VS 5-21 Agreement to Conduct the Official Histopathology Examina

Aa::on:lIng 10 !he PaperworI< Reducbon Ad 011995 , no penons are required to respond 10 a c::oIlectJon 01 information unless it d1spl8y1a valid
OM e corllrol numbef. The valid OMe conIrOl numbef lor ltllS mformabOn colIedJol'l is 057~tOl SIgnatures only are requwed lor Ihos lorm,
1tIerefore. no lime IS required 10 aJmpIete lIlii inlormabOn aliIedJon.

U S DEPARTMENTOF AGRICULTURE
AN IMA.!. AND PlANT HEAlTH INSPEcnON SERVICE
VETE RINARY SERVICES

FORM APPROVED
ClUB NO 0579-0'0'

AGREEMENT TO CONDUCT THE OFFICIAL HISTOPATH OL OGY
EXAM INATION FOR THE DIA GNOSIS OF
SCRAPIE IN SHEEP AND GOATS A ND BOVINE SPONGIFORM
ENCEPHALOPATHY IN CATTLE

(Laboratory Director)
A_ The person(s) responsible for evaluation of tissues and final diagnosis shall have completed training in the diagnosis of
spongiform encephalopathies of ruminant s at the National Veterinary Services Laboratories (NVSL) or al training sessions
approved by the Director of the NVSL
B_ Proficiency tests will be completed satisfactorily as a part of the course and periodic post lraining proficiency testing will be
required.
C. Preparation and examination of tissues shall be conducted in accordance with the most recent protocol for this examination as
provided by the NVSL.
D. All results of tests conducted shall be reported to Stale and Federal Animal Health Officials in the State of testing and in the
State in which the animals were sampled .
E. A final histopathologic diagnosis of bovine spongiform encephalopathy must be confirmed by the NVSL.
It is unde rstood that if the perso n(s) tra ine d to conduct the official histopath olog y exa mi natio n is (are) no longer ava ilab le to
co nduct this test, the laboratory will lose its app roval.
t. REMAR KS

2 LABORATORY NAA4EAND AD DRESS

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LABO RATORY DIRECTOItS SIGNATUR E

VS FORM 5-21
JUN 2002

3 TRAIN ED PER SON {S)

5. DATE