SECTION 5 – Cattle Tick (Only applies to QLD, WA and NSW see explanatory notes)
I declare that the livestock described in
(Full name of Inspector or Authorised person)
Section 3 are from a tick free area – Yes OR have had a clean inspection
Yes | No and/or a supervised treatment Yes | No and declare that the
stock described above complies with the cattle tick entry requirements for the NT.
Supervised Treatment Method of Treatment
(Chemical) (Plunge Dip / Spray / Pour-on)
Signature: Position:
Date: Ph: Location:
SECTION 6 - Certification by an Inspector
According to the information provided, the livestock meet the entry requirements of
the NT
Signature: Position:
Date: Ph: Location:
SECTION 7 – Livestock Identification & Last Access to Water
All the Livestock are identified with National Livestock Identification System (NLIS)
devices? (for cattle and buffalo) Yes | No
Or Transaction tags for Buffalo Yes | No
Last access to water prior to loading: Date: Time am/pm
SECTION 8 – Declaration
As legal owner or the legal representative for the husbandry of the livestock in this
consignment, I declare that the livestock meet the entry requirements of the NT,
are fit to travel and the information in this statement is true and correct.
Name: Signature:
Position: Date:
Phone NVD number
SECTION 9 – Truck Driver or Person in Charge of Transporting the Livestock
Name Signature
Phone Number of Stock loaded
Time loaded at Origin: am/pm Date
Time unloaded at Destination: am/pm Date
Registration number of truck with the Waybill
Registration numbers of all other trucks transporting this consignment
NT HEALTH CERTIFICATE AND WAYBILL (for Cattle and Buffalo Only)
Version 5 – 08/08/2018
Sections 1, 2, 3, 4, 7, 8 and 9 of this document are the minimum mandatory requirements for importation into the NT. Explanatory notes overleaf.
SECTION 1 – Origin Information
1. Owner of livestock at Origin:
(full name of person or company)
2. Address of Origin Property:
(full address, town and post code)
3. Property of Origin (property name):
4. Property of Origin PIC (property PIC):
SECTION 2 – Destination Information
1. Owner of livestock at Destination:
(full name of person or company)
2. Address of Destination Property:
(full address, town and post code)
3. Property of Destination (property name):
4. Property of Destination PIC (property PIC):
SECTION 3 – Livestock Details and Identification (attach list if required)
Species
Cattle / Buffalo
Livestock Bull / Ox/Steer / Cow
/ Heifer / Weaner / Calves
Number Brands (if applicable)
SECTION 4 – Johne’s Disease
Cattle and Buffalo (Beef only)
The livestock are consigned to an abattoir for immediate slaughter Yes | No OR
Declared free from Johne’s Disease for the last 5 years Ye s | No AND
Have a herd score of J-BAS 6 or higher Yes | No AND
Have a managed Farm Biosecurity Plan Ye s | No AND
Accompanied by a completed National Cattle Health Declaration Ye s | No AND
If vaccinated with the Silirum Vaccine, identified with the 3 hole each punch Yes | No
Dairy Cattle and Buffalo – This section also applies to high risk beef cattle/buffalo
including those that have grazed or been kept with ANY dairy livestock in the last 5 years
The livestock are consigned to an abattoir for immediate slaughter Yes | No OR
Declared free from Johne’s Disease for the last 5 years Yes | No AND
Have a herd score of J-BAS 7 or higher Yes | No AND
Have a managed Farm Biosecurity Plan signed by a Veterinarian Yes | No AND
Accompanied by a completed National Cattle Health Declaration Yes | No AND
If vaccinated with the Silirum Vaccine, identified with the 3 hole each punch Yes | No