Part I: Details of dispatched consignment

COUNTRY

Veterinary certificate to EU

I.1. Consignor

Name

Address

Tel. No

I.2. Certificate reference number

I.2.a.

I.3. Central Competent Authority

I.4. Local Competent Authority

I.5. Consignee

Name

Address

Postal code

Tel. No

I.6.

I.7. Country of origin

ISO code

I.8. Region of origin

Code

I.9. Country of destination

ISO code

I.10.

I.11. Place of origin

Name

Approval number

Address

I.12.

I.13. Place of loading

I.14. Date of departure

I.15. Means of transport

Aeroplane

Ship

Railway wagon

Road vehicle

Other

Identification:

Documentary references:

I.16. Entry BIP in EU

I.17.

I.18. Description of commodity

I.19. Commodity code (HS code)

I.20. Quantity

I.21. Temperature of product

Ambient

Chilled

Frozen

I.22. Number of packages

I.23. Identification of container/Seal number

I.24. Type of packaging

I.25. Commodities certified for:

Further process

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodities

Species (Scientific name)

Manufacturing plant

Number of packages

Net weight

Batch number

Part II: Certification

COUNTRY

Model Milk-RM

Raw milk

II. Health information

II.a. Certificate reference number

II.b.

II.1 Animal Health Attestation

I, the undersigned official veterinarian, declare that I am aware of the relevant provisions of Directive 2002/99/EC and of Regulation (EC) No 853/2004 and hereby certify that the raw milk described above has been obtained from animals:

(a) under the control of the official veterinary service,

(b) which were in a country or part thereof that has been free of foot-and-mouth disease and of rinderpest for a period of at least 12 months prior to the date of this certificate, and where vaccination against foot-and-mouth disease has not been carried out during that period,

(c) belonging to holdings which were not under restrictions due to foot-and-mouth disease or rinderpest, and

(d) subject to regular veterinary inspections to ensure that they satisfy the animal health conditions laid down in Chapter I of Section IX of Annex III to Regulation (EC) No 853/2004 and in Directive 2002/99/EC;

II.2 Public Health attestation

I, the undersigned official inspector, declare that I am aware of the relevant provisions of Regulations (EC) No 178/2002, (EC) No 852/2004, (EC) No 853/2004 and (EC) No 854/2004 and hereby certify that the raw milk described above was produced in accordance with those provisions, in particular that:

(a) it comes from holdings registered in accordance with Regulation (EC) No 852/2004 and checked in accordance with Annex IV to Regulation (EC) No 854/2004,

(b) it was produced, collected, cooled, stored and transported in accordance with the hygiene conditions laid down in Chapter I of Section IX of Annex III to Regulation (EC) No 853/2004,

(c) it meets the plate and somatic cell count criteria laid down in Chapter I of Section IX of Annex III to Regulation (EC) No 853/2004,

(d) it does not contain antibiotic residues exceeding the limits authorised under the Annex to Regulation (EU) No 37/2010,

(e) the guarantees covering live animals and products thereof provided by the residue plans submitted in accordance with Directive 96/23/EC, and in particular Article 29 thereof, are fulfilled,

(f) it does not contain pesticide residues exceeding the limits authorized by Regulation (EC) No 396/2005, and

(g) it does not contain contaminants exceeding the maximum tolerances laid down by Regulation (EC) No 1881/2006.

Notes

This certificate is intended for raw milk from third countries or parts thereof authorised in column A of Annex I to Regulation (EU) No 605/2010 intended for further processing in the European Union before being used for human consumption.

Part I:

Box reference I.7: Provide name and ISO code of the country or part thereof as appearing in Annex I to Regulation (EU) No 605/2010.

Box reference I.11: Name, address and approval number of the establishment of dispatch.

Box reference I.15: Registration number (railway wagons or container and road vehicle), flight number (aircraft) or name (ship). In case of unloading and reloading, the consignor must inform the border inspection post of introduction into the European Union.

