Animal Products Paper Eligibility Document / Declaration

This is not an export certificate

 Certificate Number

 Consignor ID

 Consignee ID

Urgency Urgent - 24 Hours

Transport mode Air - Maritime - Rail - Road

Local Carrier

Export Carrier Name

Export Conveyance Ref

Loading Port

Final Destination

 Departure date

Unofficial Commercial Information

Date………………………………………………………………………………………………

…………………………………………………………………………………………….……... Signature of Official Veterinarian, Official Inspector or Authorised User (Eligibility Declarations)

……………………………………………………………………………………………………. Name in capital letters Product 1

 Origin Imported & NZ - Imported Only - Imported / Stored in NZ - NZ Only

 Intended Use Animal feedingstuff - Human consumption - Other - Technical use

 Conditions of Storage Ambient - Chilled - Frozen - Live and Transport Inspection Type AM Inspection - AM / PM Inspection - PM Inspection

 Item Description

 NZHSC

 Species Scientific Name

 Eligibility Country Expiry Date From To Container No. Seal No.

 Net weight OR Units Net volume Units Production Batch Comments

Unofficial Commercial Information

 No of Packages Package Type Item Marks Product Sources Supporting Document ID Product Classifications

 Process Type 1 Process Date From To

Override: 

 Process Type 2 Process Date From To

Override: 

…………………………………………………………………………………………….……... Signature of Official Veterinarian, Official Inspector or Authorised User (Eligibility Declarations) Repeat this page for further items.