Form VS 17-129 VS 17-129 Application for Import or In Transit Permit

No animals, animal semen, animal
embryos, birds, poultry, or hatching
eggs may be imported unless a
completed application has been
received (9 CFR 92 and 9 CFR 93).

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person Is not required to
respond to, a collection of information unless it displays a valid OMB control number. The valid OMB controls numbers for this
information collection are 0579-0040, 0579-0094, 0579-0224, 0579-0245, 0579-0301, and 0579-0340. The time required to
complete this information collection is estimated to average between .16 and 2 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information.

United States Department of Agriculture
Animal and Plant Health Inspection Service
Veterinary Services

OMB Approved
0579-0040, 0579-0094,
0579-0224, 0579-0245,
0579-0301, and 05790340

1. NAME AND ADDRESS OF SHIPPER IN COUNTRY OF ORIGIN

APPLICATION FOR IMPORT OR IN TRANSIT PERMIT
(Animals, Animal Semen, Animal Embryos, Birds, Poultry, or Hatching Eggs)

INSTRUCTIONS TO IMPORTER: Complete and submit one copy to
USDA, APHIS, VS, 4700 River Road, Unit 38, Riverdale, MD 20737.
Prepare a separate application for each shipment.
2. NAME AND ADDRESS OF IMPORTER (Include ZIP Code)

3. PORT OF EMBARKATION (From Canada show only for ocean vessel
or airplane shipments)

4. COUNTRY FROM WHICH SHIPPED

TELEPHONE NUMBER (Include Area Code)

5. MODE OF TRANSPORTATION (Name of Airline or Vessel and flight
no.)

6. ANIMAL, ANIMAL SEMEN, ANIMAL EMBRYOS, BIRDS, POULTRY, OR HATCHING EGGS
A.
B.
C.
D.
DESCRIPTION
NO.
BREED
SPECIES
(Sex, Age, Registered Name and No., Tattoo, Tag No., other Markings)

E. PURPOSE OF IMPORTATION

7. ROUTE OF TRAVEL INCLUDING ALL CARRIER STOPS ENROUTE (From Canada show route of travel only for ocean vessel or airplane
shipment)

8. PROPOSED SHIPPING DATE (From Canada show only for
ocean vessel or airplane shipment)

11. NAME AND MAILING ADDRESS OF PERSON TO WHOM
DELIVERY WILL BE MADE (After quarantine, when required)
(Include ZIP Code)

9. PROPOSED ARRIVAL DATE

10. UNITED STATES PORT OF ENTRY

12. WHERE DELIVERY WILL BE MADE IN THE UNITED STATES
(After quarantine, when required) (Location)

TELEPHONE NUMBER (Include Area Code)

13. REMARKS

14. SIGNATURE OF IMPORTER

VS FORM 17-129 (DEC 2002)

15. DATE SIGNED

Previous edition may be used.