Box reference I.19: Use the appropriate Harmonised System (HS) code of the World Customs Organisation: 04.01; 04.02 or 04.03.

COUNTRY

Model Milk-RM

Raw milk

II. Health information

II.a. Certificate reference number

II.b.

Box reference I.20: Indicate total gross weight and total net weight.

Box reference I.23: For containers or boxes, the container number and the seal number (if applicable) should be included.

Box reference I.28: Manufacturing plant: introduce the approval number of the production holding(s), collection centre or standardization centre approved for exportation to the European Union.

Part II:

The colour of the signature shall be different to that of the printing. The same rule applies to stamps other than those embossed or watermark.

Official veterinarian

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp:

Part I: Details of dispatched consignment

COUNTRY

Veterinary certificate to EU

I.1. Consignor

Name

Address

Tel. No

I.2. Certificate reference number

I.2.a.

I.3. Central Competent Authority

I.4. Local Competent Authority

I.5. Consignee

Name

Address

Postal code

Tel. No

I.6.

I.7. Country of origin

ISO code

I.8. Region of origin

Code

I.9. Country of destination

ISO code

I.10.

I.11. Place of origin

Name

Approval number

Address

I.12.

I.13. Place of loading

I.14. Date of departure

I.15. Means of transport

Aeroplane

Ship

Railway wagon

Road vehicle

Other

Identification:

Documentary references:

I.16. Entry BIP in EU

I.17.

I.18. Description of commodity

I.19. Commodity code (HS code)

I.20. Quantity

I.21. Temperature of product

Ambient

Chilled

Frozen

I.22. Number of packages

I.23. Identification of container/Seal number

I.24. Type of packaging

I.25. Commodities certified for:

Human consumption

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodities

Species (Scientific name)

Manufacturing plant

Number of packages

Net weight

Batch number

Part II: Certification

COUNTRY

Model Milk-RMP

Dairy products derived from raw milk for human consumption

II. Health information

II.a. Certificate reference number

II.b.

II.1 Animal Health Attestation

I, the undersigned official veterinarian, declare that I am aware of the relevant provisions of Directive 2002/99/EC and of Regulation (EC) No 853/2004 and hereby certify that the dairy products described above has been manufactured from raw milk obtained from animals:

(a) under the control of the official veterinary service,

(b) which were in a country or part thereof that has been free of foot-and-mouth disease and of rinderpest for a period of at least 12 months prior to the date of this certificate, and where vaccination against foot-and-mouth disease has not been carried out during that period,

(c) belonging to holdings which were not under restrictions due to foot-and-mouth disease or rinderpest, and,

(d) subject to regular veterinary inspections to ensure that they satisfy the animal health conditions laid down in Chapter I of Section IX of Annex III to Regulation (EC) No 853/2004 and in Directive 2002/99/EC;

II.2 Public Health attestation

I, the undersigned official inspector, declare that I am aware of the relevant provisions of Regulations (EC) No 178/2002, (EC) No 852/2004, (EC) No 853/2004 and (EC) No 854/2004 and hereby certify that the dairy product made with raw milk described above was produced in accordance with those provisions, in particular that:

(a) it was manufactured from raw milk:

(i) which comes from holdings registered in accordance with Regulation (EC) No 852/2004 and checked in accordance with Annex IV to Regulation (EC) No 854/2004,

(ii) which was produced, collected, cooled, stored and transported in accordance with the hygiene conditions laid down in Chapter I of Section IX of Annex III to Regulation (EC) No 853/2004,

(iii) which meets the plate and somatic cell count criteria laid down in Chapter I of Section IX of Annex III to Regulation (EC) No 853/2004,

(iv) which does not contain antibiotic residues exceeding the limits authorised under the Annex to Regulation (EU) No 37/2010,

(v) which does not contain pesticide residues exceeding the limits authorized by Regulation (EC) No 396/2005, and

(vi) which does not contain contaminants exceeding the maximum tolerances laid down by Regulation (EC) No 1881/2006.

