NVAP Reference Guide: Appendix D: Forms
Questions, Comments, or Technical Issues?
Control and Eradication
- Brucellosis
- Johne’s Disease
- Pseudorabies (PRV)
- Tuberculosis
- Transmissible Spongiform Encephalopathies
- Scrapie
- Bovine Spongiform Encephalopathy (BSE)
- Chronic Wasting Disease (CWD)
Poultry
- National Poultry Improvement Plan (NPIP)
- Avian Influenza (AI)
- Exotic Newcastle disease (END)
- Equine Disease
Animal Health Emergency Management
- Animal Health Emergency Management
- Emergency Response Structure
- National Response Framework (NRF)
- National Incident Management System (NIMS)
- National Animal Health Emergency Management System (NAHEMS)
- Foreign Animal Disease Preparedness and Response Plan (FAD PReP)
- FAD Recognition and Initial Response
- National Animal Health Emergency Response Corps (NAHERC)
- Notifiable Diseases and Conditions
- WOAH and International Standards
- Cleaning and Disinfection
- Disease Surveillance
- Laboratory Submissions
Animal Movement
- Interstate Regulations
- Interstate Movement of Cattle, Horses, Swine, Sheep and Goats
- Issuing Interstate Animal Movement Documents
- International Animal Movement
- Issuing International Health Certificates (IHCs) for Live Animal Movement
- Common Problems Observed on Certificates for Live Animal Movement
Animal Identification
- Animal Identification
- Cattle Identification
- Swine Identification
- Equine Identification
- Sheep and Goat Identification
- Fowl Identification
- Compliance and Regulations
Appendix
Appendix D – Forms and Instructions for Completing Them (2.02 MB)
VS Form 1–27, Permit for Movement of Animals, 16-3
VS Form 1–27A, Permit for Movement of Animals, Continuation Sheet, 16-4
VS Form 4–24, Brucellosis Vaccination Record, Short Form, 16-7
VS Form 4–26, Brucellosis Vaccination Record, Short Form, 16-9
VS Form 4–33, Brucellosis Test Record, 16-12
VS Form 4–33A, Brucellosis Test Record, Continuation Sheet, 16-13
VS Form 4–54, Brucellosis Test Record, Market Cattle Testing Program, 16-15
VS Form 6–22, Tuberculosis Test Record, 16-17
VS Form 6-22A, Tuberculosis Infected Herd, 16-18
VS Form 6-22B, Tuberculosis Test Record, Continuation Sheet, 16-19
VS Form 10–4, Specimen Submission, 16-24
VS Form 10-4A, Specimen Submission, Continuation Sheet, 16-26
VS Form 10–12, Equine Infectious Anemia Supplemental Investigation, 16-29
VS Form 10–13, Owner Shipper Certificate, 16-33
VS Form 10–13A, Owner Shipper Certificate, Continuation Sheet, 16-35
VS Form 17–6, Certificate for Poultry or Hatching Eggs for Export, 16-37
VS Form 17–140, United States Origin Health Certificate, 16-39
VS Form 17–140A, United States Origin Health Certificate, Continuation Sheet, 16-41
APHIS Form 7001, United States Interstate and International Certificate of Health Examination for Small Animals, August 1994, 16-43
APHIS Form 7001, United States Interstate and International Certificate of Health Examination for Small Animals, November 2010, 16-44
APHIS Form 7001A, United States Interstate and International Certificate of Health Examination for Small Animals, Continuation Sheet, September 1993, 16-45
VS Form 17-145, United States Origin Health Certificate for the Export of Horses From the United States to Canada, 16-48
16-1
All pre-numbered APHIS and VS forms are accountable documents and failure to provide security for the forms is a violation of your accredited status.
If you have any questions about completing or ordering these forms, you can contact your local APHIS-VS Area Offices or NIES Service Center
VS Form 10-4 Specimen Submission form for NVSL is not pre-numbered and may be completed on line, printed out, and included with your specimens sent to NVSL. The electronic form is available at:
Veterinary Services Process Streamlining (VSPS) where many of these forms, as well as some of the international official health certificates of foreign destination countries, are available on line. The VS form 10-11, Equine Infectious Anemia Laboratory Test, is already available in the VSPS. The form can be completed on line in VSPS and transmitted electronically to the laboratories that have linked up with VSPS. The electronic EIA test record has the capability to upload digital photos of the horse.