Aphis 7001 PDF Template

Aphis 7001 PDF Template

The Aphis 7001 form is a critical document required for the interstate and international shipment of certain animals, including dogs, cats, and nonhuman primates. This form collects vital health examination information and ensures compliance with USDA regulations to protect public health and animal welfare. For those preparing to transport these animals, completing the Aphis 7001 form accurately is essential; please click the button below to get started.

Overview

The Aphis 7001 form, officially known as the United States Interstate and International Certificate of Health Examination for Small Animals, plays a pivotal role in the safe transport of specific animals like dogs, cats, and nonhuman primates across state and international borders. This document not only ensures compliance with U.S. Department of Agriculture (USDA) regulations but also protects public health and animal welfare. It requires detailed information about the animal, including species, age, sex, and vaccination history, to help prevent the spread of infectious diseases. Furthermore, accurate completion of the form is a legal obligation; any false statements can result in severe penalties, including fines or imprisonment. The certification must be completed by a licensed veterinarian who certifies that the animal has been examined and is free from identifiable diseases. Each form is valuable for a limited time and must display valid OMB control numbers to be legally effective. Proper completion of this form contributes to maintaining the health and safety of both the transported animals and the communities they enter.

Aphis 7001 Preview

According to t he Paperwork Reduction Act of 1995, an agency may not cond uct or sponsor, and a p erson is not required to respond to, a collection of

No dog, cat, nonhuman primate, or additional kinds or classes of animals designated by

OMB APPROVED

information unless it displays a valid OMB control number. The valid OMB control numbers for this information collection are 0579-0036 and 0579-0333.

USDA r egulation sh all be del ivered to any i ntermediate handler or car rier for

0579-0036

The ti me r equired to complete this i nformation col lection i s esti mated to average .25 h ours per r esponse, i ncluding the ti me for rev iewing in structions,

transportation in commerce, unless accompanied by a heal th certificate executed and

0579-0333

searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

issued by a licensed veterinarian (7 U.S.C. 21.43.9; CFR, Subchapter A, Part 2).

 

 

WARNING: Anyone who makes

1.

TYPE OF ANIMAL SHIPPED (select one only)

2. CERTIFICATE NUMBER - OFFICIAL USE ONLY

UNITED STATES DEPARTMENT OF AGRICULTURE

a false, fictitious, or fraudulent

 

 

 

Dog

 

Cat

 

 

Other_________________

 

ANIMAL AND PLANT HEALTH INSPECTION SERVICE

statement on this document, or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

uses such document knowing it

 

 

 

Nonhuman Primate

 

 

Ferret

 

Rodent

 

UNITED STATES INTERSTATE AND INTERNATIONAL

to be false, fictitious, or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CERTIFICATE OF HEALTH EXAMINATION

fraudulent may be subject to a

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

TOTAL NUMBER OF ANIMALS

 

 

4. PAGE

fine of not more than $10,000 or

 

 

FOR SMALL ANIMALS

imprisonment of not more than 5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

years or both (18 U.S.C. 1001).

 

 

 

 

 

 

 

 

 

 

 

 

 

5. NAME, ADDRESS, AND TELEPHONE NUMBER OF OWNER (

CONSIGNOR)

6.

NAME, ADDRESS, AND TELEPHONE NUMBER OF RECIPIENT

AT DESTINATION (CONSIGNEE)

USDA License/or Registration Number (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. ANIMAL IDENTIFICATION

 

 

 

 

 

 

 

 

 

 

 

8. PERTINENT VACCINATION, TREATMENT, AND TESTING HISTORY

 

 

 

 

 

BREED – COMMON

 

 

COLOR OR

 

 

 

 

 

 

RABIES VACCINATION

 

 

OTHER VACCINATIONS,

 

 

NAME, AND/OR TATTOO NUMBER

OR SCIENTIFIC

AGE

SEX

DISTINCTIVE

 

 

 

 

 

 

 

 

 

 

 

TREATMENT, AND/OR TESTS AND RESULTS

OR OTHER IDENTIFICATION

 

NAME

 

 

MARKS OR

 

 

 

 

 

1 YEAR

 

2 YEARS

 

3 YEARS

 

 

 

 

 

 

 

 

 

 

 

 

MICROCHIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vaccination Date

 

 

Product

Date

 

 

Product Type and/or Results

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(4)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(5)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(6)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. REMARKS OR ADDITIONAL CERTIFICATION STATEMENTS (WHEN REQUIRED)

 

 

 

