre indicated in Box I.11 in which the semen was collected.

Part II:

Guidance for the completion of the table in point II.4.6.

Abbreviations:

VS

Vesicular stomatitis (VS) testing if required in accordance with point II.3.2

EIA-1

Equine infectious anaemia (EIA) testing first occasion

EIA-2

EIA testing second occasion

EVA-B1

Equine viral arteritis (EVA) testing on blood sample first occasion

EVA-B2

EVA testing on blood sample second occasion

EVA-S1

EVA testing on semen sample first occasion

EVA-S2

EVA testing on semen sample second occasion

CEM-11

Contagious equine metritis (CEM) testing first occasion first sample

CEM-12

CEM testing first occasion second sample taken 7 days after CEM-11

COUNTRY:

Equine semen — Section A

II. Health information

II.a. Certificate reference No

II.b.

CEM-21 CEM testing second occasion first sample

CEM-22 CEM testing second occasion second sample taken 7 days after CEM-21

Instructions:

For each semen identified in column A in correspondence with Box I.28, the test programme (II.4.5.1, II.4.5.2 and/or II.4.5.3) must be specified in column B, and columns C and D must be completed with the dates required.

The dates when samples were taken for laboratory testing prior to the first collection of the semen described above as required in II.4.5.1, II.4.5.2 and II.4.5.3, are entered in the upper line of columns 5 to 9 of the table, this being the boxes marked with EIA-1, EVA-B1 or EVA-S1 and CEM-11 and CEM-12 in the example below.

The dates when samples were taken for repeat laboratory testing as required in accordance with II.4.5.2 or II.4.5.3 are entered in the lower line of columns 5 to 9 in table, this being the boxes EIA-2, EVA-B2 or EVA-S2 and CEM-21 and CEM-22 in the example below.

Identification of semen

Test programme

Start date

Date of sampling for health tests

Donor residence

Semen collection

VS II.3.2

EIA II.4.4.1

EVA II.4.4.2

CEM II.4.4.3

Blood sample

Semen sample

1. sample

2. sample

A

B

C

D

VS

EIA-1

EVA-B1

EVA-S1

CEM-11

CEM-12

EIA-2

EVA-B2

EVA-S2

CEM-21

CEM-22

(1) Delete as necessary.

(2) Imports of equine semen are authorised from a third country listed in column 2 of Annex I to Commission Decision 2004/211/EC provided the semen was collected in the part of the territory of the third country detailed in column 4 from a donor stallion of the category of equidae indicated in columns 11, 12 or 13 in that Annex.

(3) Only approved semen collection centres listed in accordance with Article 17(3)(b) of Council Directive 92/65/EEC on the Commission website:

http://ec.europa.eu/food/animal/semen_ova/equine/index_en.htm

(4) Insert date in table in point II.4.6 (follow Guidance in Part II of the Notes).

(5) The agar gel immunodiffusion test (Coggins test) or the ELISA for equine infectious anaemia are not required for donor equidae which have continuously resided in Iceland since birth, provided that Iceland has remained officially free of equine infectious anaemia and no equidae and their semen, ova and embryos have been introduced into Iceland from outside prior to and during the period the semen was collected.

(6) Cross out the programmes that do not apply to the consignment.

(7) Insert names and concentrations.

(8) OJ L 192, 23.7.2010, p. 1.

Official veterinarian (*)

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp:

(*) The signature and the stamp must be in a different colour to that of the printing.

Part I: Details of dispatched consignment

COUNTRY:

Veterinary certificate to EU

I.1. Consignor

Name

Address

Tel.

I.2. Certificate reference No

I.2.a.

I.3. Central competent authority

I.4. Local competent authority

I.5. Consignee

Name

Address

Postal code

Tel.

I.6. Person responsible for the load in EU

Name

Address

Postal code

Tel.

