Annex I Model declaration to be provided by the operator/driver of the livestock vehicle/vessel coming from Algeria, Libya, Morocco and Tunisia

I, the operator/driver of the livestock vehicle/vessel^f1

declare that:

• The most recent unloading of animals and feed took place at:

  Country, region, place	Date (dd.mm.yyyy)	Time (hh:mm)

• Following unloading, the livestock vehicle/vessel was subject to cleansing and disinfection. The cleansing and disinfection included the livestock or loading compartment, [the truck body]^f2, the loading ramp, the equipment having been in contact with animals, the wheels and the driver's cabin and protective clothes/boots used during unloading.

• The cleansing and disinfection took place:

  Country, region, place	Date (dd.mm.yyyy)	Time (hh:mm)

• The disinfectant has been used at the concentrations recommended by the manufacturer^f3:

• The next loading of animals will take place at:

  Country, region, place	Date (dd.mm.yy)	Time (hh:mm)

  Date	Place	Signature of the operator/driver
  Name of operator/driver of the livestock vehicle and its business address (in block letters)