Importer’s Statement of Compliance for Shelf-Stable, Thermally Processed
Pet Food, Chews, and Treats from Canada to the United States
PRODUCT DESCRIPTION:
Pet chews or treats Pet food
NAME OF IMPORTER INCLUDING COMPANY Address
City State Zip Code
DECLARATION:
I undersigned ________________________________________, do hereby declare the shipment contains products of
Canadian or U.S. origin:
1- described on the Customs Invoice or Commercial Invoice Number(s):
2- certified by the accompanying original(s) or copy(ies) of CFIA Veterinary Certificate(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)
Customs Entry Number (optional) Total Gross Weight
Container(s) and Seal number(s) Lot or Batch number(s)
Certificate Number(s) [ORIGINAL Certificate] Certificate Number(s) [Copy of an Original Certificate*]
*Please note that the ORIGINAL certificate must be utilized for an importation prior to copies of that certificate being presented. Importers should also be aware that they may be required to provide shipment information (entry #, port of entry, date of entry, etc) of the shipment where the original certificate was presented.Shipments from Canadian processing facilities that obtain a "VS Special Authorization letter" to utilize copies of certificates for all shipments areexempt from having to present the original certificate prior to utilizing copies of a certificate.