Formulaire

Veterinary surgeons: application for a health clearance or for a change to a health clearance - form (Form 16105*01)

Cerfa 16105*01

This form allows a veterinarian to apply for a sanitary authorization or renewal of a sanitary authorization. This authorization shall certify to animal keepers that the veterinarian may carry out tasks in order to ensure veterinary public health.

Please note

You can also use the dedicated online service.

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Fill out the form

To whom shall I send this form ?

Departmental Directorate for the Protection of Populations (DDPP) or Employment, Labor, Solidarity and Protection of Populations (DDETSPP)

Notice - Application for a sanitary authorization or amendment of a sanitary authorization

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Émetteur du formulaire administratif : Ministry of Agriculture

Verified 20 November 2024 - Directorate for Legal and Administrative Information (Prime Minister)

Veterinary surgeons: application for a health clearance or for a change to a health clearance - form (Form 16105*01)

To whom shall I send this form ?

Consult the online manual

J'ai réalisé une démarche administrative