Japan Health Certificate Package

ClientName:

Patient’sName:

ExamDate:

I. Instructions:

(1) Printpages2‐3.Giveblankhardcopiestoclientswhentheynotifyyouofupcomingtravel.

(2) Saveanewcopyofthisfileforeachpet.

(3) ClientfillsouttopofPage3asmuchastheycan,clinictranscribestodigi talfilepage3.

(4) Printpg4‐5forclientstosubmitAdvancedNotifi cation(notrequiredformil itaryflights).

(5) Printautopopulatingpages6‐10forHealthCertificateappointment.

(6) Compileadditionalrequireddocum ents–2rabiescertificates&FAVN.

(7) VCO/VMOsign&stampwhereappropriate.DONOTSIGNINBLACK!(typicallyblue).

(8) Printcoverpageandusechecklistatbottomduringfinalreviewtoensureallrequired

documentsarepresent.

II. Special Notes and Helpful Hints:

(1) Filloutallblocksonpage3,eveniftheyseemredundant.

(2) Dateisalmostalwaysneededintwoformats,YYYY/MM/DD&d d/mm/yyyy.The

documentwillpromptyoutousethecorrectformatasneeded.

(3) Onlyonepetperpacket.

(4) Ifpethasmorethanonemicrochip,listBOTHmicrochipnumbers.

(5) ThispacketisforusebyVCOsandGS VMOsonly.NAFVMOsarenotauthorizedtousethe

MDJOPForm2209norsignbothsidesoftheAPHIS7001.

(6) Thesummarysheetdescribestheabsoluteminimumtimelineneededtomeetentry

requirements.Useclinicaljudgm entwhenestablishingtreatmentplanstoensuregreatest

chanceofpassingFAVN(e.g.don’tdrawFAVNonsamedayasrabiesvaccinationunless

absolutelynecessaryduetotraveltimerestrictions).

(7) Alloriginalformsmustbesignedinacolorotherthanblack(typicallyblue).

(8) Attheirdiscretion,aVCOcancountersignasignedcopyofarabiescertificatefromany

otherveterinarian(militaryorcivilian)tocertifyitasvalidanditisthenconsideredan

“original”.

III. ChecklistforuseondayofHealthCertificateexam:

(1) Originalrabiescertificate#1

(2) Originalrabiescertificate#2

(3) OriginalFAVN

(4) USDAAphis7001

(5) MDJOPForm2209

(6) JapanFormA/C

(7) Acclimationmemo

(8) USDAsignatureauthoritymemo

FinalVersion–14January 2019

Japan Requirements Summary

Thissheetisasummaryonlyandnotacomprehensiveguide.Itisthepetowner’sresponsibilitytoverifyinformationonofficial

USDAandJapanreferences.ImportantinfocanbefoundinJapan’s“GuidetoimportingdogsandcatsintoJapanfromNon‐

designatedregions.”Alsovisit:http://www.usarj.army.mil/organization/vet/import.aspx

1. Microchip

 Ideally,administeredPRIOR(samedayok)to1

rabiesvaccine.

 Maymicrochipafter1stRabiesandbefore(samedayok)2

RabiesbutcausesstricttimelinerestrictionsonFAVN

sampledraw.SeeFAVNBloodTestbelowfordetails.

 Shouldbe15‐digitISOcompatible.IfnotISOcompatible,eitheraskdestinationVTFiftheyhaveacompatiblereader

forcurrentchip(mostdo),haveownerbuytheirownreader,orre‐microchipandstartvaccinationprocessover.

2. 1

RabiesVaccine

 Petmustbeatleast91daysold.

 FelinePureVaxisacceptedatalllocationsasofJanuary2019.

3. 2

RabiesVaccine

 Mustbe>31daysafter1

vaccinationandBEFORE1

vaccineexpires.

 Japanwillhonor3yearrabiesforentrypurposes.Afterarrival,allpetsmustbevaccinatedannually.

4. FAVNBloodTest

 IfmicrochippedBEFORE1

rabies,FAVNcanbedrawnsamedayorafter2

rabiesvaccine.

 IfmicrochippedAFTER1

rabies,FAVNMUSTbedrawnsamedayas2

rabiesvaccine.

 FAVNmustbe>to0.5IU/ml.

 Resultsaresentdirectlytoowner’saddressonFAVNsubmissionform,typicallyautopopulatedfromaddresson

ROVR.VERIFYADDRESSPRIORTOSUBMISSION.Ownermustmaintainoriginalfortravel.

