Aphis 7001 Template

Aphis 7001 Template

The Aphis 7001 form is an essential document used for the health examination of animals being shipped across state or international borders. It ensures that animals meet health standards, providing vital information about their condition and vaccination history. To guarantee compliance, it's crucial to fill out this form accurately; you can get started by clicking the button below.

Content Overview

The APHIS 7001 form is an essential document that plays a crucial role in the transportation of certain animals across state lines and internationally. Specifically created for the United States Department of Agriculture (USDA) Animal and Plant Health Inspection Service, this form ensures that animal health standards are met. By accurately filling out the APHIS 7001, individuals confirm the health status of the animals being shipped, which includes providing necessary information such as the type of animal, their vaccination history, and the details of both the consignor and consignee. The form also features a veterinary certification section, wherein licensed veterinarians affirm that the animals have been examined and appear healthy, free from infectious diseases, and have not been exposed to rabies. Compliance with regulatory requirements is vital, and the form includes significant warnings about the consequences of providing false information. By following the correct procedures and utilizing the APHIS 7001 form appropriately, individuals contribute to the safety and well-being of the animals during transportation.

Aphis 7001 Sample

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

Document Attributes

Fact Name Details
Form Purpose The Aphis 7001 form is used for certifying the health of certain animals being shipped across state or international lines.
Jurisdiction This form is governed by the USDA regulations outlined in 7 U.S.C. 21.43.9 and CFR, Subchapter A, Part 2.
OMB Control Numbers The valid OMB control numbers for this information collection are 0579-0036 and 0579-0333.
Time to Complete It takes an estimated .25 hours to complete the Aphis 7001 form.
Animal Types Types of animals that can be certified include dogs, cats, nonhuman primates, and other designated animals.
Potential Penalties Falsifying the information on this form may result in a fine up to $10,000 or imprisonment for up to 5 years.
Veterinary Certification A licensed veterinarian must certify the health of the animals listed on the form, affirming they are free from infectious diseases.
Validity Period The Aphis 7001 certificate is valid for 30 days after it is issued.

Aphis 7001: Usage Instruction

Completing the Aphis 7001 form requires attention to detail. It’s essential to provide accurate information about the animals being transported. Ensuring accuracy on this form will help avoid any legal issues, delays, or complications during the shipment process.

  1. Start by gathering all necessary information regarding the animals being shipped.
  2. In box 1, select the type of animal being shipped by marking one of the options: Dog, Cat, Nonhuman Primate, Ferret, or Rodent. If your animal doesn’t fit these categories, enter details in “Other.”
  3. Leave box 2 blank as it is for official use only.
  4. Enter the total number of animals in box 3.
  5. Provide the name, address, and telephone number of the owner (consignor) in box 5.
  6. Fill in the name, address, and telephone number of the recipient at the destination (consignee) in box 6.
  7. If applicable, enter the USDA license or registration number in the same box as the consignor's information.
  8. In box 7, list each animal's identification details such as breed, age, sex, and distinctive marks. Include unique identifiers like tattoo numbers or microchips, if any.
  9. Provide vaccination, treatment, and testing history for each animal in box 8. Specify details such as vaccination date, product name, and test results for rabies and other vaccinations.
  10. Use box 9 for any additional remarks or certification statements, if required.
  11. Have the issuing veterinarian certify the information by signing in the designated area. Ensure they enter their license number and state.
  12. If the shipment involves international export, the USDA veterinarian must complete the endorsement section and apply their seal or stamp in the appropriate area.
  13. Finally, fill in the date of certification for both the USDA veterinarian and the issuing veterinarian.

Frequently Asked Questions

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

    The APHIS Form 7001 is a USDA document used to certify the health of animals being transported interstate or internationally. It verifies that the animals have been examined by a licensed veterinarian, ensuring they are free from infectious or contagious diseases that could threaten public health or other animals.

  2. Who needs to complete the form?

    The form must be completed by the owner (consignor) of the animals and their veterinarian. The consignor is responsible for providing accurate details, including the animal's identification, health history, and vaccination records. The veterinarian certifies this information after conducting a thorough examination.

  3. What types of animals can be covered by the APHIS Form 7001?

    The form can be used for various categories of animals, including dogs, cats, nonhuman primates, ferrets, rodents, and potentially other animals designated by the USDA. However, it is important for the consignor to select only one type of animal per form.

  4. What information is required to complete the form?

    Key information includes the type and total number of animals, the names and contact information of both the owner and recipient, animal identification details (such as breed, age, and medical history), and veterinary certification. Each section must be accurately filled out to ensure compliance with USDA regulations.

  5. What happens if false information is provided?

    Providing false, fictitious, or fraudulent statements on the APHIS Form 7001 can result in significant legal repercussions. The individual may face fines of up to $10,000, imprisonment for a maximum of 5 years, or both, as outlined under U.S. law (18 U.S.C. 1001).

