Annex V Final financial report and payment application
United Kingdom
One table per survey in poultry/wild birdsf1
| Member State: Date: Reporting period from: to: | ||
| Strike through as appropriate. | ||
| Data to be given in national currency, VAT excluded. | ||
| Please indicate test used. | ||
| Measures eligible for co-financingf2 | ||
|---|---|---|
| Methods of laboratory analysis | Number tests performed per method | Costs |
| Serological pre-screeningf3 | ||
| Haemagglutination-inhibition-test (HI) for H5/H7 | ||
| Virus isolation test | ||
| Other measures to be covered | Specify activities | |
| Sampling | ||
| Others | ||
| TOTAL | ||
Herewith I certify that the data given above are correct and that no other Community contribution was asked for these measures.
(Place, Date)
(Signature)
Annotations
Footnotes
- f1
-
Strike through as appropriate.
- f2
-
Data to be given in national currency, VAT excluded.
- f3
-
Please indicate test used.