ANNEX I
Format, layout and language requirements of the declarations
referred to in point (a) of Article 7(2) and of Article 11(2) and in point (c) of Article 12(1) of
Regulation (EU) No 576/2013
Part 1
Format and layout of the declaration referred to in point (a) of Article 7(2) and of Article 11(2) of
Regulation (EU) No 576/2013
DECLARATION
I, the undersigned
................................................................................................................................................................. (1)
[owner or natural person who has authorisation in writing from the owner to carry out the non-commercial movement of
(2)
the pet animals on behalf of the owner ]
declare that from birth until the time of the non-commercial movement the following pet animals
have had no contact with wild animals of species susceptible to rabies:
Transponder/tattoo(2) alphanumeric code Passport/Animal health certificate(2) number
Place and date: Signature:
(1) to be completed in block letters.
(2) delete as appropriate.
Part 2
Format and layout of the declaration referred to in point (c) of Article 12(1) of Regulation (EU) No
576/2013
DECLARATION
I, the undersigned
................................................................................................................................................................. (1)
[owner or natural person who has authorisation in writing from the owner to carry out the non-commercial movement of
(2)
the pet animals on behalf of the owner ]
declare that, during the transit through one of the territories or third countries other than those
listed in Annex II to Commission Implementing Regulation (EU) No 577/2013, the following pet
animals have had no contact with animals of species susceptible to rabies and remain secure within a
means of transport or within the perimeter of an international airport(2):
Transponder/tattoo(2) alphanumeric code Animal health certificate number
Place and date: Signature:
(1) to be completed in block letters.
(2) delete as appropriate.
Part 3
Language requirements for the declarations referred to in point (a) of Article 7(2) and of Article
11(2) and in point (c) of Article 12(1) of Regulation (EU) No 576/2013
The declarations shall be drawn up in at least one of the official language(s) of the Member State of
destination/entry and in English.