<p>Animal Products Paper Eligibility Document / Declaration</p><p>This is not an export certificate</p><p> Certificate Number</p><p> Consignor ID</p><p> Consignee ID</p><p>Urgency Urgent - 24 Hours</p><p>Transport mode Air - Maritime - Rail - Road</p><p>Local Carrier</p><p>Export Carrier Name</p><p>Export Conveyance Ref</p><p>Loading Port</p><p>Final Destination</p><p> Departure date</p><p>Unofficial Commercial Information</p><p>Date………………………………………………………………………………………………</p><p>…………………………………………………………………………………………….……... Signature of Official Veterinarian, Official Inspector or Authorised User (Eligibility Declarations)</p><p>……………………………………………………………………………………………………. Name in capital letters Product 1</p><p> Origin Imported & NZ - Imported Only - Imported / Stored in NZ - NZ Only</p><p> Intended Use Animal feedingstuff - Human consumption - Other - Technical use</p><p> Conditions of Storage Ambient - Chilled - Frozen - Live and Transport Inspection Type AM Inspection - AM / PM Inspection - PM Inspection</p><p> Item Description</p><p> NZHSC</p><p> Species Scientific Name</p><p> Eligibility Country Expiry Date From To Container No. Seal No.</p><p> Net weight OR Units Net volume Units Production Batch Comments</p><p>Unofficial Commercial Information</p><p> No of Packages Package Type Item Marks Product Sources Supporting Document ID Product Classifications</p><p> Process Type 1 Process Date From To</p><p>Override: </p><p> Process Type 2 Process Date From To</p><p>Override: </p><p>…………………………………………………………………………………………….……... Signature of Official Veterinarian, Official Inspector or Authorised User (Eligibility Declarations) Repeat this page for further items.</p>