I.7. Country of origin

ISO code

I.8. Region of origin

Code

I.9. Country of destination

ISO code

I.10. Region of destination

Code

I.11. Place of origin

Name

Approval number

Address

Name

Approval number

Address

Name

Approval number

Address

I.12. Place of destination

Name

Address

Postal code

I.13. Place of loading

I.14. Date of departure

I.15. Means of transport

Aeroplane

Ship

Railway wagon

Road vehicle

Other

Identification

Documentary references

I.16. Entry BIP in EU

I.17.

I.18. Description of commodity

I.19. Commodity code (HS code)

05 11 99 85

I.20. Quantity

I.21.

I.22. Number of packages

I.23. Seal/Container No

I.24.

I.25. Commodities certified for:

Artificial reproduction

I.26. For transit through EU to third country

Third country

ISO code

I.27. For import or admission into EU

I.28. Identification of the commodities

Species

(Scientific name)

Breed

Donor identity

Date of collection

Approval number of the centre

Quantity

Part II: Certification

COUNTRY:

Equine semen — Section B

II. Health information

II.a. Certificate reference No

II.b.

I, the undersigned official veterinarian of the exporting country (2)…, hereby

(name of exporting country)

certify that:

II.1. the semen collection centre in which the semen described above was collected, processed and stored for export to the European Union:

II.1.1. is approved and supervised by the competent authority according to the conditions of Chapter I, Annex D to Directive 92/65/EEC;

II.1.2. is situated in the territory or in the case of regionalisation according to Article 13 of Directive 2009/156/EC (6) in a part of the territory of the country of export which was on the day the semen was collected until the date of despatch free of:

African horse sickness, in accordance with EU legislation,

Venezuelan equine encephalomyelitis for two years,

glanders and dourine for six months;

II.1.3. was during the period commencing 30 days prior to the date of collection of the semen until the day of its despatch not subject to a prohibition order for animal health reasons which laid down one of the following conditions:

II.1.3.1. if not all the animals of species susceptible to the disease located in the holding were slaughtered or killed, the prohibition lasted for:

six months, beginning on the day on which the equidae suffering from the disease are slaughtered, in the case of equine encephalomyelitis,

a period required to carry out with negative result two Coggins tests three months apart in the animals remaining after the infected animals have been slaughtered, in the case of infectious equine anaemia,

six months, in the case of vesicular stomatitis,

one month from the last recorded case, in the case of rabies,

15 days from the last recorded case, in the case of anthrax;

II.1.3.2. if all the animals of species susceptible to the disease located in the holding have been slaughtered or killed and the premises disinfected, the prohibition lasted for 30 days, or 15 days in the case of anthrax, beginning on the day on which following the destruction of the animals the disinfection of the premises was satisfactorily completed;

II.1.4. contained during the period commencing 30 days prior to semen collection and lasting until the date of its dispatch only equidae which were free of clinical signs of equine viral arteritis and contagious equine metritis;

II.2. prior to entering the semen collection centre the donor stallions and any other equidae located in the centre:

II.2.1. were continuously resident for three months (or since entry if they were directly imported from a Member State of the European Union during the three-month period) in the territory or in the case of regionalisation in a part of the territory (1) of the country of export which was during that period free of:

African horse sickness, in accordance with EU legislation,

Venezuelan equine encephalomyelitis for two years,

glanders for six months,

dourine for six months;

(1) either [II.2.2. originated from the territory of the country of export which was on the day of admission into the centre free of vesicular stomatitis for six months;]

COUNTRY:

Equine semen — Section B

II. Health information

II.a. Certificate reference No

II.b.

