CANINE (DOG) BLOOD SAMPLE FOR DNA TESTING AT
THE AHDC - CORNELL UNIVERISTY

US Customs requires that ALL international shipments have 2 written declarations specifying the contents of the package. One should be secured to the outside of the package & the other should be inserted inside the package. Please copy the following statements onto a piece of paper (just as it appears here) and make sure to sign and date this declaration.

THIS PACKAGE CONTAINS - MEDICAL PROBES - NON-RESTRICTED

Regarding USDA Guidelines of Importation - #1102 Feline and Canine Material

1. I understand that a USDA import permit is not required for this canine material since I can provide the following true statements.
2. The material in this shipment is canine (dog) tissue.
3. This material does not contain any other animal derived material
   (ie. from livestock or poultry).

This material was NOT derived from cats and/or dogs which were inoculated with or exposed to any infectious agents of agricultural concern.

I declare that the above information is true and correct to the best of my knowledge.

Signature:

Print Name: