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The 77 043 form plays a critical role in ensuring the health and safety of animals during transportation, serving as a testament to the rigorous standards set forth by the United States Department of Agriculture (USDA) under the Paperwork Reduction Act of 1995. This document, necessitating a valid OMB control number for legitimacy, outlines a structured process for the interstate and international transportation of dogs, cats, nonhuman primates, and other specified animals. It meticulously captures essential data ranging from animal identification and health history to the veterinarian's certification, thus addressing both regulatory compliance and animal welfare concerns. Mandating the execution of a health certificate by a licensed veterinarian, the form acts as a safeguard, averting the transportation of animals that may pose a risk to public health or other animals. The penalties for falsification -- a fine up of to $10,000 or imprisonment of up to five years -- underscore the seriousness with which this certification is regarded. With sections dedicated to the type of animal being shipped, their vaccination, treatment, and testing history, and specific identification marks, the form ensures a comprehensive overview of the animal's health status. Also, the inclusion of a section for international export endorsements emphasizes the form's importance in global animal trade, reinforcing the USDA's commitment to maintaining high health standards across borders. Through its stringent requirements, the 77 043 form exemplifies the intersection of animal welfare and regulatory compliance, embodying a crucial step in the responsible and safe transportation of animals.

Preview - 77 043 Form

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person 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 0579-0020 and 0579-0036.

USDA regulations shall be delivered to any intermediate handler or carrier for transportation

0579-0020

The time required to complete this information collection is estimated to average .13 to .25 hours per response, including the time for reviewing instructions,

in commerce unless accompanied by a health certificate executed and issued by a licensed

0579-0036

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

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

 

 

NAME, AND/OR TATTOO NUMBER

BREED – COMMON

 

 

COLOR OR

 

 

RABIES VACCINATION

 

 

OTHER VACCINATIONS,

 

OR SCIENTIFIC

AGE

SEX

DISTINCTIVE

 

 

 

 

 

TREATMENT, AND/OR TESTS AND RESULTS

OR OTHER IDENTIFICATION

 

MARKS OR

 

1 YEAR

2 YEARS

3 YEARS

 

NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

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

Form Data

Fact Name Description
Required OMB Control Numbers The form requires valid OMB control numbers, which are 0579-0020 and 0579-0036, to comply with the Paperwork Reduction Act of 1995.
Estimated Time for Completion Completing the form is estimated to take an average of .13 to .25 hours per response, factoring in time for reviewing instructions, searching data, and filling out the information.
Legal Penalties for False Statements Making false statements, or using the document knowing it to be false, can result in a fine of up to $10,000 or imprisonment for up to 5 years, under 18 U.S.C. 1001.
Health Certification Requirement The USDA mandates that animals transported in commerce must be accompanied by a health certificate from a licensed veterinarian, pursuant to 7 U.S.C. 21.43.9 and CFR, Subchapter A, Part 2.

Instructions on Utilizing 77 043

Filling out the APHIS Form 7001, also known as the United States Interstate and International Certificate of Health Examination for Small Animals, is an essential process for anyone looking to transport pets across state or national lines. This document confirms that your pet is healthy and has been examined by a licensed veterinarian, meeting all necessary requirements for transportation. In the next steps, the process is broken down to ensure clarity and ease as you complete the form.

  1. Under the section 1. TYPE OF ANIMAL SHIPPED, select the type of animal you are transporting. Choose from Dog, Cat, Nonhuman Primate, Ferret, Rodent, or specify another type under "Other".
  2. Note that the 2. CERTIFICATE NUMBER field is for official use only and should be left blank.
  3. In the 3. TOTAL NUMBER OF ANIMALS field, enter the total number of animals you're shipping.
  4. 4. PAGE is also for official use. Please skip this section.
  5. Provide the 5. NAME, ADDRESS, AND TELEPHONE NUMBER OF OWNER (CONSIGNOR).
  6. Fill in the 6. NAME, ADDRESS, AND TELEPHONE NUMBER OF RECIPIENT AT DESTINATION (CONSIGNEE).
  7. In the section 7. ANIMAL IDENTIFICATION, detail the name and/or tattoo number, breed, color, age, sex, and any distinctive marks or microchip number of each animal.
  8. Under 8. PERTINENT VACCINATION, TREATMENT, AND TESTING HISTORY, record details of rabies vaccinations, other vaccinations, treatments, and/or test results. Include dates, products used, and types or results of tests.
  9. If additional certification statements are required, use the 9. REMARKS OR ADDITIONAL CERTIFICATION section for this information.
  10. Complete the VETERINARY CERTIFICATION area by certifying that the animals have been examined and appear to be free of infectious diseases. Check the applicable statements, verify the presence of a microchip if listed, and confirm that the animals come from an area not quarantined for rabies.
  11. For international exports, fill in the ENDORSEMENT FOR INTERNATIONAL EXPORT (IF NEEDED) section with the issuing veterinarian's information, license number and state, and whether they are accredited. If yes, include the national accreditation number.
  12. The SIGNATURE OF ISSUING VETERINARIAN and DATE at the bottom of the form must be filled out by the examining veterinarian. The USDA veterinarian's signature and date fields are for official use.
  13. Remember, this certificate is valid for 30 days after issuance.

Once you've carefully completed all applicable sections of the form, ensure that everything is accurate to the best of your knowledge. This document plays a crucial role in the safe and regulated transportation of animals, adhering to health standards and regulations. It’s important to keep a copy for your records and to provide the necessary copies to the transportation carrier or any regulatory bodies as required.

Obtain Answers on 77 043

  1. What is the purpose of the USDA APHIS Form 7001?

    The USDA APHIS Form 7001, known as the United States Interstate and International Certificate of Health Examination for Small Animals, is designed to certify the health and vaccination status of pets and other small animals that are being transported across state lines or internationally. This form asserts that the animal has been examined by a licensed veterinarian and is free from contagious diseases that could endanger other animals or public health. It is a mandatory document for the transportation of pets and certain animals as indicated under USDA regulations.

  2. Who is required to complete Form 7001?

    Any pet owner or consignor transporting dogs, cats, nonhuman primates, or other specific animals designated for interstate or international transit needs to have Form 7001 completed. A licensed veterinarian, who has examined the animal(s), is required to fill out and issue this health certificate. The process involves documenting the animal's identification, vaccination history, and declaring the animal free from infectious or contagious diseases.

  3. What are the consequences of falsifying information on Form 7001?

    It is crucial to provide accurate and truthful information on Form 7001. Anyone found making a false, fictitious, or fraudulent statement on this document, or using the document knowing it contains such statements, may face severe penalties. These could include a fine of up to $10,000, imprisonment for not more than 5 years, or both. Such strict penalties underscore the importance of honesty in ensuring the health and safety of animals and people alike during transportation.

  4. How long is the Form 7001 valid?

    Form 7001 remains valid for 30 days after its issuance. This period is in place to ensure that the health certification reflects the animal's current health status at the time of travel. Pet owners and consignors should plan accordingly to make sure that travel plans fall within this validity period, taking into account any potential delays or changes in schedule, to avoid the need for re-examination and re-issuance of the form.

Common mistakes

When filling out the APHIS Form 7001 for the interstate and international certificate of health examination for small animals, there are common mistakes individuals often make. Recognizing and avoiding these errors can streamline the process and ensure compliance with regulations. Here's a detailed list of these errors:

  1. Not confirming the valid OMB control numbers (0579-0020 and 0579-0036) are displayed on the form. This oversight could lead to the use of an outdated or invalid form.

  2. Incorrectly identifying the type of animal shipped, leading to confusion or delays. Specific categories must be accurately marked to comply with health and safety regulations.

  3. Omitting or inaccurately filling out the total number of animals, which is crucial for transportation and health tracking.

  4. Failing to include the complete name, address, and telephone number of both the consignor and consignee. This information is essential for accountability and in case of emergencies.

  5. Inaccurate or incomplete animal identification, including name, breed, and any distinctive marks or microchip numbers. Precise identification helps in tracking and in case of loss or health issues.

  6. Skipping details about the animal's vaccination, treatment, and testing history. This section is important for determining the health status of the animal and any potential risks it may pose.

  7. Including incorrect information in the remarks or additional certification statements section. Any additional health certifications or observations from the veterinarian must be accurately recorded.

  8. Failure of the issuing veterinarian to complete the endorsement for international export section if needed. For international shipments, this part is vital for meeting the destination country's import requirements.

  9. Not ensuring the signature of the issuing veterinarian and the date are included. Without this, the document is not officially validated, potentially nullifying its legality and purpose.

To summarize, when filling out the form, attention to detail in every section is critical. Making sure that all information is current, accurate, and complete can help prevent legal issues, delays, and potential fines.

Documents used along the form

Understanding the full scope of documentation required for the interstate or international transportation of animals is essential for ensuring compliance with both the United States Department of Agriculture (USDA) standards and the Paperwork Reduction Act of 1995. The United States Interstate and International Certificate of Health Examination for Small Animals, widely referred to by its form number, 77 043, is a critical document for this process. However, it's often just one piece of a larger puzzle. Let's explore seven other forms and documents that might be used in conjunction with the 77 043 form to ensure a smooth and lawful transportation of animals.

  • USDA License or Registration: This document certifies that the facility or individual housing the animals meets the USDA's standards for animal welfare. It's crucial for anyone engaged in the breeding, selling, or transportation of animals across state lines.
  • Animal Health Certificate: A more general health certificate may be required for specific animals not covered under form 77 043. This certificate, issued by a licensed veterinarian, confirms the animal's vaccination history and overall health status.
  • Import/Export Permit: For international travel, countries often require an import or export permit to bring animals across borders. This document assures that the animal meets the destination country's health and vaccination standards.
  • Quarantine Agreement: In some cases, animals must undergo quarantine before or after transportation. This document outlines the conditions of the quarantine and the responsibilities of the owner or carrier.
  • Veterinary Inspection Certificate for Endorsement: Similar to the 77 043 form but required for certain categories of animals not covered under the USDA APHIS Form 7001. It involves an inspection by a licensed veterinarian and possibly USDA endorsement.
  • Microchip Registration Form: If the animal has a microchip (as mentioned in the 77 043 form), a microchip registration form with the microchip number, the animal's details, and owner contact information might be required for additional identification and safety.
  • Companion Animal Movement Forms: Specific states or countries may have their own forms required for moving pets across their borders. These forms often include details about the animal's health, vaccination records, and the purpose of transportation.

Together, these forms and documents create a comprehensive framework to ensure the safe, legal, and humane transportation of animals. While the 77 043 form plays a key role, especially for small animals crossing U.S. state or international borders, it's the combination of these documents that fully aligns with regulatory demands and animal welfare considerations. Keeping abreast of the specific requirements for animal transportation can be daunting, but it is crucial for protecting the animals involved and ensuring compliance with all applicable laws and regulations.

Similar forms

  • The Form 7001 APHIS (United States Interstate and International Certificate of Health Examination for Small Animals) shares a fundamental resemblance to the 77 043 form in its purpose of ensuring animals' health and safety during transit. Both documents require certification from a licensed veterinarian and detail the health status, vaccination records, and identification of the animals being moved.

  • Form I-129 (Petition for a Nonimmigrant Worker), while primarily for human immigration and work visa purposes, parallels the 77 043 form in its requirement for detailed information and certifications to be submitted to governmental authorities for approval before any action is taken, ensuring compliance with regulations.

  • The Certificate of Veterinary Inspection (CVI) such as those required for interstate travel within the US, directly aligns with the objectives of the 77 043 form by requiring health checks and documentation for animals traveling between states, ensuring they are free from contagious diseases.

  • International Health Certificate for the Export of Animals from the United States mirrors the 77 043 form in facilitating the international transport of animals, where a veterinarian must confirm the animal's health status, vaccinations, and ensure adherence to the importing country's entry requirements.

  • The Endangered Species Permit Application Form, utilized for the transport of endangered species, similarly requires detailed documentation and health certifications, as seen in the 77 043 form, to prevent the spread of diseases and ensure the safe and legal transport of protected animals.

  • US Customs and Border Protection Declaration Form, needed for declaring goods and materials entering the US, shares the concept of accountability and regulatory compliance found in the 77 043 form, though it caters to a broader range of items beyond live animals.

  • Similar to the 77 043 form, the Agricultural Permit Application Form required for the import or export of plant-based products, focuses on preventing the spread of pests and diseases, requiring thorough documentation and inspection before transport.

  • The Pet Passport used for pet travel within the European Union shares goals with the 77 043 form, providing a standardized method of documenting a pet's health status, vaccination records, and owner information to streamline the process of traveling with animals between countries.

Dos and Don'ts

Successfully navigating the intricacies of Form 77 043 requires attention to detail and an understanding of its requirements. For those tasked with completing it, here are essential dos and don'ts to guide you through the process:

  • Do ensure that you have the correct form version before you start filling it out to avoid using an outdated form.
  • Do read through the entire form first to understand all the required information. This preliminary step can save time and prevent errors.
  • Do use black ink or type directly onto the form if digital completion is allowed, ensuring clarity and legibility of the information provided.
  • Do verify and double-check the accuracy of all entered information, especially the OMB control numbers, to ensure they correspond correctly as listed.
  • Don't leave any required fields blank. If a section does not apply, it is better to mark it as "N/A" (not applicable) rather than leaving it empty.
  • Don't guess information. Ensure that all data provided, from the type of animal shipped to vaccination records, is accurate and verifiable.
  • Don't overlook the veterinarian certification section towards the end. It must be filled accurately and bear the signature of a licensed veterinarian to validate the form.
  • Don't use the form beyond its valid period. Remember, it is stated that the certificate is only valid for 30 days after issuance, so plan the shipping within this timeframe.

Adhering to these guidelines not only ensures compliance with the form's requirements but also helps in the smooth processing of animal shipments, safeguarding the health and welfare of the animals involved.

Misconceptions

Many misunderstandings surround the use of the APHIS Form 7001, also known as the United States Interstate and International Certificate of Health Examination for Small Animals. Here are nine common misconceptions clarified:

  • Form 7001 is only for dogs and cats: While dogs and cats are the most common subjects of the form, it also applies to nonhuman primates, ferrets, rodents, and other animals as designated by the Office of Management and Budget (OMB).

  • Any veterinarian can issue Form 7001: Only licensed veterinarians who are accredited by the United States Department of Agriculture (USDA) can issue this form. The veterinarian must certify they have examined the animal and found it free from infectious or contagious diseases.

  • The form is valid indefinitely: The certificate is valid for 30 days from issuance. After this period, it will no longer suffice for interstate or international transport.

  • Form 7001 is the only document needed for transporting animals: Depending on the destination, additional documents and certifications may be required. For international shipments, further endorsement by an accredited veterinarian may be necessary.

  • Filling out Form 7001 is quick and does not require thorough information: The form requires detailed information about the animal, including the type of animal, a health certificate, vaccination history, and owner details. It estimates 0.13 to 0.25 hours per response, taking into account the time needed for reviewing instructions, searching existing data sources, gathering, and maintaining the data, and completing the review.

  • Any false information provided on Form 7001 has minor repercussions: Providing false, fictitious, or fraudulent statements on this document, or using it knowing these conditions, can result in fines up to $10,000 or imprisonment for up to 5 years, or both.

  • Electronic submissions of Form 7001 are always accepted: Acceptance of electronic submissions depends on the receiving agency or organization. Always verify the preferred format before submitting.

  • All animals need a microchip to be listed on Form 7001: While verifying the presence of a microchip is a crucial step if a microchip number is listed, not all animals need a microchip to complete the form.

  • USDA regulations only matter for international transport: USDA regulations must be adhered to for both interstate and international transportation of animals. The form mentions these regulations, highlighting the requirement for health certificates issued by licensed veterinarians.

Understanding the correct procedures and requirements for transporting animals can prevent legal issues and ensure the well-being of the animals involved. The APHIS Form 7001 plays a vital role in this process by standardizing health certifications for animal transport.

Key takeaways

Understanding the APHIS Form 7001, officially titled the United States Interstate and International Certificate of Health Examination for Small Animals, is crucial for anyone involved in the transport of pets and some types of animals across state lines or internationally. Here are key takeaways for completing and using this form:

  • The form is required under USDA regulations for the transportation of dogs, cats, nonhuman primates, and other designated animals in commerce, ensuring they are accompanied by a health certificate issued by a licensed veterinarian.
  • It displays valid OMB control numbers, 0579-0020 and 0579-0036, which confirm its approval under the Paperwork Reduction Act of 1995. This means you're obliged to fill it out when necessary, and it's designed to not waste your time.
  • Filling out the form is estimated to take between .13 to .25 hours, inclusive of reviewing instructions, searching existing data sources, gathering and maintaining needed data, and reviewing the information provided.
  • Making false, fictitious, or fraudulent statements on this document, or using the document with knowledge of such content, can result in severe penalties, including fines up to $10,000 or imprisonment up to 5 years.
  • The form requires detailed information about the type of animal being shipped, the total number of animals, and the certificate number for official use, ensuring traceability and accountability in the animal's transport process.
  • It is imperative to provide comprehensive details about the animal(s), including identification marks or microchip number, breed, age, sex, and pertinent vaccination, treatment, and testing history, to assure the receiving party of the animal's health status.
  • Veterinary certification is a critical component of the form, requiring the examining veterinarian to confirm the animal's examination date, health status, and freedom from infectious or contagious diseases. This attests to the animal's fitness for travel and safety to other animals and public health.
  • For international exports, the form also entails an endorsement section to be completed by an accredited veterinarian, including their name, address, contact information, license number, and national accreditation number, along with the application of the USDA seal or stamp, affirming the document's authenticity and the animal's compliance with health standards.

This certificate, once issued, holds validity for 30 days, emphasizing the need for timely planning and submission ahead of the animal's intended transport date.

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