VENDOR DECLARATION BY PROPERTY MANAGEMENT
ON DISEASE FREEDOM OF LIVESTOCK FOR EXPORT
LNC/CIN No.:
Exporter:
Description/Identification of Cattle Property of Origin
Arrival Date
or BOP
(BOP) = bred on property, IMPORTED stock must show arrival date
No. Head
*Category: Breeder (B); Feeder (F); Slaughter (S);
Identification
Brands/Tags/Other
Category*
Sex**
**Sex: Male (M); Castrate (M-); Female (F); Female Spayed (F-)
The pregnancy testing/spaying declaration MUST BE completed for all female/spayed female cattle in consignment.
Declaration
I,
_____________________________ (BLOCK LETTERS) being the authorised management representative of
______________________________ (property name) declare that the animals described above for the pre export
of
_________________________ cattle (type/species of stock) to
___________________ comply with the
following conditions: (a) No lame, blind, injured, sick or substituted animals will be loaded on road transports to ship or holding facility.
(b) To the best of my knowledge, livestock sourced for export comply with Australian food safety requirements, including
standards for chemical residues or environmental contaminants.
(c) I declare that the animals described above have/have not previously been vaccinated against Botulism, whilst on
the property at least once in their lifetime.
(d) I further declare :  the property has remained free from clinical or visible evidence of Leptospirosis and Leptospirosis has not been
officially reported during the 3 years prior to shipment.
 the property has been free of any known outbreaks or clinical symptoms for at least 3 years prior to shipment
from the following diseases -Mucosal Disease/Bovine Virus Diarrhoea (MD/BVD), intestinal salmonella infections
(Salmonellosis), Vibrionic Dysentery, Infectious Bovine Rhinotracheitis (IBR)/Infectious Pustular Vulvovaginitis(IPV), Cysticercosis, Genital Campylobacteriosis (Vibriosis), Theileriasis, Sporadic Bovine
Encephalomyelitis, Trichonomiasis, Ephemoral Fever, Q Fever & Clostridial diseases.
 the property is currently free from clinical or visible evidence of any outbreak of the following contagious
conditions - actinomycosis, contagious ophthalmia (pink eye), dermatophilosis, trichophytosis (ringworm)
Signature (Owner/Manager):
Name (BLOCK LETTERS):
Address:
___________________________
Date:
______________________
____________________________________________________________________
___________________________________________________________________________________
__________________________________________________________________________________________
Telephone:
_______________________________
Facsimile:
_______________________________
Vendor must complete all sections that refer to consigned cattle and fax to:
_________________________
The original is then to be attached to Waybills and handed to transport driver for carriage to registered depot. It
is a requirement of the Australian Livestock Export Standards Version 2.3 2011 (S3.12) “when receiving and identifying
livestock, the Depot Operator must obtain a copy of the Vendor Declaration/s regarding the property of source and health
status of the livestock before accepting the livestock for the purpose of preparation for export”.
PLEASE NOTE: You are advised that this document will be presented to an DAFF Certifying Officer for the purposes of
the Export Control Act No 47 of 1982 as amended. Giving false and misleading information is an offence, with penalties
of up to 5 years imprisonment
PROPERTY OWNERS FORM
Document Updated: 28/08/2013
PREGNANCY TESTING/SPAYING DECLARATION BY NT ACCREDITED
PREGNANCY TESTER OR NT REGISTERED VETERINARIAN
LNC/CIN No.:
Exporter:
For undertaking pregnancy testing in the Northern Territory a registered veterinarian or a competent
pregnancy tester, accredited by the NT Governemnt are able to conduct pregnancy tests. For pregnancy
testing in other states cattle and buffalo must only be tested by a registered veterinarian. If speying is the
preferred method, then the declaration is to be completede by the owner / manager.
Description/Identification of Stock for export Species: Cattle
Identification Brands/Tags/Other
Number of Head
*Category: Breeder (B); Feeder (F); Slaughter (S); Other (Describe)
(1)
I,
Other
Age
Category*
Sex**
**Sex: Female (F); Female Spayed (F-)
Declaration for Pregnancy Testing (delete if not applicable)
_____________________________ (BLOCK LETTERS) being the vendor / authorised management
representative of
_______________________________ (property name) declare the cattle described
above and presented for export were all pregnancy tested on
by
_______________________ (insert date)
________________________________________________ (insert name of registered veterinarian or
competent NT Government accredited pregnancy tester) and were declared to be not detectably pregnant.
(2)
I,
Declaration for Spaying (delete if not applicable)
_____________________________ (BLOCK LETTERS) being the vendor / authorised management
representative of
_______________________________ (property name) declare the cattle described
above and presented for export were all spayed, using the Willis dropped ovary technique, not less than thirty
(30) days prior to
______________________ (the anticipated date of export) OR the cattle described
above and presented for export were all spayed at least 280 days prior to
______________________
(insert anticipated date of export)
I declare that the cattle were pregnancy tested/spayed as per the requirements of the ASEL S1.9 (ci, cii or ciii and d)
I declare that I have attached is a list of individual identification (RFIDs) of the cattle pregnancy tested/spayed as per the
Instructions of Export Advisory Notice - 2013-01 Identification and reporting of the pregnanacy status of cattle sourced
and presented for export.
________________________________
(Signature: Person who performed Pregnancy Testing/Spaying)
Date:
_______________________
___________________________
(BLOCK LETTERS)
Accrediation Number: _____________________
PLEASE NOTE: You are advised that this document will be presented to an daff Certifying Officer for the purposes of the
Export Control Act No 47 of 1982 as amended. Giving false and misleading information is an offence, with penalties of
up to 5 years imprisonment
PREGNANCY TESTING/SPAYING FORM
Document updated: 28/08/2013