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Get APHIS 7001A 2010-2024

APHIS Form 7001A United States Interstate and International Certificate of Health Examination for Small Animals Continuation Sheet Aug 2001 Version The APHIS Form 7001A is a continuation sheet for the APHIS Form 7001. Each copy of APHIS Form 7001A should be attached to the appropriate copy of the APHIS Form 7001. NVAP Module 2 Role of Agencies Health Certificates October 2010 Page 1 of 1 This information was developed by staff veterinarians at the CFSPH and approved by APHIS for use as training materials for the USDA APHIS National Veterinary Accreditation Program.. 1. CERTIFICATE NUMBER List the unique preprinted number from box 1 of APHIS Form 7001. 2. PAGE The continuation sheets are numbered consecutively. If two continuation sheets are used the first continuation sheet is numbered Page 2 of 3 and the second continuation sheet is numbered Page 3 of 3. 3. NAME ADDRESS AND TELEPHONE NUMBER OF OWNER/CONSIGNOR List the same information from box 3 of APHIS Form 7001. box 4 of APHIS Form 7001. 5. ANIMAL IDENTIFICATION Continue adding animals with the same kind of identification information for each animal as instructed for box 5 of APHIS Form 7001. 6. VACCINATION HISTORY Continue adding vaccination history with the same kind of vaccination information as instructed for box 6 of APHIS Form 7001. When all of the animals have been listed draw a diagonal line from the last animal to the bottom of the form and initial the line. 1. CERTIFICATE NUMBER List the unique preprinted number from box 1 of APHIS Form 7001. 2. PAGE The continuation sheets are numbered consecutively. If two continuation sheets are used the first continuation sheet is numbered Page 2 of 3 and the second continuation sheet is numbered Page 3 of 3. If two continuation sheets are used the first continuation sheet is numbered Page 2 of 3 and the second continuation sheet is numbered Page 3 of 3. 3. NAME ADDRESS AND TELEPHONE NUMBER OF OWNER/CONSIGNOR List the same information from box 3 of APHIS Form 7001. 3. NAME ADDRESS AND TELEPHONE NUMBER OF OWNER/CONSIGNOR List the same information from box 3 of APHIS Form 7001. box 4 of APHIS Form 7001. 5. ANIMAL IDENTIFICATION Continue adding animals with the same kind of identification information for each animal as instructed for box 5 of APHIS Form 7001. box 4 of APHIS Form 7001. 5. ANIMAL IDENTIFICATION Continue adding animals with the same kind of identification information for each animal as instructed for box 5 of APHIS Form 7001. 6. VACCINATION HISTORY Continue adding vaccination history with the same kind of vaccination information as instructed for box 6 of APHIS Form 7001. 6. VACCINATION HISTORY Continue adding vaccination history with the same kind of vaccination information as instructed for box 6 of APHIS Form 7001. When all of the animals have been listed draw a diagonal line from the last animal to the bottom of the form and initial the line. 1. CERTIFICATE NUMBER List the unique preprinted number from box 1 of APHIS Form 7001. 2. PAGE The continuation sheets are numbered consecutively. If two continuation sheets are used the first continuation sheet is numbered Page 2 of 3 and the second continuation sheet is numbered Page 3 of 3. 3. NAME ADDRESS AND TELEPHONE NUMBER OF OWNER/CONSIGNOR List the same information from box 3 of APHIS Form 7001.

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