Raptor CVI Exception Request
I am requesting an exception for my raptor for the Certificate of Veterinary Inspection (health certificate) requirement for Utah. I agree that I will quarantine the bird away from other birds until test results are received and the bird is examined by a veterinarian.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address of origin (Physical address required, PO Box not acceptable)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Utah Address (Physical address required, PO Box not acceptable)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My birds are not showing any of the following signs of disease (check all that apply)
Lethargy or weakness
Loss of appetite
Unusual perching or stance
Neurological signs (tremors, seizures, blindness, difficulty with balance/coordination)
Diarrhea
Runny eyes or nasal discharge
Breathing problems (labored breathing, wheezing)
Recent weight loss
I have a falconry Certificate of Registration from the Utah Division of Wildlife Resources:
COR Number
Name of Utah Veterinarian/Veterinary Clinic that will examine the bird after arrival. Please instruct your veterinarian to send an email to statevet@utah.gov stating that the bird is healthy.
I understand that I must test the bird for avian influenza within 10 days of arrival. I will request sampling information and a test kit from Dr. Van Wettere at the Utah Veterinary Diagnostic Lab at (435) 797-1895.
Yes
No
I am testing prior to arrival.
I understand that if I misrepresent the health of my bird or fail to have the bird examined once in Utah, I may receive a citation for illegal import of animals and be held responsible for the spread of disease due to this misrepresentation.
Yes
No
Submit
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