(b) it comes from an establishment implementing a programme based on the HACCP principles in accordance with Regulation (EC) No 852/2004,

(c) it has been obtained from raw milk that has not undergone any heat treatment or any physical or chemical treatment during the manufacturing process,

(d) it has been wrapped, packaged and labelled in accordance with Chapters III and IV of Section IX of Annex III to Regulation (EC) No 853/2004,

(e) it meets the relevant microbiological criteria laid down in Regulation (EC) No 2073/2005 on microbiological criteria for foodstuffs, and

(f) the guarantees covering live animals and products thereof provided by the residue plans submitted in accordance with Directive 96/23/EC, and in particular Article 29 thereof, are fulfilled.

COUNTRY

Model Milk-RMP

Dairy products derived from raw milk for human consumption

II. Health information

II.a. Certificate reference number

II.b.

Notes

This certificate is intended for dairy products derived from raw milk for human consumption, from third countries or parts thereof authorised in column A of Annex I to Regulation (EU) No 605/2010 intended for importation into the European Union.

Part I:

Box reference I.7: Provide name and ISO code of the country or part thereof as appearing Annex I to Regulation (EU) No 605/2010.

Box reference I.11: Name, address and approval number of the establishment of dispatch.

Box reference I.15: Registration number (railway wagons or container and road vehicles), flight number (aircraft) or name (ship). In the case of transport in containers, the total number of containers and their registration number and where there is a serial number of the seal it must be indicated in box I.23. In the case of unloading and reloading, the consignor must inform the border inspection post of introduction into the European Union.

Box reference I.19: Use the appropriate Harmonised System (HS) code of the World Customs Organisation: 04.01; 04.02; 04.03; 04.04; 04.05; 04.06 or 21.05.

Box reference I.20: Indicate total gross weight and total net weight.

Box reference I.23: For containers or boxes, the container number and the seal number (if applicable) should be included.

Box reference I.28: Manufacturing plant: introduce the approval number of the production holding(s), collection centre or standardization centre approved for exportation to the European Union.

Part II:

The colour of the signature shall be different to that of the printing. The same rule applies to stamps other than those embossed or watermark.

Official veterinarian

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp:

Part I: Details of dispatched consignment

COUNTRY

Veterinary certificate to EU

I.1. Consignor

Name

Address

Tel. No

I.2. Certificate reference number

I.2.a.

I.3. Central Competent Authority

I.4. Local Competent Authority

I.5. Consignee

Name

Address

Postal code

Tel. No

I.6.

I.7. Country of origin

ISO code

I.8. Region of origin

Code

I.9. Country of destination

ISO code

I.10.

I.11. Place of origin

Name

Approval number

Address

I.12.

I.13. Place of loading

I.14. Date of departure

I.15. Means of transport

Aeroplane

Ship

Railway wagon

Road vehicle

Other

Identification:

Documentary references:

I.16. Entry BIP in EU

I.17.

I.18. Description of commodity

I.19. Commodity code (HS code)

I.20. Quantity

I.21. Temperature of product

Ambient

Chilled

Frozen

I.22. Number of packages

I.23. Identification of container/Seal number

I.24. Type of packaging

I.25. Commodities certified for:

Human consumption

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodities

Species

(Scientific name)

Manufacturing plant

Number of packages

Net weight

Batch number

Part II: Certification

COUNTRY

Model Milk-HTB

Dairy products derived from milk of cows, ewes, goats and buffaloes for human consumption from third countries authorised in column B

II. Health information

II.a. Certificate reference number

II.b.

