PART A

Model Phytosanitary Certificate No Plant Protection Organisation of TO: Plant Protection Organisation(s) of I. Description of Consignment Name and address of exporter: Declared name and address of consignee: Number and description of packages: Distinguishing marks: Place of origin: Declared means of conveyance: Declared point of entry: Name of produce and quantity declared: Botanical name of plants: This is to certify that the plants, plant products or other regulated articles described herein have been inspected and/or tested according to appropriate official procedures and are considered to be free from the quarantine pests specified by the importing contracting party and to conform with the current phytosanitary requirements of the importing contracting party, including those for regulated non-quarantine pests. They are deemed to be practically free from other pests (*). II. Additional Declaration [Enter text here] III. Disinfestation and/or Disinfection Treatment Date Treatment Chemical (active ingredient) Duration and temperature Concentration Additional information Place of issue (Stamp of Organisation) Name of authorised officer Date (Signature) No financial liability with respect to this certificate shall attach to (name of Plant Protection Organisation) or to any of its officers or representatives (*). (*) Optional clause

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Source: EUR-Lex (Cellar) · retrieved 2026-11-02 · Text as adopted (Official Journal); later amendments are not incorporated in this text.