5. AdditionalRabiesVaccines:

 If2

rabieswillexpirepriortoarrival,boosterasneeded,butlistonly1

and2

rabiesonJapanformsA/CandMDJ

OP6/DDForm2209.

 Travelwithoriginalrabiescertificateof3

rabiesvaccinetoprovecurrentvaccinestatus.

6. AdditionalVaccinesandTreatments:

 Thefollowingarestronglyrecommendedduetovaryingrequirementsinlodging,kennels,andquarantines:

DAP/FVRCP,Bordetella,andLeptovaccines,andinternal/externalparasitetreatments.

7. AdvanceNotification

 AfterownerreceivesFAVNresultsandnotlessthan40daysbeforearrival,ownermustsubmita“Notification”to

AnimalQuarantineService(AQS)attheexpectedportofentry(seep.23ofGuide)

 Alldataon“Notification”MUSTmatchdataonhealthcertificatesorquarantinewilllikelybeimposed.

 AdvancenotificationNOTrequiredfordirectmilitaryflightsonbase,butownerisSTRONGLYadvisedtocontact

veterinarytreatmentfacility(VTF)onbaseoffinaldestinationpriortotravel.

o Contactinformationcanbefoundat:http://www.usarj.army.mil/organization/vet/contacts.aspx

8. 180 Day Waiting Period after FAVN is Drawn

 Ifpetarrivesduringwaitingperiod,petwillbequarantinedfordurationofquarantineassignedatentry.

 SOFAPersonnel:within72hoursafterarrival,presentpettoVTFforregistrationandquarantineexam.

o Ifnoquarantinedassignedatentry,petwillbeofficiallyreleased.

o Ifquarantineassigned,petmustremainon‐base(inowner’scustody)oratapprovedon‐basepetboarding

facility(atowner’sexpense).Atlimitedlocations,fosteringbyfamiliesmaybeavailable.

9. FinalVeterinaryAppointment

 Nomorethan10dayspriortoarrivalinJapan,receiveveterinaryexamandhealthcertificatedocuments.

DataImportSheet‐Japan

Dearpetowner,filloutthetopsectiontothebestofyourabilityandreturntotheclinicpreparingthehealthcertificate.

Coordinatewithveterinaryclinictoensurepaperworkisreturnedwithsufficienttimepriortohealthcertificateappointment.

SectionI–PetOwnertoProvide

ClientInfo–useaddressonordersifpossible

Consignor/Shipper(Last,First):________________________

AddressLine1_________________________________

AddressLine2_________________________________

Phone:______________________________________

Consignee/Recipient(Last,First):_______________________

AddressLine1_________________________________

AddressLine2_________________________________

Phone:______________________________________

CountryofExport:_____________________

PetInfo:

PetName:_______________;Tattoo:______n/a

Breed:___________________Color:___________________

Sex(M/F/MN/FS):______Sex:MaleFemale;

Age:_____;Age:3‐12months>12months

DOB:__________&____________(2formats)

MicrochipType:_____________Brand:____________

ImplantDate:___________&____________(2formats)

Microchip#:__________________________________

Size:<20lbs20‐50lbs>50lbs

Use:Pet;Other:____________

SectionII–PetOwnertoProvide.NeededonlyforAdvancedNotification,skipifdirectmilitaryflight.

DepartureDate&Location:___________________________

ArrivalDate:_________Port/Airport:___________________

NameofVesselorFlight#:____________________________

CountriesPetvisitedinpast12months&dateofvisits:

_________________________________________________

Length:______cm;Height:_______cm;Weight:_______kg

Transportmethod:__________________(HandLuggage=in

cabinorcheckedbaggage;Cargo=manifestcargo)

MicrochipSite:__________Shipper’sFax#:______________

Shipperemailaddress:_______________________________

SectionIII–ClinicUseOnly‐patientspecific

RabiesVaccine#1(mostrecent)

1yr3yr;Type:KilledModified;Tag#:____

Date:_________&________Duration:____year(s)

Manufctr:_____ProductName:____________Batch#:_____

BoosterDue:________VialExpires:________Type:________

RabiesVaccine#2(older):

1yr3yr;Type:KilledRecombinant

Date:_________&________Duration:____year(s)

Manufctr:_____ProductName:____________Batch#:_____

BoosterDue:________VialExpires:________Type:________



FAVN:

