FSIS 9060-5S Fish and Fish Products Export Certificate of Wholesomeness

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U.S. DEPARTMENT OF AGRICULTURE
FOOD SAFETY AND INSPECTION SERVICE

FISH AND FISH PRODUCTS EXPORT CERTIFICATE
OF WHOLESOMENESS
1. Country of Destination:

2. ISO Code:

A knowingly false entry or false alteration of any entry on this certificate may result in a fine of
not more than $10,000 or imprisonment for not more than 5 years or both (18 U.S.C. 1001).
Additional penalties exist under the Federal Meat Inspection Act [21 U.S.C. 611(b) (1), (2), and
(5), 21 U.S.C. 461] for an unauthorized or false alteration or misuse of this certificate.

5. Certificate Number:

6. Certificate Type:
Original
Replacement
PRODUCT EXPORTED FROM:

3. Consignor/Exporter: (Applicant's name and address)

7. Export Est. Number: (Name and address)

4. Consignee/Importer: (Name and address)

8. Total Net Weight:

10.
Description of Product
(Name of product)

11.
Net Weight of
Lot¹

12.
Species

13.
Number of
Packages
in Lot¹

9. Total Number of Packages:

14.
Type of
Packages
in Lot¹

15.
Shipping/
Identification
Marks¹

16.
Est. Number
on
Product

¹ As stated by applicant or contractor

17. Remarks:

18. I CERTIFY that the Siluriformes fish and fish products specified on this form have been inspected and passed in accordance with the applicable
laws and regulations of the United States Department of Agriculture and are wholesome and fit for human consumption.
NOT VALID UNLESS SIGNED BY A CERTIFYING OFFICIAL OF MEAT, POULTRY, AND EGG PRODUCTS INSPECTION PROGRAM
19. Certifying Official's Name and Title:

20. Date Signed: (mm/dd/yyyy)

By order of the
Secretary of Agriculture
This certificate is receivable in all courts of the United States as prima facie evidence of the truth of the statements therein contained.
This certificate does not excuse failure to comply with any of the regulatory laws enforced by the United States Department of Agriculture.
FSIS 9060-5S (08/15/2025)

REPLACES FSIS 9060-5S (06/29/2018) PREVIOUS EDITION OBSOLETE

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