(1) or [II.2.2. were tested by a virus neutralisation test for vesicular stomatitis in a blood sample taken on … (4), this being within 14 days prior to entering the centre, with negative result at a serum dilution of 1 in 12;]

II.2.3. originated from holdings which on the day of admission onto the centre fulfilled the requirements of point II.1.3;

II.3. the semen described above was collected from donor stallions, which:

II.3.1. on the day the semen was collected have not shown clinical signs of an infectious or contagious disease;

II.3.2. during at least 30 days prior to collection of the semen have not been used for natural service;

II.3.3. during the last 30 days prior to collection of the semen have been kept on holdings where no equine animal showed clinical signs of equine viral arteritis;

II.3.4. during the last 60 days prior to collection of the semen have been kept on holdings where no equine animal showed clinical signs of contagious equine metritis;

II.3.5. to the best of my knowledge and as far as I could ascertain have not been in contact with equidae suffering from an infectious or contagious disease the 15 days immediately preceding the collection of the semen;

II.3.6. have undergone the following animal health tests carried out in a laboratory recognised by the competent authority, in accordance with a test programme as specified in point II.3.7:

II.3.6.1. an agar-gel immuno-diffusion test (Coggins test) for equine infectious anaemia with negative result (3);

(1) either [II.3.6.2. a serum neutralisation test for equine viral arteritis with negative result at a serum dilution of 1 in 4;]

(1) or [II.3.6.2. a virus isolation test for equine viral arteritis carried out with negative result on an aliquot of the entire semen;]

II.3.6.3. a test for contagious equine metritis carried out on two occasions with an interval of seven days by isolation of Taylorella equigenitalis from pre-ejaculatory fluid or a semen sample and from genital swabs taken at least from the penile sheath, urethra and from the urethral fossa with negative result in each case;

II.3.7. have been subjected to one of the following test programmes (5):

II.3.7.1. the donor stallion was continuously resident on the collection centre for at least 30 days prior to the semen collection, and during the collection period, and no equidae on the collection centre came during that time into direct contact with equidae of lower health status than the donor stallions.

The tests required in point II.3.6 have been carried out on samples taken on … (4) and on … (4), at least 14 days after the commencement of the above residence period and at least at the beginning of the breeding season;

II.3.7.2. the donor stallion was not continuously resident on the collection centre or other equidae on the collection centre came into direct contact with equidae of lower health status than the donor stallions.

The tests required in point II.3.6. have been carried out on samples taken on … (4) and on … (4), within the 14-day period before the first semen collection and at least at the beginning of breeding season.

The test required in point II.3.6.1 was last carried out on a sample of blood taken not more than 120 days before the semen was collected on … (4).

The test required in point II.3.6.2 was last carried out:

(1) either [not more than 30 days before the semen was collected on … (4);]

(1) or [the non-shedder state of the seropositive stallion for equine viral arteritis was confirmed by a virus isolation test which was carried out not more than one year before the semen was collected on … (4);]

COUNTRY:

Equine semen — Section B

II. Health information

II.a. Certificate reference No

II.b.

II.3.7.3. the tests required in point II.3.6 have been carried out during the 30-day mandatory storage period of frozen semen and not less than 14 days after the collection of the semen on samples taken on … (4) and on … (4);

II.4. the semen described above was collected, processed, stored and transported under conditions which comply with the requirements of Chapter II and III of Annex D to Directive 92/65/EEC.

Notes

Part I:

Box I.11: Place of origin shall correspond to the semen collection centre of the semen origin.

Box I.22: Number of packages shall correspond to the number of containers.

Box I.23: Identification of container and seal number shall be indicated.

Box I.28: Donor identity shall correspond to the official identification of the animal.

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

Approval number of the centre shall correspond to the approval number of the semen collection centre of semen origin indicated in Box I.11.

Part II:

(1) Delete as necessary.

(2) Imports of equine semen are authorised from a third country listed in column 2 of Annex I to Commission Decision 2004/211/EC provided the semen was collected in the part of the territory of the third country detailed in column 4 from a donor stallion of the category of equidae indicated in columns 11, 12 or 13 in that Annex.

(3) The agar gel immunodiffusion test (Coggins test) or the ELISA for equine infectious anaemia are not required for donor equidae which have continuously resided in Iceland since birth, provided that Iceland has remained officially free of equine infectious anaemia and no equidae and their semen, ova and embryos have been introduced into Iceland from outside prior to and during the period the semen was collected.

