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 Part 92 and
9 CFR Part 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 control numbers for this
information collection are 0579-0040, 0579-0094, 0579-0224, 0579-0228, 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,
0579-0141, 0579-0165,
0579-0218 0579-0224,
0579-0228, 0579-0245,
0579-0301, and 0579-0340

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
(Sex, Age, Registered Name and No., Tattoo, Tag No., other Markings)
NO.
BREED
SPECIES

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

9. PROPOSED ARRIVAL DATE

10. UNITED STATES PORT OF ENTRY

ocean vessel or airplane shipment)

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

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

(Include ZIP Code)

TELEPHONE NUMBER (Include Area Code)

13. REMARKS

14. SIGNATURE OF IMPORTER

VS FORM 17-129
NOV 2009

15. DATE SIGNED

Previous edition may be used.