lb
or kg
This document is a english form with 24 fields to fill out.
Original
Consignor
Certificate No.
US-CA -
Consignee / Importer
US Department of Agriculture
Food Safety and Inspection Service
Certificate for Export of Meat and Poultry Products
Origin Country
USA
Port of Loading
Export Establishment: (Establishment Number)
Destination Canada
Means of Transport
Shipping Marks / Number / Kind of Packages / Est. / Plant Number on Product / Product Description / Species / Label Approval Number
Net Weight (Check one and enter net weight) lb
or kg
USDA SEAL NUMBER (S) (if applicable)
REMARKS
I CERTIFY that the meat or meat food product specified hereon is from animals that received both antemortem and postmortem inspection and were found sound and healthy and that it has been inspected and passed as provided by law and regulations of the Department and is sound and wholesome, and/ or
I CERTIFY that the poultry and poultry products specified above come from birds that were officially given an antemortem and postmortem inspection and passed in accordance with applicable laws and regulations of the United States Department of Agriculture and are wholesome and fit for human consumption.
BY ORDER OF THE SECRETARY OF AGRICULTURE
NAME OF OFFICIAL VETERINARIAN (TYPED)
SIGNATURE OF THE OFFICIAL VETERINARIAN
DATE SIGNED