SerumDrawDate:_____________&_____________

DVMName:______________ClinicName:_______________

AddressLine1________________________________

AddressLine2_________________________________

LabPerformingFAVN:________________________________

LabAddress:_______________________________________

LabRegistration#(leaveblankforFADL):________________

TestResults>________IU/ml

RecommendedAdditionalVax/Tx’s:

DA2PPL‐Cvk/FVRCCP;(dd/mm/yyyy):______________

*Thischeckboxisfr omMDJOPForm2209,useatDVM’sdiscret ion

VACCINE#1:

Duration:_____________Type:___________

Date:_________BoosterDueDate:__________________

Product&Manufacturer:___________________________

VACCINE#2:

Duration:_____________Type:___________

Date:_________BoosterDueDate:__________________

Product&Manufacturer:___________________________

EXTERNALPARASITETREATMENT:

Date:_________

Type&Manufacturer:______________________________

INTERNALPARASITETREATMENT:

Date:_________

Type&Manufacturer:______________________________

SectionIV–ClinicUseOnly‐clinicspecific

VeterinarianInfo:

SigningDVMRank&Name:___________________________

OfficialPosition:_____________________________

State&License:___________Accreditation#:____________

ClinicName:_______________________________________

AddressLine1:_______________________________

AddressLine2:_______________________________

PhoneNumber:______________________________

Miscellaneous:

Examdate:______&_______&________

APHISCert#:_______________________________________

OfficeSymbolforMFR:_______________________________

2018/12/13

DOD

Veterinary Food Analysis and Diagnostic

Laboratory





Name and address of applicant

Name



Address



 Telephone



FAX



E-mail



 

Species of animal(s) Quantity

  

Date of birth (Age) Sex

 

Country of export Scheduled place of arrival



Scheduled date and place of embarkation

   

Scheduled date of arrival (year/month/day) Name of scheduled vessel (or flight No.)



Name and address of consignor



Name and address of consignee





2.













To the chief of Animal Quarantine Service

YearMonth Day





I hereby notify for the importation of the undermentioned animal(s).



 

In the last column of next page, please note the information such as the use of the animal(s), the destination, name and address of the

facility in which the animal(s) is/are kept, etc.

Canis familiaris

(Dog)

One (1)

2018/12/13

 (Other useful information)



Name of animal(s)

  /

Means for identification (e.g.microchip) Identification number/Mark

   

Date of identification(year/month/day) Location of identification Type of microchip (reader)

 

Breed Color

 

Use cargo or hand luggage

    

Length



Height



Weight





Name and address of the facility in which the animal(s) is/are kept



Name and address of destination



Countries visited in the past 12 months and the date of visits

 

Date of blood sampling (year/month/day) Antibody titer

IU/ml



Name and address of the designated laboratory



Remarks



Date of vaccination

(year/month/day)

Date of expiry

(year/month/day)

Kind of vaccine





Other vaccination



  

Name of product and manufacturer



Rabies serological test



Name of product and manufacturer



Before blood sampling

Date of vaccination

(year/month/day)



Date of expiry

(year/month/day)



Rabies vaccination



Booster(if any)

Kind of vaccine

Microchip

Not Applicable

Pet

Other: ________________

DOD Veterinary Food Analysis and Diagnostic Laboratory

DEPARTMENT OF THE ARMY

PUBLIC HEALTH ACTIVITY

REPLY TO

MEMORANDUM FOR COMMERCIAL AIRLINES

SUBJECT: Temperature Tolerance for a Dog / Cat - Acclimation Statement

1. The below listed animal(s) in this shipment appears healthy for transport but needs to

be maintained at a temperature within the animal’s thermoneutral zone.

2. The temperatures that the animal is exposed to while inside a terminal facility must

not be lower than 45 degrees Fahrenheit (45ºF) for more than 4 consecutive hours, nor

lower than 45 degrees Fahrenheit (45ºF) for more than 30 minutes when moving the

animal from terminal facilities or primary conveyances. The animal should not be

subjected to temperatures lower than 30 degrees Fahrenheit (30ºF) for more than 15

minutes.

3. Auxiliary ventilation, such as fans, blowers, or air conditioning, must be used during

surface transportation in any animal cargo space containing live animals when the

ambient temperature exceeds 85 degrees Fahrenheit (85ºF). Moreover, the ambient

temperature may not exceed 85 degrees Fahrenheit (85ºF) for a period of more than 4

consecutive hours. These temperatures are in accordance with Title 9 Code of Federal

Regulations.