(4) Insert date.

(5) Cross out the programmes that do not apply to the consignment.

(6) OJ L 192, 23.7.2010, p. 1.

Official veterinarian (*)

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp:

(*) The signature and the stamp must be in a different colour to that of the printing.

Part I: Details of dispatched consignment

COUNTRY:

Veterinary certificate to EU

I.1. Consignor

Name

Address

Tel.

I.2. Certificate reference No

I.2.a.

I.3. Central competent authority

I.4. Local competent authority

I.5. Consignee

Name

Address

Postal code

Tel.

I.6. Person responsible for the load in EU

Name

Address

Postal code

Tel.

I.7. Country of origin

ISO code

I.8. Region of origin

Code

I.9. Country of destination

ISO code

I.10. Region of destination

Code

I.11. Place of origin

Name

Approval number

Address

Name

Approval number

Address

Name

Approval number

Address

I.12. Place of destination

Name

Address

Postal code

I.13. Place of loading

I.14. Date of departure

I.15. Means of transport

Aeroplane

Ship

Railway wagon

Road vehicle

Other

Identification

Documentary references

I.16. Entry BIP in EU

I.17. No(s) of related original certificates

I.18. Description of commodity

I.19. Commodity code (HS code)

05 11 99 85

I.20. Quantity

I.21.

I.22. Number of packages

I.23. Seal/Container No

I.24.

I.25. Commodities certified for:

Artificial reproduction

I.26. For transit through EU to third country

Third country

ISO code

I.27. For import or admission into EU

I.28. Identification of the commodities

Species

(Scientific name)

Breed

Donor identity

Date of collection

Approval number of the centre

Quantity

Part II: Certification

COUNTRY:

Equine semen — Section C

II. Health information

II.a. Certificate reference No

II.b.

I, the undersigned official veterinarian of the exporting country (2) …, hereby

(name of exporting country)

certify that:

II.1. the centre (3) described in Box I.11 at which the semen to be exported to the European Union was stored:

(1) either [II.1.1. meets the conditions laid down in Chapter I(I)(1) and is operated and supervised in accordance with the conditions laid down in Chapter I(II)(1) of Annex D to Directive 92/65/EEC;]

(1) or [II.1.1. meets the conditions laid down in Chapter I(I)(2) and is operated and supervised in accordance with the conditions laid down in Chapter I(II)(2) of Annex D to Directive 92/65/EEC;]

II.2. the semen to be exported to the European Union:

II.2.1. has been collected, processed and stored for a minimum period of 30 days immediately following collection in an approved semen collection centre (4) operated and supervised in accordance with Chapter I(I)(1) and Chapter I(II)(1) of Annex D to Directive 92/65/EEC, which is:

(1) either [located in the exporting country;]

(1) or [located in … (2), and has been imported to the exporting country under conditions at least as strict as for imports of semen of animals of the equine species into the European Union in accordance with Directive 92/65/EEC;]

II.2.2. was moved to the centre described in Box I.11 under conditions at least as strict as described in:

(1) either [Model 1 in Section A of Part 2 of Annex I to Decision 2010/471/EU (5);],

(1) or [Model 2 in Section B of Part 2 of Annex I to Decision 2010/471/EU (5);]

(1) or [Commission Decision 95/539/EC (5);]

II.2.3. was stored under conditions which satisfy the terms of Annex D to Directive 92/65/EEC;

II.2.4. was sent to the place of loading in a sealed container in accordance with point 1.4 of Chapter III(I) of Annex D to Directive 92/65/EEC and bearing the number indicated in Box I.23.

Notes

Part I:

Box I.11: Place of origin shall correspond to the semen collection centre or semen storage centre of semen dispatch.

Box I.17: Shall correspond to the serial number of the individual official document(s) or health certificate(s) that accompanied the semen described above from the approved semen collection centre of its origin to the described above semen storage centre. The original(s) of this/these document(s) or certificate(s) or the officially endorsed copy/copies of thereof must be attached to this certificate.

