Application form
different types of statements

 
Producttype:  1027
Please Note:  The fee for an application for a statement is € 56 per individual statement.


 

Type of statement
Information about the requested type of statement

 
 
Please fill in all relevant information
 
Status of an in vitro diagnostic kit
 
Status of a veterinary medicinal product
 
Status of a manufacturer, importer, wholesaler of a VMP
 
Status of a importer / distributor of an API intended for use in a VMP
 
Sanitary information of an active biological substance
 
Non GMO declaration
 
A contract laboratory (CL) for batch release on VMP
 
Other
In some cases we issue specially tailored statements on request. Indicate what kind of statement you want to receive and fill in the fields that contain relevant information for the statement to be issued.
 
 
 

Applicant
Information about the applicant

 
 
 
 

Additional information
Possible additional remarks, information or questions

 
 
 
 
 
Information about the processing of your personal data
We use your data to to process your application. After finalisation of your application we keep these data for analyses, which are intended for internal use. Your data are not shared with others.

Why do we ask you for these data?
We use your data to process your application. To do so we need your permission.

How do we process your data?

We use your data to process your application. As soon as we have completed your application and we have sent you the requested statement, we archive these data.


 
 
 

Signature

 
dd/mm/yyyy
 
* = Input is required
 
Number of the license for the manufacture and/or import of veterinary medicinal products pursuant to Articles 3.1 and 4.1 of the Veterinary Medicinal Products Decree 2022.