Official Meat Inspection Certificate Form (for all countries other than the United States)

Original

This bilingual form has the following fields to fill out:

1. Name of the Exporter
2. Importer: Country Name, Country Crest/Seal, Name of Competent Authority for Meat Inspection System
3. Certificate Number
4. Slaughtered at (Establishment Number, Name and Country)
5. Carrier
6. Port of Loading
7. Date of Departure
8. Processed at (Establishment Number, Name and Country)
9. Port of Landing
10. Exporting Establishment Number
11. Shipping Marks
12. Number and Kind of Packages
13. Description of Meat Products
14. Indicate the Net Weight in kilograms and pounds
15. Container Number
16. Seal number(s)
17. Additional Certification (if requested)
18. Statement for the applicant to read:

    I hereby certify that the meat products specified above have been prepared in an establishment certified for export to Canada and are derived from animals that have been examined and found by ante-mortem and post-mortem inspection at the time of slaughter, to be free from disease and that meat products are suitable in every way for human consumption and are otherwise in compliance with requirements at least equal to those in the applicable Canadian laws and regulations.

    After reading the statement, the applicant must supply the following information:

    Day, month and year

    Signature of the Official Veterinarian and his printed name

19. Official Stamp