ANNEX IV
Annex IV contains the following model animal health certificates:
- Chapter 1
Model animal health certificate for live animals transported to the slaughterhouse in the case of ante-mortem inspection at the holding of provenance in accordance with Article 5(2)(f) of Commission Delegated Regulation (EU) 2019/624
- Chapter 2
Model animal health certificate for poultry intended for the production of foie gras and delayed eviscerated poultry slaughtered at the holding of provenance in accordance with Article 6(2) of Commission Delegated Regulation (EU) 2019/624
- Chapter 3
Model animal health certificate for farmed game, domestic bovine, porcine and equine animals slaughtered at the holding of provenance in accordance with Article 6(3) of Commission Delegated Regulation (EU) 2019/624
- Chapter 4
Model animal health certificate for farmed game slaughtered at the holding of provenance in accordance with point 3(a) of Section III of Annex III to Regulation (EC) No 853/2004 and Article 6(4) of Commission Delegated Regulation (EU) 2019/624
- Chapter 5
Model animal health certificate in the case of emergency slaughter outside the slaughterhouse in accordance with Article 4 of Commission Delegated Regulation (EU) 2019/624
MODEL ANIMAL HEALTH CERTIFICATES IN THE CASE OF ANTE-MORTEM INSPECTION AT THE HOLDING OF PROVENANCE
CHAPTER 1Model animal health certificate for live animals transported to the slaughterhouse in the case of ante-mortem inspection at the holding of provenance in accordance with Article 5(2)(f) of Commission Delegated Regulation (EU) 2019/62443
Name of the official veterinarian:…
No:…
1.Identification of the animals
Species:…
Number of animals:…
Identification marking:…
2.Provenance of the animals
Address of the holding of provenance:…
Identification of house (*):…
3.Destination of the animals
The animals will be transported to the following slaughterhouse:…
...…
by the following means of transport:…
4.Other relevant information
...…
5.Declaration
I, the undersigned, declare that:
the animals described in Part I were examined before slaughter at the above-mentioned holding of provenance at … (time) on … (date) and were found to be fit for slaughter,
the following observations on the health and welfare of animals were made:…
the records and documentation concerning these animals satisfied the legal requirements and do not prohibit the slaughter of the animals,
I verified the food chain information
Done at:…,
(Place)
on:…
(Date)
Stamp
...…
(Signature of official veterinarian)
(*) optional
CHAPTER 2Model animal health certificate for poultry intended for the production of foie gras and delayed eviscerated poultry slaughtered at the holding of provenance in accordance with Article 6(2) of Commission Delegated Regulation (EU) 2019/62444
Name of the official veterinarian:…
No:…
1.Identification of uneviscerated bodies
Species:…
Number:…
2.Provenance of uneviscerated bodies
Address of the holding of provenance:…
3.Destination of uneviscerated bodies
The uneviscerated carcases will be transported to the following cutting plant:…
4.Declaration
I, the undersigned, declare that:
the uneviscerated bodies described in Part I are of birds which were examined before slaughter on the above-mentioned holding of provenance at … (time) on … (date) and found to be fit for slaughter;
the following observations on the health and welfare of animals were made:…
the records and documentation concerning these animals satisfied the legal requirements and did not prohibit the slaughter of the birds.
Done at:…,
(Place)
on:…
(Date)
Stamp
...…
(Signature of the official veterinarian)
CHAPTER 3Model animal health certificate for farmed game, domestic bovine, porcine and equine animals slaughtered at the holding of provenance in accordance with Article 6(3) of Commission Delegated Regulation (EU) 2019/62445
Name of the official veterinarian:…
No:…
1.Identification of the animals
Species:…
Number of animals:…
Identification marking:…
2.Provenance of the animals
Address of the holding of provenance:…
Identification of house (*):…
3.Destination of the animals
The animals will be transported to the following slaughterhouse:…
...…
by the following means of transport:…
4.Other relevant information
...…
5.Declaration
I, the undersigned, declare that:…
- (1)
the animals described in Part I were examined before slaughter at the above-mentioned holding of provenance at … (time) on … (date) and were found to be fit for slaughter,
- (2)
they were slaughtered at the holding of provenance at … (time) on … (date) and the slaughter and bleeding were carried out correctly,
- (3)
the following observations on the health and welfare of animals were made:…,
- (4)
the records and documentation concerning these animals satisfied the legal requirements and did not prohibit the slaughter of the animals.
Done at:…,
(Place)
on:…
(Date)
Stamp
...…
(Signature of official veterinarian)
(*) optional
CHAPTER 4Model animal health certificate for farmed game slaughtered at the holding of provenance in accordance with point 3(a) of Section III of Annex III to Regulation (EC) No 853/2004 and Article 6(4) of Commission Delegated Regulation (EU) 2019/62446
Name of the official veterinarian:…
No:…
1.Identification of the animals
Species:…
Number of animals:…
Identification marking:…
2.Provenance of the animals
Address of the holding of provenance:…
Identification of house (*):…
3.Destination of the animals
The animals will be transported to the following slaughterhouse:…
...…
by the following means of transport:…
4.Other relevant information
...…
5.Declaration
I, the undersigned, declare that:
- (1)
the animals described in Part I were examined before slaughter at the above-mentioned holding of provenance at … (time) on … (date) and were found to be fit for slaughter,
- (2)
the following observations on the health and welfare of animals were made:…,
- (3)
the records and documentation concerning these animals satisfied the legal requirements and did not prohibit the slaughter of the animals.
Done at:…,
(Place)
on:…
(Date)
Stamp
...…
(Signature of official veterinarian)
(*) optional
CHAPTER 5Model animal health certificate in the case of emergency slaughter outside the slaughterhouse in accordance with Article 4 of Commission Delegated Regulation (EU) 2019/62447
MODEL ANIMAL HEALTH CERTIFICATE IN THE CASE OF EMERGENCY SLAUGHTER OUTSIDE THE SLAUGHTERHOUSE
ANIMAL HEALTH CERTIFICATE
In the case of emergency slaughter outside the slaughterhouse
Name of the official veterinarian:…
No:…
1.Identification of the animals
Species:…
Number of animals:…
Identification marking:…
Owner of the animals:…
2.Place of emergency slaughter
Address:…
Identification of house (*):…
3.Destination of the animals
The animals will be transported to the following slaughterhouse:…
...…
by the following means of transport:…
4.Other relevant information
...…
5.Declaration
I, the undersigned, declare that:…
- (1)
the animals described in Part I were examined before slaughter at the above-mentioned location at … (time) on … (date) and were found to be fit for slaughter,
- (2)
they were slaughtered at … (time) on … (date) and the slaughter and bleeding were carried out correctly,
- (3)
the following was the reason for the emergency slaughter:…,
- (4)
the following observations on the health and welfare of animals were made:…,
- (5)
the following treatments were administered to the animal(s):…,
- (6)
the records and documentation concerning these animals satisfied the legal requirements and did not prohibit the slaughter of the animals.
Done at:…,
(Place)
on:…
(Date)
Stamp
...…
(Signature of official veterinarian)
(*) optional