Consignor Name: _____________________

Consignor Address: _____________________

_____________________

Pet Name: Microchip: Species: Color: Gender: Breed:

Signature:

Stamp:

Canis familiaris

(Dog)

According to t he Paperwork R eduction Act o f 1995, an ag ency may not cond uct or sponsor, and a p erson is not required to respond to, a c ollection of

information unless it displays a valid OMB control number. The valid OMB control numbers f or this information collection are 0579-0036 and 0579-0333.

The ti me r equired to complete t his i nformation col lection i s esti mated t o av erage .25 h ours per r esponse, i ncluding the ti me for rev iewing in structions,

searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

No dog, cat, nonhuman primate, or additional kinds or classes of animals designated by

USDA r egulation sh all be del ivered to any i ntermediate handler or car rier for

transportation i n com merce, u nless accompanied by a heal th ce rtificate ex ecuted a nd

issued by a licensed veterinarian (7 U.S.C. 21.43.9; CFR, Subchapter A, Part 2).

OMB APPROVED

0579-0036

0579-0333

UNITED STATES DEPARTMENT OF AGRICULTURE

ANIMAL AND PLANT HEALTH INSPECTION SERVICE

UNITED STATES INTERSTATE AND INTERNATIONAL

CERTIFICATE OF HEALTH EXAMINATION

FOR SMALL ANIMALS

WARNING: Anyone who makes

a false, fictitious, or fraudulent

statement on this document, or

uses such document knowing it

to be false, fictitious, or

fraudulent may be subject to a

fine of not more than $10,000 or

imprisonment of not more than 5

years or both (18 U.S.C. 1001).

1. TYPE OF ANIMAL SHIPPED (select one only)

Dog Cat Other_________________

Nonhuman Primate Ferret

Rodent

2. CERTIFICATE NUMBER - OFFICIAL USE ONLY

3. TOTAL NUMBER OF ANIMALS 4. PAGE

5. NAME, ADDRESS, AND TELEPHONE NUMBER OF OWNER (C

USDA License/or Registration Number (i

f app

lic

)

6. NAME, ADDRESS, AND TELEPHONE NUMBER OF RECIPIENT AT DESTINATION (C

SIG

)

7. ANIMAL IDENTIFICATION 8. PERTINENT VACCINATION, TREATMENT, AND TESTING HISTORY

NAME, AND/OR TATTOO NUMBER

OR OTHER IDENTIFICATION

BREED – COMMON

OR SCIENTIFIC

NAME

AGE SEX

COLOR OR

DISTINCTIVE

MARKS OR

MICROCHIP

RABIES VACCINATION

1 YEAR 2 YEARS 3 YEARS

OTHER VACCINATIONS,

EATMENT, AND/OR TESTS AND RESULTS

Vaccination Date Product Date Product Type and/or Results

(1)

(2)

(3)

(4)

(5)

(6)

9. REMARKS OR ADDITIONAL CERTIFICATION STATEMENTS (WH

VETERINARY CERTIFICATION: I certify that the animals described in box 7 have been examined by me this date, that the

information provided in box 8 is true and accurate to the best of my knowledge, and that the following findings have been made

(“X” applicable statements).

I have verified the presence of the microchip, if a microchip is listed in box 7.

I certify that the animal(s) described above and on continuation sheet(s), if applicable, have been inspected by me on this date and

appear to be free of any infectious or contagious diseases and to the best of my knowledge, exposure thereto, which would endanger the

animal or other animals or would endanger public health.

To my knowledge, the animal(s) described above and on continuation sheet(s) if applicable, originated from an area not quarantined

for rabies and has/have not been exposed to rabies.

ENDORSEMENT FOR INTERNATIONAL EXPORT (

D) NAME, ADDRESS, AND TELEPHONE NUMBER OF ISSUING VETERINARIAN LICENSE NUMBER AND STATE

PRINTED NAME OF USDA VETERINARIAN

Accredited Yes No

If yes, please complete below

NATIONAL ACCREDITATION NUMBER

DATE DATE

APHIS Form 7001

(NOV 2010) This certificate is valid for 30 days after issuance

1 of 1

One (1)

Date FAVN Drawn:

Results>

IU/mL

Lab Name:

Note: All dates, unless otherwise noted, are in the format YYYY/MM/DD

DOD Veterinary Food Analysis and Diagnostic Laboratory

VETERINARY HEALTH CERTIFICATE

For Import/Export for Japan

THIS FORM IS SUBJECT TO THE PRIVACY ACT OF 1974

AUTHORITY: 10 U.S.C. Sections 133 and 8012.