VETERINARY CERTIFICATION: I certify that the animals described in box 7 have been examined by me this date, that the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

information provided in box 8 is true and accurate to the best of my knowledge, and that the following findings have been made

 

 

 

 

 

 

 

 

 

(“X” applicable statements).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I have verified the presence of the microchip, if a microchip is listed in box 7.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I certify that the animal(s) described above and on continuation sheet(s), if applicable, have been inspected by me on this date and

 

 

 

 

 

 

 

 

 

appear to be free of any infectious or contagious diseases and to the best of my knowledge, exposure thereto, which would endanger the

 

 

 

 

 

 

 

 

 

animal or other animals or would endanger public health.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To my knowledge, the animal(s) described above and on continuation sheet(s) if applicable, originated from an area not quarantined

 

 

 

 

 

 

 

 

 

for rabies and has/have not been exposed to rabies.

 

 

 

 

 

 

 

 

ENDORSEMENT FOR INTERNATIONAL EXPORT (IF NEEDED)

 

 

 

 

 

 

NAME, ADDRESS, AND TELEPHONE NUMBER OF ISSUING VETERINARIAN

 

LICENSE NUMBER AND STATE

PRINTED NAME OF USDA VETERINARIAN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accredited

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If yes, please

complete below

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NATIONAL ACCREDITATION NUMBER

 

 

 

 

 

 

 

 

 

NOTE: International shipments may require certification by an accredited veterinarian.

 

 

 

 

 

 

SIGNATURE OF USDA VETERINARIAN Apply USDA Seal or Stamp here

DATE

 

 

 

SIGNATURE OF ISSUING VETERINARIAN

 

 

 

 

 

 

DATE

APHIS Form 7001

 

(NOV 2010)

This certificate is valid for 30 days after issuance

File Properties

Fact Name Details
Form Purpose The Aphis 7001 form is used for the health certification of certain animals being transported across state or international lines, ensuring their health status is documented.
OMB Control Numbers This information collection displays OMB control numbers 0579-0036 and 0579-0333, which must be present for legal compliance under the Paperwork Reduction Act of 1995.
Completion Time It is estimated that completing the Aphis 7001 form will take an average of 15 minutes, including data collection and review.
Legal Authority The form is governed by 7 U.S.C. 21.43.9 and specific regulations found in the CFR, Subchapter A, Part 2.
Consequences of False Statements Submitting false information on the Aphis 7001 form may result in serious repercussions, including fines up to $10,000 or imprisonment for up to 5 years, as stipulated in 18 U.S.C. 1001.

Instructions on Utilizing Aphis 7001

Completing the APHIS 7001 form requires careful attention to detail. Before starting, ensure you have all necessary information at hand, such as the details of the animals being transported and the relevant parties' contact information. This guide provides a straightforward process to help you accurately fill out the form.

  1. Identify the type of animal being shipped: In the section titled "TYPE OF ANIMAL SHIPPED," select only one option from the provided list (Dog, Cat, Nonhuman Primate, Ferret, Rodent, Other).
  2. Enter the certificate number: Leave the "CERTIFICATE NUMBER - OFFICIAL USE ONLY" field blank, as it is reserved for official purposes.
  3. Indicate the total number of animals: Write the total number of animals being transported in the "TOTAL NUMBER OF ANIMALS" field.
  4. Fill in the owner’s details: Provide the name, address, and telephone number of the owner or consignor in the designated section.
  5. Input the recipient’s information: Include the name, address, and telephone number of the recipient or consignee at the destination.
  6. Include the USDA license/registration number: If applicable, fill in the USDA license or registration number in the corresponding field.
  7. Provide animal identification: Complete the "ANIMAL IDENTIFICATION" section with details such as breed, color, age, sex, and any distinctive marks or identification numbers, like a microchip number.
  8. Detail vaccination and treatment history: In the next section, record pertinent vaccination, treatment, and testing history, including specific vaccine names, dates, and product types.
  9. Add remarks: Use the "REMARKS OR ADDITIONAL CERTIFICATION STATEMENTS" section for any extra information if required.
  10. Complete the veterinary certification: A licensed veterinarian must examine the animals and certify that the information provided in the applicable sections is true and accurate. Ensure the veterinarian checks the relevant statements regarding health and vaccination status before signing.
  11. Fill in the veterinarian's details: Write the name, address, telephone number, and license number of the issuing veterinarian.
  12. Affix the USDA seal or stamp: If applicable, make sure to apply the USDA seal or stamp in the designated area on the form.

Review the completed form for accuracy and clarity. Ensure that all necessary signatures are present before submitting it to the appropriate authorities or accompanying it with the shipment. Proper completion of this form ensures compliance with health regulations during the transportation of animals.

