ATCP 16.16(3)(a) (a) A certificate of veterinary inspection shall be issued on a form provided or approved by the department.

ATCP 16.16(3)(b) (b) A Wisconsin certified veterinarian may obtain Wisconsin certificate of veterinary inspection forms from the department, as provided under s. ATCP 10.06 (3) (b).

ATCP 16.16 Note Note: Wisconsin certificate of veterinary inspection forms may be obtained for $0.60 each. Forms may be obtained online at: https://datcpservices.wisconsin.gov/vetcatalog/index.jsp or by contacting the department at the following address:

ATCP 16.16 Note Wisconsin Department of Agriculture, Trade and Consumer Protection

ATCP 16.16 Note Division of Animal Health

ATCP 16.16 Note P.O. Box 8911

ATCP 16.16 Note Madison, WI 53708-8911

ATCP 16.16 Note Phone: [phone]

ATCP 16.16 Note Fax: [phone]

ATCP 16.16(4) (4) Contents. A certificate of veterinary inspection under sub. (1) shall include all of the following information:

ATCP 16.16(4)(a) (a) The name and address of the person selling the dog.

ATCP 16.16(4)(b) (b) The breed, sex, and age of the dog.

ATCP 16.16(4)(c) (c) Whether the dog is spayed, neutered, or sexually intact.

ATCP 16.16(4)(d) (d) The vaccinations administered by the veterinarian completing the certificate of veterinary inspection, including all of the following:

ATCP 16.16(4)(d)1. 1. The name of the vaccine manufacturer.

ATCP 16.16(4)(d)2. 2. The vaccine serial number and lot number.

ATCP 16.16(4)(d)3. 3. The date on which the vaccine was administered.

ATCP 16.16(4)(d)4. 4. The name of the veterinarian who administered the vaccine.

ATCP 16.16(4)(e) (e) The information required under s. ATCP 10.80 on the certificate of veterinary inspection that accompanied a dog imported into this state.

ATCP 16.16(4)(f) (f) If the dog is sold at public auction, and is not spayed or neutered, documentation showing that the dog has tested negative on a brucellosis test conducted within 30 days prior to the sale using a test method approved by the department.

ATCP 16.16 Note Note: Approved brucellosis test methods may be obtained by contacting the department online at: https://www.datcp.wi.gov or by contacting the department at the following address:

ATCP 16.16 Note Wisconsin Department of Agriculture, Trade and Consumer Protection

ATCP 16.16 Note Division of Animal Health

ATCP 16.16 Note P.O. Box 8911

ATCP 16.16 Note Madison, WI 53708-8911

ATCP 16.16 Note Phone: [phone]

ATCP 16.16 Note Fax: [phone]

ATCP 16.16(4)(g) (g) The following statement, or a substantially similar statement, that is based on at least a brief personal examination by the veterinarian making the statement:

“I certify, as a veterinarian, that I have inspected the dogs identified on this certificate and that the dogs are not showing any sign of infectious, contagious or communicable disease, except as otherwise noted on this certificate. Vaccinations and test results are as indicated on this certificate. This certificate is not a warranty.”