SUBMISSION FORM blood and semen tests of horses for import purposes Finnish Food Authority • Veterinary Virology Unit • Mustialankatu 3, FI-00790 Helsinki, Finland • Tel. 029 530 0400 • www.foodauthority.fi • [email protected] Additional information to be provided: Export of horses/”Name of owner”/”Name of horse” LAB 1038 Please use block letters Received Time DNo Name of veterinary surgeon/Requested by Address Postcode Town/City Reply/invoice Copy Name of owner Address Postcode Town/City Telephone/email Reply/invoice Copy Type of sample serum blood semen Date of sampling Species/breed Date of birth Microchip/Tattoo/Identification number sex Name of the animal Requested tests infectious anemia malleus dourine viral arteritis neutralization test (serum) virus isolation (semen) Test price has been paid Attach copy of proof of payment Date Signature of veterinary surgeon Telephone/fax/email