Important Facts about Aphis 7001

What is the Aphis 7001 form used for?

The Aphis 7001 form serves as the United States Interstate and International Certificate of Health Examination for animals. It is required for the transportation of specific animals, including dogs, cats, nonhuman primates, and other types designated by the U.S. Department of Agriculture (USDA). The form ensures that the animals being shipped are healthy and free from any infectious or contagious diseases. By completing this form, both consignors and the USDA can verify compliance with health standards set for animal transport.

Who needs to fill out the Aphis 7001 form?

Anyone who intends to ship regulated animals must complete the Aphis 7001 form. This includes pet owners, breeders, and anyone involved in animal trade. The form must be filled out by the owner (consignor) and should contain detailed information about the animals being transported. Additionally, a licensed veterinarian must certify the health of the animals by providing accurate vaccination and treatment history on the form. Without this certification, the shipment may be denied.

How long is the Aphis 7001 form valid?

The Aphis 7001 form is valid for 30 days after it has been issued. It is crucial to keep this timeframe in mind when planning for animal transport, as any delays beyond this period may require you to obtain a new form. Ensuring that you have an up-to-date certificate can prevent potential issues during transportation, ensuring a smooth and compliant process.

What happens if false information is provided on the Aphis 7001 form?

Providing false, fictitious, or fraudulent information on the Aphis 7001 form can have serious consequences. Individuals who knowingly submit inaccurate statements may face substantial penalties, including fines of up to $10,000 or imprisonment for as long as five years, or both. This law underscores the importance of accurate reporting and adherence to regulations for the safety and health of the animals involved.

Common mistakes

Completing the APHIS Form 7001 is critical for ensuring the safe transport of animals. However, many individuals make several common mistakes that can cause delays or complications. One of the primary errors occurs when users fail to select the correct type of animal being shipped. This section is crucial, as it directly affects the rest of the form. Selecting "Other" without providing a clear explanation may lead to confusion and additional questions from authorities.

Another frequent issue is the omission or inaccuracy of the certificate number. This number is necessary for official tracking and reference purposes. Incomplete or incorrect entries can hinder processing and lead to potential fines. Moreover, when filling out the section for the owner and recipient's contact information, individuals often overlook the importance of providing accurate phone numbers. Missing this information can result in communication breakdowns, slowing down the entire process.

Inaccuracies in the animal identification section also pose significant challenges. Users often forget to include distinct markings or identifiers, which can complicate verification. Proper documentation of the animal’s pertinent vaccination and treatment history is equally vital. Errors in listing vaccines or misrepresenting treatment dates can have serious implications, including the potential rejection of the shipment.

Many applicants neglect the remarks section, where additional statements may be required. Failing to provide necessary comments or certifications can lead to the impression that the submission is incomplete or lacking critical information. The veterinary certification part must also be completed with utmost care. If the certifying veterinarian fails to fully review the animals, this could result in legal repercussions for submitting false information.

It is also common for individuals to disregard the requirement for signatures. Omitting the signature of the issuing veterinarian or the owner can invalidate the entire form. Furthermore, providing the correct dates is essential. Many applicants mistakenly fill out outdated information, which can cast doubt on the validity of the certificate.

Lastly, neglecting to check the expiration date of the certificate can lead to complications. The form is valid for only 30 days after issuance, and attempting to use an expired certificate can derail planned shipments. Timely and thorough completion of the APHIS Form 7001 is essential, and avoiding these common mistakes can help ensure a smoother process for animal transport.

Documents used along the form

The APHIS 7001 form is essential for the interstate and international transport of certain animals, as it certifies their health status. However, additional documentation may also be required to comply with specific regulations or requirements set by various authorities. Below are some commonly required forms and documents that often accompany the APHIS 7001 form.

  • Health Certificate: This document is issued by a licensed veterinarian, confirming that the animal has been examined and is free from disease. It often includes vaccination records and other pertinent health information.
  • Import Permit: Some states or countries require an import permit for animals. This document provides permission for the animal to enter the destination area, ensuring compliance with local regulations.
  • Microchip Registration: If the animal is microchipped, this documentation provides proof of registration. It usually includes details such as the microchip number, the identification of the owner, and the animal's medical history.
  • Transportation Agreement: Some entities require a transportation agreement that outlines the responsibilities of all parties involved in the transport of the animal. This agreement addresses care during transport and liability issues.

When preparing for the transport of animals, understanding and gathering all necessary documentation is crucial. Ensuring compliance with regulations helps facilitate a smoother process and enhances the welfare of the animals involved.