II.1 Animal Health Attestation

I, the undersigned official veterinarian, declare that I am aware of the relevant provisions of Directive 2002/99/EC and of Regulation (EC) No 853/2004 and hereby certify that the dairy product described above:

(a) has been obtained from animals:

(i) under the control of the official veterinary service,

(ii) which were in a country or part thereof that has been free of foot-and-mouth disease and of rinderpest for a period of at least 12 months prior to the date of this certificate, and where vaccination against foot-and-mouth disease has not been carried out during that period,

(iii) belonging to holdings which were not under restrictions due to foot-and-mouth disease or rinderpest, and,

(iv) subject to regular veterinary inspections to ensure that they satisfy the animal health conditions laid down in Chapter I of Section IX of Annex III to Regulation (EC) No 853/2004 and in Directive 2002/99/EC,

(b) has undergone or been produced from raw milk which has been submitted to a pasteurisation treatment involving a single heat treatment with a heating effect at least equivalent to that achieved by a pasteurisation process of at least 72 °C for at 15 seconds and where applicable, sufficient to ensure a negative reaction to an alkaline phosphatase test applied immediately after the heat treatment.

II.2 Public Health attestation

I, the undersigned official veterinarian, declare that I am aware of the relevant provisions of Regulations (EC) No 178/2002, (EC) No 852/2004, (EC) No 853/2004 and (EC) No 854/2004 and hereby certify that the dairy product described above was produced in accordance with those provisions, in particular that:

(a) it was manufactured from raw milk:

(i) which comes from holdings registered in accordance with Regulation (EC) No 852/2004 and checked in accordance with Annex IV to Regulation (EC) No 854/2004,

(ii) which was produced, collected, cooled, stored and transported in accordance with the hygiene conditions laid down in Chapter I of Section IX of Annex III to Regulation (EC) No 853/2004,

(iii) which meets the plate and somatic cell count criteria laid down in Chapter I of Section IX of Annex III to Regulation (EC) No 853/2004,

(iv) which does not contain antibiotic residues exceeding the limits authorised under the Annex to Regulation (EU) No 37/2010;

(v) which does not contain pesticide residues exceeding the limits authorized by Regulation (EC) No 396/2005, and

(vi) which does not contain contaminants exceeding the maximum tolerances laid down by Regulation (EC) No 1881/2006.

(b) it comes from an establishment implementing a programme based on the HACCP principles in accordance with Regulation (EC) No 852/2004,

(c) it has been processed, stored, wrapped, packaged and transported in accordance with the relevant hygiene conditions laid down in Annex II to Regulation (EC) No 852/2004 and Chapter II of Section IX of Annex III to Regulation (EC) No 853/2004,

(d) it meets the relevant criteria laid down in Chapter II of Section IX of Annex III to Regulation (EC) No 853/2004 and the relevant microbiological criteria laid down in Regulation (EC) No 2073/2005 on microbiological criteria for foodstuffs,

(e) the guarantees covering live animals and products thereof provided by the residue plans submitted in accordance with Directive 96/23/EC, and in particular Article 29 thereof, are fulfilled.

COUNTRY

Model Milk-HTB

Dairy products derived from milk of cows, ewes, goats and buffaloes for human consumption from third countries authorised in column B

II. Health information

II.a. Certificate reference number

II.b.

Notes

This certificate is intended for dairy products for human consumption from third countries or parts thereof authorised in column B of Annex I of Regulation (EU) No 605/2010 intended for importation into the European Union.

Part I:

Box reference I.7: Provide name and ISO code of the country or part thereof as appearing in Annex I to Regulation (EU) No 605/2010.

Box reference I.11: Name, address and approval number of establishment of dispatch.

Box reference I.15: Registration number (railway wagons or container and road vehicle), flight number (aircraft) or name (ship). In the case of transport in containers, the total number of containers and their registration number and where there is a serial number of the seal it must be indicated in box I.23. In case of unloading and reloading, the consignor must inform the border inspection post of introduction into the European Union.

Box reference I.19: Use the appropriate Harmonised System (HS) code of the World Customs Organisation: 04.01; 04.02; 04.03; 04.04; 04.05; 04.06 or 21.05.

Box reference I.20: Indicate total gross weight and total net weight.