Box I.23: Identification of container and seal number shall be indicated.

Box I.28: Donor identity shall correspond to the official identification of the animal.

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

Approval number of the centre shall correspond to the approval number of the semen collection centre of semen origin.

COUNTRY:

Equine semen — Section C

II. Health information

II.a. Certificate reference No

II.b.

Part II:

(1) Delete as necessary.

(2) Imports of equine semen are authorised from a third country listed in column 2 of Annex I to Commission Decision 2004/211/EC provided the semen was collected in the part of the territory of the third country detailed in column 4 in that Annex from a donor stallion of the category of equidae indicated in columns 11, 12 or 13 in that Annex.

(3) Only approved semen collection or storage centres listed in accordance with Article 17(3)(b) of Council Directive 92/65/EEC on the Commission website:

http://ec.europa.eu/food/animal/semen_ova/equine/index_en.htm

(4) Only approved semen collection centres listed in accordance with Article 11(4) and 17(3)(b) of Directive 92/65/EEC on the Commission websites:

http://ec.europa.eu/food/animal/approved_establishments/establishments_vet_field_en.htm

http://ec.europa.eu/food/animal/semen_ova/equine/index_en.htm

(5) The original(s) of the document(s) or the health certificate(s) or the officially endorsed copy/copies thereof that accompanied the semen described above from the approved semen collection centre of the semen origin to the centre of the semen dispatch described in Box I.11 must be attached to this certificate.

Official veterinarian (*)

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp:

(*) The signature and the stamp must be in a different colour to that of the printing.

Part I: Details of dispatched consignment

COUNTRY:

Veterinary certificate to EU

I.1. Consignor

Name

Address

Tel.

I.2. Certificate reference No

I.2.a

I.3. Central competent authority

I.4. Local competent authority

I.5. Consignee

Name

Address

Postal code

Tel.

I.6. Person responsible for the load in EU

Name

Address

Postal code

Tel.

I.7. Country of origin

ISO code

I.8. Region of origin

Code

I.9. Country of destination

ISO code

I.10. Region of destination

Code

I.11. Place of origin

Name

Approval number

Address

Name

Approval number

Address

Name

Approval number

Address

I.12. Place of destination

Name

Address

Postal code

I.13. Place of loading

I.14. Date of departure

I.15. Means of transport

Aeroplane

Ship

Railway wagon

Road vehicle

Other

Identification

Documentary references

I.16. Entry BIP in EU

I.17.

I.18. Description of commodity

I.19. Commodity code (HS code)

05 11 99 85

I.20. Quantity

I.21.

I.22. Number of packages

I.23. Seal/container No

I.24.

I.25. Commodities certified for:

Artificial reproduction

I.26. For transit through the EU to a third country

Third country

ISO code

I.27. For import or admission into the EU

I.28. Identification of the commodities

Species

(scientific name)

Category

Donor identity

Date of collection

Approval number of the team

Quantity

Part II: Certification

COUNTRY:

Equine ova/embryos

II. Health information

II.a. Certificate reference No

II.b.

I, the undersigned, official veterinarian, of the exporting country (2) … hereby

(name of exporting country)

certify that:

II.1. The ova (1)/embryos (1) described above:

II.1.2. were collected (1)/produced (1) by the team (3) described in Box I.11, which has been approved and supervised in accordance with Chapter I(III) of Annex D to Directive 92/65/EEC and is subject to inspection by an official veterinarian at least once every calendar year;

II.1.3. were collected (1)/produced (1), processed and stored in accordance with the requirements of Chapter III(II) of Annex D to Directive 92/65/EEC;

II.1.4. were collected at a place separated from other parts of the premises or holding which is in good repair and was cleaned and disinfected prior to the collection;

II.1.5. were examined, processed and packed in laboratory facilities which are not situated in a zone subject to prohibition or quarantine measures as set out in Box II.1.6, in a section which is separated from the section for storing equipment and materials used in contact with donor animals and from the area where the donor animals are handled;