  6. How long is the APHIS Form 7001 valid?

    The APHIS Form 7001 is valid for 30 days after its issuance date. It is essential for users to ensure that their shipping schedules match this timeframe to avoid the need for re-certification or the risk of transporting animals with an expired certificate.

  7. Are there any additional requirements for international shipments?

    Yes, international shipments may require extra certification from an accredited veterinarian, depending on the destination country's regulations. It is advisable to check with the relevant authorities to ensure that all necessary documentation is complete prior to shipping.

  8. How long does it take to complete the APHIS Form 7001?

    The USDA estimates that the average time to complete the APHIS Form 7001 is approximately 15 minutes (.25 hours), though this may vary based on the complexity of the information required and the individual’s familiarity with the process.

Common mistakes

Filling out the APHIS 7001 form requires careful attention to detail, as many mistakes can lead to delays or even legal issues. One common mistake is failing to complete the entire form. Each section is important, and leaving any section unanswered can result in the form being rejected. It’s essential to ensure that all required fields are filled out accurately for the submission to be valid.

Another common error occurs when people do not use the correct animal identification. Providing vague or incomplete descriptions can create confusion. Specific details such as breed, color, age, and distinguishing marks are crucial for accurately identifying the animals being transported. Inaccurate information could lead to complications during the shipping process.

Many individuals overlook the significance of the vaccination and treatment history section. Failing to include pertinent vaccination details or using outdated information may raise concerns regarding the animals' health status. It is also vital to ensure that the vaccination dates and product details are accurate; this helps maintain compliance with health regulations.

Something else that often goes wrong is the improper listing of the owner and recipient's details. Any errors in names, addresses, or phone numbers can complicate communication and create legal ramifications. Double-checking these details—against official documents, if necessary—is a good practice to avoid misunderstandings later.

In addition, some people mistakenly fail to sign the form where required. The signature of both the veterinarian and the consignor is essential for validation. Omitting these signatures makes the form incomplete and could lead to it being returned or rejected.

Moreover, misunderstanding the submission requirements is another frequent issue. Some individuals may ship animals without the necessary health certificate or fail to send the form within the timeframe specified. Understanding and following these requirements carefully is crucial to ensure compliance with regulations.

Inadequate knowledge about or misinterpretation of the legal warnings also presents a problem. People might not realize the severe consequences associated with providing false information. It is essential to be honest and accurate when filling out this form, as the penalties for fraud can be quite significant.

Another mistake involves neglecting to verify the presence of a microchip when it is mentioned in the animals' identification section. This verification is a crucial part of the verification process and adds an extra layer of accountability. Failing to check for a microchip could lead to issues of ownership or traceability later on.

Lastly, people sometimes forget to keep a copy of the completed form for their records. Having a copy on hand can be invaluable in case there are any follow-up questions or issues. Keeping thorough documentation helps protect all parties involved in the transportation process.

Documents used along the form

The APHIS Form 7001 is a critical document for the interstate and international transport of certain animals. When preparing for such shipments, you may also need other forms and documents. Each serves an important purpose in ensuring compliance with health and safety regulations. Below is a list of related documents that are often required alongside the APHIS Form 7001.

  • Health Certificate: A document issued by a licensed veterinarian certifying the health status of an animal. It confirms that the animal is free from contagious diseases and fit for travel.
  • Import Permit: A document obtained from the relevant authority allowing the import of animals into a country. It outlines any specific requirements for the animals being imported.
  • Export Permit: Similar to the import permit, this document is necessary when sending animals abroad. It ensures that all regulations are followed for the destination country.
  • Vaccination Records: These documents provide proof of vaccinations received by the animal, which can be essential for travel between states or countries.
  • Microchip Registration: This document verifies that the animal has been microchipped. It includes details about the microchip, such as the registration information associated with it.
  • Transportation Agreement: A contract that outlines the terms and conditions under which the animal will be transported. This may include details about the carrier and the care of the animal during transport.
  • Quarantine Documentation: If an animal has been quarantined, this documentation provides the necessary proof that the animal has cleared quarantine and is safe for transport.
  • Veterinary Inspection Report: A detailed report from a veterinarian after an examination of the animal. It may include notes on the physical condition and health tests performed.

In summary, each of these documents plays a distinct role in the process of shipping animals. Properly completing and submitting them alongside the APHIS Form 7001 can facilitate smooth transactions and compliance with health regulations. Ensuring all necessary paperwork is in order will help prevent delays and potential legal issues.