Box reference I.23: For containers or boxes, the container number and the seal number (if applicable) should be included.

Box reference I.28: Manufacturing plant: introduce the approval number of the treatment and/or processing establishment(s) approved for export to the European Union.

Part II:

The colour of the signature shall be different to that of the printing. The same rule applies to stamps other than those embossed or watermark.

Official veterinarian

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp:

Part I: Details of dispatched consignment

COUNTRY

Veterinary certificate to EU

I.1. Consignor

Name

Address

Tel. No

I.2. Certificate reference number

I.2.a.

I.3. Central Competent Authority

I.4. Local Competent Authority

I.5. Consignee

Name

Address

Postal code

Tel. No

I.6.

I.7. Country of origin

ISO code

I.8. Region of origin

Code

I.9. Country of destination

ISO code

I.10.

I.11. Place of origin

Name

Approval number

Address

I.12.

I.13. Place of loading

I.14. Date of departure

I.15. Means of transport

Aeroplane

Ship

Railway wagon

Road vehicle

Other

Identification:

Documentary references:

I.16. Entry BIP in EU

I.17.

I.18. Description of commodity

I.19. Commodity code (HS code)

I.20. Quantity

I.21. Temperature of product

Ambient

Chilled

Frozen

I.22. Number of packages

I.23. Identification of container/Seal number

I.24. Type of packaging

I.25. Commodities certified for:

Human consumption

I.26.

I.27. For import or admission into EU

I.28. Identification of the commodities

Species (Scientific name)

Manufacturing plant

Number of packages

Net weight

Batch number

Part II: Certification

COUNTRY

Model Milk-HTC

Dairy products from third countries authorised in column C

II. Health information

II.a. Certificate reference number

II.b.

II.1 Animal Health Attestation

I, the undersigned official veterinarian, declare that I am aware of the relevant provisions of Directive 2002/99/EC and of Regulation (EC) No 853/2004 and hereby certify that the dairy product described above:

(a) has been obtained from animals:

(i) under the control of the official veterinary service,

(ii) belonging to holdings which were not under restrictions due to foot-and-mouth disease or rinderpest, and,

(iii) subject to regular veterinary inspections to ensure that they satisfy the animal health conditions laid down in Chapter I of Section IX of Annex III to Regulation (EC) No 853/2004 and in Directive 2002/99/EC,

(1) either [(b) in the case of dairy products made from raw milk sourced from cows, ewes, goats or buffaloes have undergone, prior to import into the territory of the European Union:

(1) either [(i) a sterilisation process, to achieve an F0 value equal to or greater than three;]

(1) or [(ii) an ultra high temperature (UHT) treatment at not less than 135 °C in combination with a suitable holding time;]

(1) or [(iii) a high temperature short time pasteurisation treatment (HTST) at 72 °C for 15 seconds applied twice to milk with a pH equal to or greater than 7.0 achieving, where applicable, a negative reaction to a alkaline phosphatase test, applied immediately after the heat treatment;]

(1) or [(iv) a treatment with an equivalent pasteurisation effect to point (iii) achieving, where applicable, a negative reaction to a alkaline phosphatase test, applied immediately after the heat treatment;]

(1) or [(v) a HTST treatment with a pH below 7.0;]

(1) or [(vi) a HTST treatment combined with another physical treatment by

(1) either [(vi) (1) lowering the pH below 6 for one hour;]

(1) or [(vi) (2) additional heating equal to or greater than 72 °C or more, combined with desiccation;]]

(1) or [(b) in the case of dairy products made from raw milk sourced from animals other than cows, ewes, goats or buffaloes have undergone, prior to import into the territory of the European Union:

(1) either [(i) a sterilisation process, to achieve an F0 value equal to or greater than three;]

(1) or [(ii) an ultra high temperature (UHT) treatment at not less than 135 °C in combination with a suitable holding time;]]

