VS 17-33 Animals Imported for Immediate Slaughter

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UNITED STATES DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE ANIMALS IMPORTED FOR IMMEDIATE SLAUGHTER					1. PORT OF ENTRY
Port Veterinarian – Complete items 1 through 12. Distribute copies as indicated below. Veterinarian at Destination – Return Part 3 to Port Veterinarian after completion of items 18 through 22.					2. ENTRY DATE
The animals identified below were imported in accordance with Department regulations for shipment to an establishment under your supervision. These animals must be slaughtered as soon as possible after arrival at destination but not later than two weeks from the “Entry Date” shown below. Slaughter of these animals must be reported by forwarding a copy of this completed form to the port veterinarian shown in item 12 below.
3. TO: (Veterinarian at destination, include ZIP Code)					←Mail original to (Use window envelope)
4. NUMBER	5. SPECIES OF ANIMALS				6. TRUCK (Trailer) LICENSE NUMBER
7. RAILROAD CAR NUMBER			8. SEAL NUMBERS
9. NAME AND ADDRESS OF CONSIGNOR (ZIP Code)				10. NAME AND ADDRESS OF CONSIGNEE (ZIP Code)
11. SIGNATURE OF PORT VETERINARIAN
12. PORT VETERINARIAN (Include ZIP Code)					←Return one completed copy to (Use window envelope)
REPORT OF SLAUGHTER
This is to certify that, except as noted below, all animals identified above were received and held in pens until slaughter was completed, so as to prevent contact with animals not scheduled for immediate slaughter.
13. DATE SLAUGHTERED				14. REMARKS
15. NAME AND ADDRESS OF ESTABLISHMENT (Zip Code)
16. SIGNATURE OF ESTABLISHMENT OFFICIAL				17. TITLE
ENDORSEMENT AND POST MORTEM REPORT
18. TAG NUMBER		19. DESCRIPTION OF ANIMAL			20. TUBERCULOSIS LESIONS
Insofar as can be determined the above certification with respect to slaughter is true and accurate. Except as noted above, post mortem examination of these animals did not show lesions suggestive of tuberculosis.
21. SIGNATURE OF VETERINARIAN AT DESTINATION						22. DATE SIGNED

VS FORM 17-33 (AUG 2009) Previous edition may be used.