SELF-CERTIFICATION FOR NON-COMMERCIAL POULTRY
DECLARATION TO ACCOMPANY POULTRY TRAVELLING WITHIN THE UK OR TO EUROPE
I, ……………………………………………………………of………………………..
……………………………………………………………………Postcode…………..
declare that the following birds are not showing obvious signs of disease and these premises, where the birds have been for more than 30 days, are not subject to any animal health restrictions.
List of birds and breed:
Total poultry:
The flock of origin is subject to regular veterinary care, the holding has not had avian influenza diagnosed in the previous 30 days and is not subject to restrictions for Newcastle disease.
Signed……………………………………………………Date……………………
Date and time of departure ……………………………………………………………….
Estimated duration of journey……………………………………………………………...
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………..Postcode…………………..
This form must be kept for 6 months after the completion of the journey.
Poultry Club of Great Britain General Secretary/Treasurer: Mrs. Ann Bachmet
Keeper’s Cottage, 40 Benvarden Road, Dervock, Ballymoney, Co Antrim BT53 6NN.
Tel: 02820 741056. Email info@poultryclub.org , www.poultryclub.org