II.1.6. come from donor mares which:

II.1.6.1. were continuously resident for three months (or since entry if they were directly imported from a Member State of the European Union during the three month period) in the exporting country or, in the case of regionalisation according to Article 13 of Directive 2009/156/EC (8), in that part of the territory of the exporting country which was during that period:

not considered to be infected with African horse sickness in accordance with Article 5(2)(a) and (b) of Directive 2009/156/EC (8),

free from Venezuelan equine encephalomyelitis for at least two years,

free from glanders and dourine for at least six months;

(1) either [II.1.6.2. originated from a country of export which was on the day of collection free of vesicular stomatitis for at least six months;]

(1) or [II.1.6.2. were tested by a virus neutralisation test for vesicular stomatitis on a blood sample taken on … (4) within 30 days prior to collection, with negative result at a serum dilution of 1 in 12;]

(1) either [II.1.6.3. during the past 30 days prior to collection have been located in holdings under veterinary supervision which fulfilled from the day of collection of ova (1)/embryos (1) until the date of their dispatch the conditions for a holding laid down in Article 4(5) of Directive 2009/156/EC (8), and in particular;]

(1) or [II.1.6.3. during the past 30 days prior to collection have been located in holdings under veterinary supervision which fulfilled from the day of collection of ova (1)/embryos (1) until, in the case of frozen ova (1)/embryos (1), the period of 30 days mandatory storage at approved premises elapsed the conditions for a holding laid down in Article 4(5) of Directive 2009/156/EC (8) and in particular;]

(1) either [II.1.6.3.1. not all the animals of species susceptible to the disease located on the holding were slaughtered or killed and the holding has been free:

from any type of equine encephalomyelitis for at least six months, beginning on the day on which the equidae suffering from the disease are slaughtered,

from equine infectious anaemia for at least the period required to obtain a negative result in an agar gel immunodiffusion test (Coggins test) carried out on samples taken after the infected animals were slaughtered on two occasions three months apart from each of the remaining equidae,

from vesicular stomatitis for at least six months from the last recorded case,

from rabies for at least one month from the last recorded case,

from anthrax for at least 15 days from the last recorded case]

(1) or [II.1.6.3.1. all the animals of species susceptible to the disease located in the holding have been slaughtered or killed and the premises disinfected, the holding has been free for at least 30 days from any type of equine encephalomyelitis, vesicular stomatitis and rabies or 15 days in the case of anthrax, beginning on the day on which following the destruction of the animals the disinfection of the premises was satisfactorily completed;]

COUNTRY:

Equine ova/embryos

II. Health information

II.a. Certificate reference No

II.b.

II.1.6.4. during the past 30 days prior to collection have been kept in holdings each of them having been free from clinical signs of contagious equine metritis for at least 60 days;

II.1.6.5. have not been used for natural breeding during at least 30 days prior to the date of collection of ova or embryos and between the date of the first samples referred to in points II.1.6.6 and II.1.6.7 and the date of the collection of ova and embryos;

II.1.6.6. have been subjected with negative result to an agar gel immunodiffusion test (Coggins test) or an ELISA for equine infectious anaemia carried out on a blood sample taken on … (4), being during the past 30 days prior to the date of the first collection of ova or embryos and the test was last carried out on a sample of blood taken on … (4), being not more than 90 days before the ova or embryos were collected (5);

II.1.6.7. have been subjected to an agent identification test for contagious equine metritis by isolation of Taylorella equigenitalis after a cultivation of 7 to 14 days carried out with negative results in each case on samples taken during the past 30 days prior to the date of the first collection of ova or embryos from mucosal surfaces of the clitoral fossa and clitoral sinuses on two consecutives oestrus periods on … (4) and on … (4), and on an additional culture specimen taken during one of the oestrus periods from the endometrial cervix on … (4);