Similar forms

  • APHIS 7001 Import Permit: Like the Aphis 7001 form, the Import Permit is essential for transporting animals across state lines. It also ensures that all health and safety regulations are met.
  • Health Certificate for Pets: This document certifies the health status of a pet before travel. It shares similarities with the Aphis 7001 in that both require details about the animal's vaccines and overall health condition.
  • Certificate of Veterinary Inspection (CVI): A CVI is frequently required when animals are sold or transferred. It serves a similar purpose to the Aphis 7001 by ensuring animals are free of diseases.
  • Import Health Certificate: This is specifically needed for animals moving into the U.S. from abroad. Much like the Aphis 7001 form, it contains verification from a licensed veterinarian.
  • Interstate Certificate of Health Examination: Required for transporting animals across state lines, this certificate is akin to the Aphis 7001, focusing on the health inspection aspect.
  • Pet Travel Certificate: This document is often necessary for traveling pets. It highlights the pet's vaccination status and health, offering similar information to the Aphis 7001 form.
  • Endorsement of Veterinary Certificates: This endorsement ensures a certificate meets international transport standards. It relates to the Aphis 7001 by guaranteeing that health requirements are met for transport.
  • Pet Vaccination Record: While not a travel document, this record details a pet’s vaccination history. It complements the Aphis 7001 as both address vaccination requirements for animal transport.
  • Animal Disease Traceability (ADT) Form: This form supports the tracking of animal health status. Similar to the Aphis 7001, it is vital for maintaining health standards during transport.
  • USDA Export Certificate for Animals: Needed for shipping animals internationally, this certificate parallels the Aphis 7001 in verifying health standards for transport across borders.

Dos and Don'ts

When filling out the APHIS 7001 form, it is important to follow certain guidelines to ensure accuracy and compliance. Here are some key dos and don’ts:

  • Do carefully read the instructions before starting the form.
  • Do provide clear and accurate information for all required fields.
  • Do ensure that the form includes a valid OMB control number.
  • Do confirm that the veterinarian’s certification is complete and accurate.
  • Don't leave any sections blank unless explicitly indicated.
  • Don't submit the form without double-checking for errors.
  • Don't forget to date and sign the form in the appropriate areas.

Misconceptions

There are several misconceptions surrounding the Aphis 7001 form that can lead to confusion. Understanding these misconceptions is crucial for compliance and effective communication during the process of transporting animals.

  • The form is only for dogs and cats. This form is applicable to various types of animals, including nonhuman primates, rodents, and ferrets, in addition to dogs and cats.
  • Only the owner must complete the form. While the owner provides important information, a licensed veterinarian must also certify the health of the animals being transported.
  • The Aphis 7001 form is not legally required. This form is mandated for interstate and international transport of certain animals. Failure to complete it can result in fines and legal issues.
  • The form remains valid indefinitely. The Aphis 7001 certificate is only valid for 30 days after issuance, meaning timely processing is essential.
  • Vaccination details are optional. Including accurate vaccination information is mandatory. It helps ensure that the transported animal meets health standards and reduces the risk of disease transmission.
  • The OMB control number isn’t important. The OMB control number must be displayed on the form. It signifies that the information collection complies with the Paperwork Reduction Act and is a requirement for validity.
  • Any veterinarian can issue the form. Only accredited veterinarians or USDA veterinarians can issue the Aphis 7001 form for international transport. This requirement ensures that health certifications are made by a qualified professional.

Clearing up these misconceptions can facilitate smoother interactions when transporting animals, ensuring compliance with legal requirements and promoting animal health and safety.

Key takeaways

Understanding the Aphis 7001 form is crucial for anyone involved in the transport of specific animals, such as dogs or cats. Here are six key points to consider when filling out and using this form:

  • Know the Purpose: The Aphis 7001 form certifies the health of animals being transported. It is vital for ensuring these animals are free from disease and do not pose a health risk.
  • Correct Completion: Make sure to accurately fill in all required information, such as the type of animal, vaccination details, and contact information for both the owner and recipient.
  • OMD Control Numbers: Ensure that your form displays a valid OMB control number. This is necessary for compliance with federal regulations.
  • Veterinary Certification: A licensed veterinarian must examine the animals and certify their health. This certification is a critical part of the process.
  • Timeliness: The certificate is only valid for 30 days after issuance. It's important to plan the transport within that timeframe to avoid issues.
  • Be Aware of Penalties: Providing false information on this form can lead to severe consequences, including fines or imprisonment. Always ensure that the information provided is truthful and accurate.

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