II.2 Public Health attestation

I, the undersigned official inspector, declare that I am aware of the relevant provisions of Regulations (EC) No 178/2002, (EC) No 852/2004, (EC) No 853/2004 and (EC) No 854/2004 and hereby certify that the dairy product described above was produced in accordance with provisions, in particular that:

(a) it was manufactured from raw milk:

(i) which comes from holdings registered in accordance with Regulation (EC) No 852/2004 and checked in accordance with Annex IV to Regulation (EC) No 854/2004;

(ii) which was produced, collected, cooled, stored and transported in accordance with the hygiene conditions laid down in Chapter I of Section IX of Annex III to Regulation (EC) No 853/2004;

COUNTRY

Model Milk-HTC

Dairy products from third countries authorised in column C

II. Health information

II.a. Certificate reference number

II.b.

(iii) which meets the plate and somatic cell count criteria laid down in Chapter I of Section IX of Annex III to Regulation (EC) No 853/2004;

(iv) which does not contain antibiotic residues exceeding the limits authorised under the Annex to Regulation (EU) No 37/2010;

(v) which does not contain pesticide residues exceeding the limits authorized by Regulation (EC) No 396/2005, and

(vi) which does not contain contaminants exceeding the maximum tolerances laid down by Regulation (EC) No 1881/2006.

(b) it comes from an establishment implementing a programme based on the HACCP principles in accordance with Regulation (EC) No 852/2004,

(c) it has been processed, stored, wrapped, packaged and transported in accordance with the relevant hygiene conditions laid down in Annex II to Regulation (EC) No 852/2004 and Chapter II of Section IX of Annex III to Regulation (EC) No 853/2004,

(d) it meets the relevant criteria laid down in Chapter II of Section IX of Annex III to Regulation (EC) No 853/2004 and the relevant microbiological criteria laid down in Regulation (EC) No 2073/2005 on microbiological criteria for foodstuffs,

(e) the guarantees covering live animals and products thereof provided by the residue plans submitted in accordance with Directive 96/23/EC, and in particular Article 29 thereof, are fulfilled.

Notes

This certificate is intended for dairy products for human consumption from third countries or parts thereof authorised in column C of Annex I to Regulation (EU) No 605/2010 intended for importation into the European Union.

Part I:

Box reference I.7: Provide name and ISO code of the country or part thereof as appearing in Annex I to Regulation (EU) No 605/2010.

Box reference I.11: Name, address and approval number of establishments of dispatch.

Box reference I.15: Registration number (railway wagons or container and road vehicles), flight number (aircraft) or name (ship) is to be provided. In the case of transport in containers, the total number of containers and their registration number and where there is a serial number of the seal it must be indicated in box I.23. In the case of unloading and reloading, the consignor must inform the border inspection post of introduction into the European Union.

Box reference I.19: Use the appropriate Harmonised System (HS) code of the World Customs Organisation: 04.01; 04.02; 04.03; 04.04; 04.05; 04.06; 19.01; 21.05; 21.06.90; 35.01 or 35.02.

Box reference I.20: Indicate total gross weight and total net weight.

Box reference I.23: For containers or boxes, the container number and the seal number (if applicable) should be included.

Box reference I.28: Manufacturing plant: introduce the approval number of the treatment and/or processing establishment(s) approved for export to the European Union.

Part II:

(1) Keep as appropriate.

The colour of the signature shall be different to that of the printing. The same rule applies to stamps other than those embossed or watermark.

COUNTRY

Model Milk-HTC

Dairy products from third countries authorised in column C

II. Health information

II.a. Certificate reference number

II.b.

Official veterinarian

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp:

Part I: Details of dispatched consignment

COUNTRY

Veterinary certificate to EU

I.1. Consignor

Name

Address

Tel. No

I.2. Certificate reference number

I.2.a.