PRINCIPAL PURPOSE(S): To indicate general health examination of the animal to permit international movement.

ROUTINE USE(S): Used as health certificate to permit international movement of animal.

DISCLOSURE: Providing personal information is voluntary. However, if information is not disclosed by the owner, international

movement may not be allowed.

INFORMATIO N OF OWNER

ype of Print Name of O

(

Last, Fist, MI):

elephone Number:

omplete Address (Include Zip Code

)

ESCRIPTION OF ANIM

Name of Animal:

 Dog  Cat  ( )

ag Number:

Predominant Breed:

olor(s):

Sex:

 Male

 Female

Age:  3 – 12 months

 12 months or older

Date of Birth (dd/mm/yyyy):

Weight:  Under 20 lbs

 20 – 50 lbs

 Over 50 lbs

RABIES IMMUNIZ

TION DAT

MICROCHIP/IDENTIFICATION DAT

Rabies Vaccine History Most Recent Prior

Implantation Date

(dd/mmm/yy)

Producer (First 3 letters)

Rabies Vaccine Name

Microchip Number

Vaccine Effective Period

 1 Year  3 Years  1 Year  3 Years

Vaccine Type

 Killed  Recombinant  Killed  Recombinant

Manufacturer of

Microchip

Lot/Serial Number

Vaccination Date (d/m/y)

Tattoo Number

 N/A

Vaccine Expiration Date

Other Vaccinations:  DA2PPL-Cvk / FVRCCP Date:

FLUORESCENT ANTIBODY VIRAL NEUTRALIZATION TEST(

) (FAVN

)

Date of

ampling (dd/mm/yyyy)

eterinarian Name and Address

est Results (

≥

0.5 IU/ml

)

IU/ml

aborator

Name and Re

istration Number:

his is to certify that the above described animal has been examined by me on the date below and was found free of

any communicable disease. To the best of my knowledge this animal has not been exposed to rabies and did not

originate from a rabies quarantine area.

eterinarian Name, Grade, Unit and State License Number (Include state abbreviation and number):

nature Date

DD FORM 2209, APR 2009 Previous edition may be used MDJ O P 6, J AN 2016

State License:

USDA Accreditation#:

DOD Veterinary Food Analysis and Diagnostic

Laboratory

Date (yyyy/mm/dd):

OFFICIAL GOVERNMENT STAMP

that to the best of my knowledge and belief all the details mentioned above are true and correct.

Signature:

ENDORSEMENT BY OFFICIAL GOVERNMENT VETERINARIAN

Signature:

Address of veterinarian:

Date of inspection (yyyy/mm/dd):

LINICAL INSPECTION BY VETERINARIA

*Immediately before embarkation ( Inspection within 10 days is acceptable )

・

have read the microchi

lanted in the animal and confirmed the number.

・

he animal has shown no clinical si

ns of rabies (and l

tos

irosis onl

for d

Country ：

Name ：

Certi

icate

dogs

, cats

, f

oxes, raccoons, or skunks to be im

por

ted int

o Japan

Date of vaccination

(yyyy/mm/dd)

Vaccine effective period

(year)

Name and address of office：

Microchip number

Date of identification (yyyy/mm/dd)

Date of birth (yyyy/mm/dd) or Age

Name ：

Use

, an official government veterinarian of exporting country certify

Name of product and manufacturer

*Type of vaccine should be inactivated or recombinant

from NON-DESIGNATED REGION

Either type or write clearly in BLOCK letters in English. Do not use pencils or erasable ink to fill in.

No correction fluid shall be used. The original entry shall be struck through and remain legible.

The correction shall be written adjacent to the original and signed.

Species

Breed

Name Sex

IDENTIFICATION OF ANIMAL

Exporting country

Consignor

Name ：

Address ：

Name ：

Address ：

Consignee

Form AC

, a veterinarian certify that;

Ⅰ

Ⅱ

RABIES SEROLOGICAL TEST

Date of blood drawing

(yyyy/mm/dd)

Antibody titer

(IU/ml)

The designated laboratory

year(s)

Ⅵ

別記様式第４号の３

year(s)

Ⅳ

Ⅴ

Ⅲ

year(s)

□ Pet □ Other:

Color

□ Male □ Female

ABIES VACCINATIO

*Please write from latest one

(produced in accordance with OIE standard)

Ⅰ

Ⅱ

IU/ml

United States of America

year(s)

Canis familiaris

(Dog)

DOD Veterinary Food Analysis and Diagnostic Laboratory