II.1.6.8. to the best of my knowledge and as far as I could ascertain, have not been in contact with equidae suffering from an infectious or contagious disease during the 15 days immediately preceding the collection;

II.1.6.9. have on the day of collection of ova (1)/embryos (1) not shown clinical signs of an infectious or contagious disease;

II.1.7. were collected (1)/produced (1) after the date on which the embryo collection (1)/production (1) team described in Box I.11 was approved by the competent authority of the exporting country;

II.1.8. were processed and stored under approved conditions for at least 30 days immediately after their collection (1)/production (1) and transported under conditions which satisfy the terms laid down in Chapter III(II) of Annex D to Directive 92/65/EEC;

II.2. the embryos described above were conceived by artificial insemination (1)/as a result of in vitro fertilisation (1) using semen meeting the requirements of Directive 92/65/EEC and coming from semen collection centres approved in accordance with Article 11(2) or 17(3)(b) of Directive 92/65/EEC and located respectively in a Member State of the European Union or in a third country or parts of the territory of third country listed in columns 2 and 4 of Annex I to Decision 2004/211/EC from which the import of equine semen collected from registered horses, registered equidae or equidae for breeding and production is authorised in accordance with Article 4 of Decision 2004/211/EC and indicated in columns 11, 12 and 13 of Annex I thereto (6) (7);

II.3. the ova used for in vivo production of the embryos described above comply with the requirements of Annex D to Directive 92/65/EEC and in particular the requirements set up in points II.1.1 to II.1.8 of this certificate (1).

Notes

Part I:

Box I.11: place of origin shall correspond to the embryo collection team or embryo production team by which the ova/embryos were collected/produced, processed, stored and approved in accordance with Article 17(3)(b) of Directive 92/65/EEC and listed on the Commission website:

http://ec.europa.eu/food/animal/semen_ova/equine/index_en.htm

Box I.22: number of packages shall correspond to the number of containers.

Box I.23: identification of container and seal number shall be indicated.

Box I.28. category: specify if in vivo derived embryos, in vivo derived ova, in vitro produced embryos or micromanipulated embryos.

donor identity shall correspond to the official identification of the animal.

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

approval number of the team: shall correspond to the embryo collection team or embryo production team by which the ova/embryos were collected/produced, processed, stored and approved in accordance with Article 17(3)(b) of Directive 92/65/EEC and listed on the Commission website:

http://ec.europa.eu/food/animal/semen_ova/equine/index_en.htm

COUNTRY:

Equine ova/embryos

II. Health information

II.a. Certificate reference No

II.b.

Part II:

(1) Delete as appropriate.

(2) Only third countries or parts of the territory of third countries listed in columns 2 and 4 of Annex I to Commission Decision 2004/211/EC respectively from which permanent imports of registered equidae and equidae for breeding and production are also authorised and as indicated in column 14 in Annex I to Decision 2004/211/EC.

(3) Only approved embryo collection teams and embryo production teams listed in accordance with Article 17(3)(b) of Council Directive 92/65/EEC on the Commission website:

http://ec.europa.eu/food/animal/semen_ova/equine/index_en.htm

(4) Insert date.

(5) The agar gel immunodiffusion test (Coggins test) or the ELISA for equine infectious anaemia are not required for donor equidae which have continuously resided in Iceland since birth, provided that Iceland has remained officially free of equine infectious anaemia and no equidae and their semen, ova and embryos have been introduced into Iceland from outside prior to and during the period the semen was collected.

(6) Only approved semen collection centres listed in accordance with Article 11(4) or Article 17(3)(b) of Council Directive 92/65/EEC on the Commission websites:

http://ec.europa.eu/food/animal/approved_establishments/establishments_vet_field_en.htm

http://ec.europa.eu/food/animal/semen_ova/equine/index_en.htm

(7) Does not apply to ova.

(8) OJ L 192, 23.7.2010, p. 1.

Official veterinarian (*)

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp:

(*) The signature and the stamp must be in a different colour to that of the printing.