I.3. Central Competent Authority

I.4. Local Competent Authority

I.5. Consignee

Name

Address

Postal code

Tel. No

I.6. Person responsible for the load in EU

Name

Address

Postal code

Tel. No

I.7. Country of origin

ISO code

I.8. Region of origin

Code

I.9. Country of destination

ISO code

I.10.

I.11. Place of origin

Name

Approval number

Address

I.12. Place of origin

Customs warehouse

Ship supplier

Name

Approval number

Address

Postal code

I.13. Place of loading

I.14. Date of departure

I.15. Means of transport

Aeroplane

Ship

Railway wagon

Road vehicle

Other

Identification:

Documentary references:

I.16. Entry BIP in EU

I.17.

I.18. Description of commodity

I.19. Commodity code (HS code)

I.20. Quantity

I.21. Temperature of product

Ambient

Chilled

Frozen

I.22. Number of packages

I.23. Identification of container/Seal number

I.24. Type of packaging

I.25. Commodities certified for:

Human consumption

I.26. For transit through EU to 3rd Country

3rd country

ISO code

I.27.

I.28. Identification of the commodities

Species (Scientific name)

Manufacturing plant

Number of packages

Net weight

Batch number

Part II: Certification

COUNTRY

Model Milk-T/S

Raw milk or dairy products intended for human consumption for transit or storage

II. Health information

II.a. Certificate reference number

II.b.

II.1 Animal Health Attestation

I, the undersigned official veterinarian, hereby certify that the[raw milk] / [dairy products] (1) (2) for [transit] / [storage] (2) in the European Union described above:

(a) come from a country or part thereof authorised for imports to the European Union of raw milk or dairy products as laid down in Annex I to Regulation (EU) No 605/2010,

(b) comply with the relevant animal health conditions for the products concerned as laid down in the animal health attestation in Part II.1 of the model certificates [Milk-RM] / [Milk-RMP] / [Milk-HTB] / [Milk-HTC] (2) in Part 2 of Annex II to Regulation (EU) No 605/2010;

(c) was produced on … or between … and … (3).

Notes

Part I:

Box reference I.7: Provide name and ISO code of the country or part thereof as appearing in Annex I to Regulation (EU) No 605/2010

Box reference I.11: Name, address and approval number of establishments of dispatch. Name of the country of origin which must be the same as the country of export.

Box reference I.15: Registration number (railway wagons or container and road vehicles), flight number (aircraft) or name (ship). In the case of transport in containers, the total number of containers and their registration number and where there is a serial number of the seal it must be indicated in box I.23. In case of unloading and reloading, the consignor must inform the border inspection post of introduction into the European Union.

Box reference I.19: Use the appropriate Harmonised System (HS) code of the World Customs Organisation: 04.01; 04.02; 04.03; 04.04; 04.05; 04.06; 19.01; 21.05; 21.06.90; 35.01 or 35.02.

Box reference I.20: Indicate total gross weight and total net weight.

Box reference I.23: For containers or boxes, the container number and the seal number (if applicable) should be included.

Box reference I.28: Manufacturing plant: introduce the approval number of the production holding(s), collection centre or standardization centre approved for exportation to the European Union.

Part II:

(1) Raw milk and dairy products means, raw milk and dairy products for human consumption in transit or storage in accordance with Article 12(4) or Article 13 of Council Directive 97/78/EC.

(2) Keep as appropriate.

(3) Date or dates of production. Imports of raw milk and dairy products shall not be allowed when obtained either prior to the date of authorisation for exportation to the European Union of the third country or part thereof mentioned under I.7 and I.8, or during a period where restrictive measures have been adopted by the European Union against imports of raw milk and dairy products from this third country or part thereof.

The colour of the signature shall be different to that of the printing. The same rule applies to stamps other than those embossed or watermark.

COUNTRY

Model Milk-T/S

Raw milk or dairy products intended for human consumption for transit or storage

II. Health information

II.a. Certificate reference number

II.b.

Official veterinarian

Name (in capital letters):

Qualification and title:

Date:

Signature:

Stamp: