Part 3
Written declaration referred to in Article 25(3) of of Regulation (EU) No 576/2013
Section A
Model of declaration
I, the undersigned
.......................................................................................................................................................
[owner or the natural person who has authorisation in writing from the owner to carry out the non-commercial movement on
(1)
behalf of the owner ]
declare that the following pet animals are not subject to a movement that aims at their sale or
a transfer of ownership and will accompany the owner or the natural person who has
authorisation in writing from the owner to carry out the non-commercial movement on behalf
of the owner(1) within not more than 5 days of his movement.
Transponder/tattoo(1) alphanumeric code Animal health certificate number
During the non-commercial movement, the above animals will remain under the responsibility
of
(1)
either [the owner];
(1)
or [the natural person who has authorisation in writing from the owner to carry out the
non-commercial movement on behalf of the owner]
(1)
or [the natural person designated by the carrier contracted to carry out the non-
commercial movement on behalf of the owner: ……………………………… (insert
name of the carrier)]
Place and date:
Signature of the owner or natural person who has authorisation in writing from the
owner to carry out the non-commercial movement on behalf of the owner(1):
(1) delete as appropriate.
EN 1 EN