Importer's Statement of Compliance for U.S. Processed Pet Food and Treats containing Animal Products and by-Products

In compliance with section 16(1) and 16(2) of the Health of Animals Act, this is to certify that I am importing the products below:

Product description:

• Pet foods and/or pet treats with no bovine-origin ingredients except exempt ingredients (milk or milk products, hide-derived gelatin or collagen, and tallow with a maximum level of insoluble impurities of 0.15% by weight).
• Pet foods and/or pet treats with non-exempt bovine-origin ingredients.

Name of importer
Address
City
Province
Zip Code

Declaration:

I undersigned , do hereby declare importing the products of US origin:

1- described on the Canadian Custom Invoice or Commercial Invoice Number(s),

2- and covered by the USDA Export Certificate Number(s),

and certify that the information provided on this form is complete, correct and accurately describes the product contained in the shipment.

Signature

Date

For the Broker or Importer

Transaction Number
Exporter Reference Number (optional)
Total Gross Weight
Container(s) and Seal number(s)
Shipping Date

This includes only heat treated and shelf stable products.