Similar forms

  • APHIS Form 7000: Similar to the Form 7001, this document is used for the health certification of animals being transported. It includes animal identification and health information but is tailored for certain non-companion animals.
  • Veterinary Health Certificate: A commonly used document required for the transport of animals. Like Form 7001, it certifies that an animal is healthy and free from diseases. Both require veterinary endorsement.
  • USDA Shipping Permit: This permit is necessary for the interstate transport of certain animals. It serves a similar regulatory purpose as Form 7001 and ensures compliance with health and safety standards.
  • International Animal Health Certificate: Used for exporting animals abroad, this document verifies that animals are healthy and meet both U.S. and destination country regulations, much like the Form 7001 does for interstate shipping.
  • Import Permit: Required by the USDA for certain animals entering the United States, this document ensures that the animals are healthy and free of disease, similar to the health assurances given in Form 7001.
  • Pet Travel Certificate: This certificate is often needed for pets traveling by air. It serves a similar function as Form 7001, by verifying the health status of pets before travel.
  • Livestock Health Certificate: Similar to Form 7001, this document is used specifically for livestock and outlines the health status and vaccination history necessary for transport.
  • Animal Quarantine Certificate: Issued for animals that have undergone a quarantine period, this document provides health assurances in a similar vein as Form 7001 for animals being shipped.
  • Importation Health Documentation: This is required when importing animals from specific countries. It shares the same purpose as Form 7001 in ensuring the health and safety of animals during transport.
  • Microchip Registration Form: While this document primarily deals with microchips, it supports health documentation like Form 7001 by verifying the identity and health of animals during transport.

Dos and Don'ts

When filling out the APHIS 7001 form, consider these important do's and don'ts:

  • Do read all instructions carefully before starting the form.
  • Do provide accurate information to avoid delays or penalties.
  • Do ensure that the veterinarian's certification is complete and signed.
  • Do keep a copy of the completed form for your records.
  • Don't forget to fill in all required fields; incomplete forms may be rejected.
  • Don't use any abbreviations or shorthand that might confuse the recipient.

Misconceptions

The Aphis 7001 form, also known as the Certificate of Health Examination for animals, is often misunderstood. Below are ten common misconceptions about this form, along with explanations to clarify the truths behind them.

  • Misconception 1: The Aphis 7001 form is only needed for dogs and cats.
  • In reality, this form can be required for various animals, including nonhuman primates, ferrets, and rodents. It is essential to select the correct type of animal being shipped on the form.

  • Misconception 2: The form does not need a valid OMB control number.
  • This is incorrect. The Aphis 7001 form must display a valid OMB control number, specifically 0579-0036 or 0579-0333, for the information collection to be considered valid.

  • Misconception 3: There is no penalty for providing false information.
  • In fact, anyone who submits false information on this certificate may face severe consequences, including fines of up to $10,000 or imprisonment for up to five years.

  • Misconception 4: The form can be completed quickly without any preparation.
  • The completion of the Aphis 7001 form requires careful attention to detail, with an average estimated time of 15 minutes for reviewing instructions and gathering data before filling it out.

  • Misconception 5: The Aphis 7001 form is only for domestic shipments.
  • This is not true. While it is frequently used for domestic shipments, the form can also serve as a certification for international exports, depending on the requirements of the destination country.

  • Misconception 6: A health certificate from any veterinarian is sufficient.
  • Only a health certificate executed by a USDA-accredited veterinarian will satisfy the requirements for this form when shipping animals, especially in international contexts.

  • Misconception 7: The form does not require detailed vaccination histories.
  • In fact, a comprehensive vaccination history, including treatments and tests, must be documented clearly on the form to ensure compliance and safety.

  • Misconception 8: Anyone can act as the consignor or consignee.
  • The consignor and consignee need to have proper identification, and their contact information must be accurately provided on the form to avoid issues during shipment.

  • Misconception 9: The Aphis 7001 form is the same as a general veterinary health certificate.
  • This form specifically addresses the interstate and international transport of certain animals, making it distinct from standard veterinary health certificates used for other purposes.

  • Misconception 10: The Aphis 7001 form remains valid indefinitely.
  • It is crucial to note that this certificate is only valid for 30 days after issuance. Any animals shipped beyond this timeframe may require a new certificate.

Key takeaways

  • The APHIS Form 7001 is essential for the transportation of specific animals like dogs, cats, and nonhuman primates.
  • Before completing the form, ensure it displays a valid OMB control number, either 0579-0036 or 0579-0333, as mandated by the Paperwork Reduction Act of 1995.
  • Take note that it takes approximately 15 minutes to complete the form, which includes the time for reviewing instructions and gathering necessary data.
  • Animal identification and vaccination history must be thoroughly documented in the appropriate sections of the form.
  • Both the sender (consignor) and the recipient (consignee) need to provide their full contact information, including telephone numbers.
  • Any false statements made on the form can lead to significant legal repercussions, including fines up to $10,000 or imprisonment up to five years.
  • This certificate is valid for 30 days from the date of issuance, so timely completion is important for compliance with transportation regulations.

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