VS 16-3 Screen Shots

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eAuthentication login
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ePennits (APillS)

Page 1 of 1

APHIS Ur,ited SUItes: Oepartmen1 of Agriculture
~ Anlmll Ind Phmt He*lth 'n.pectio" Service

----

ePermit.
Home

.• Create Application - Choose Application Type for VS
You have seleded Veterinary Services (VS) as the program office. Ifthis is correct, please select the correct application type for the
; permit you are applying for, then select Continue. If you have selected an incorrect program office you may go back by using the browser
: "Back" button.
,_ APHIS Form 2005 -Application for U.S. Veterinary Biofogk;al Product Permit (Veterinary Vaccine or Diagnostic test)

',!,

VS Form 16-3 Application for Permit To: Import or Transport Controlled Malerial or Organisms or Vectors

VS Form 17-129 Application for Import or In Transit Pennit (Animals, Animal Semen, Animal Embryos, Birds, Poultry, or Hatching

; Eggs)

(.' VS Notification of On-Hold Shipment

Continue

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! crwte Applic.ati~n : My .A.pphcahons ! MyJlli:ttf! I My Profite t My Resltictlons ; Change Password: Reports l Techr;ic,ai Support: Lab. Database I Get AdO:le

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I Non-DiH']irmnation statenenl I Information Quality! first(3Q1! V\hllte HOl:se

https:llepennits.aphls.usda.gov/epennitslindex.cfin?APPFORMPROGRAM_OFFICE _CH...
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4/4/2011

ePermits (APHIS)

Page 1 of 1

APINS United States Department of Agriculture
~ Animal

and Plant . .alth 'nJJpectJon Service

ePermits

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. Specify: New, Amendment or Renewal Application
New Application

~~! Amendment Application

Renewal Application

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Permit Numbe"I

Issuance Da"',

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Expiration Date:

Continue
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FCIA IACcesSibility Statement I Prl'lacy Polley I Noo-Discriminatlon Staterrm;lllnfoonatiO'1 Quallly

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Uni~ed

States Department ot AQftculture

Animal and Plant fi_.Ub lnapectlon 5ervlCfl;

ePermits

VS Form 16-3 Application for Permit To: Import or Transport Controlled Material or Organisms or
Vectors
Application No. 10189016

•

•

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Irnp-orter

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Product

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VS\e-1 Form

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Type ot1e-3
VS Form 16-3

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AND FLA!H HEAlT", lNSFE;::Tlv'~ SERVICE

VETERI:-lARi' SERV1CES

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APPUCATION FOR PERMIT TO
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Ale yOU applying fOr a permit to import ortraosport
Animal By·Products or Organisms or Vectors?

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Yes

.Animal B:f-Products

Organisms orVectors (bacteria. '/iruses. fungi. etc.)

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Mode Of Transportation
The Mode a/Transportation page enables the applicant to select the Mode of Transportation and
U.S. Ports of Entry. The available choices for the Mode of Transportation are Air, Sea, Land, and
Any. The user may select multiple points of entry by holding down the Ctr! key.

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VS Form 16-3 Application for Permit To: Import or Transport Controlled Malerial or Organisms or
Vectors
Appllcatlon No. 100$2017

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Shipper

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Product

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PORTS

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FIELD AIRPORT, INILMINGTON,OH
COWMBUS, OH

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Mode Of Transportation

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Importer Information
For the VS 16-3, the applicant is the importer. The Importer Information page provides a means
to enter the applicant's name, address, and contact information. Importer name, organization and
address will default from the user's profile if the application is being keyed by the applicant.

VS Form 16-3 Application for Permit To: Import or Transport Controlled Material or Organisms or
Vectors
Applfc"tion No. 10069003

•

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Type of 16_3 .. M~~
,rl'll'lllP""",ion

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fmporttr Information
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Quantity of Shippers (Shipper Information)
The Quantity ofShippers page provides a means for the applicant to indicate that specific
shippers will be entered or that there will be various shippers. If the user elects to enter specific
shippers, the next page will be the Shipper Summary page. If there are too many shippers to
enter, the user can select one of the Various Shippers options and bypass the shipper entry pages.

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VS Form 16-3 Application for Permit To: Import or Transport Controlled Material or Organisms or

Vectors

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Application NO.100$Z017

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Type at 16-3

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Attachments Summary
The Attachments Summary page provides a means for the applicant to add and delete files as
attachments to the application.
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&;,;, Pr!ntebIe Version

VS Form 16-3 Application for Permit To; Import or Transport Controlled Material or Organisms or
Vectors
Application No. l00GZ017

•

Type of 1 &.3

•

Mode Of
Tl'\Wi3portation

•

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Shipper

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V$1&.7 rLml

Main

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A'tt?cl'tnerlt:

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, Att~c-hm.nts Summary

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Attachments Summary
Note: The current attachment types currently allowed in ePennits are: txt, html, htm, doc, wp,
wpd, xis, pdf, gif, jpeg, jpg, bmp, vsd, docx, doem. The Attach button verifies that the filename
extension is that of an acceptable type of file (i.e. it is not a potentially damaging type of file,
such as an exe or vb).

27

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Certify & Pay
The Certify & Pay page provides a means for the user to certify the application as well as pay the
processing fee. Applicants must submit a payment in order to continue.
- _..._--""""""11

USDA
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AMS

United States Oepe:rtment Of AQffcu!ture

•

AnImal 4ftd PI.,.t H.-lib IMpoctlon Sorvic.

_

ePermits

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VS Form 16-3 Application for Permit To: Import or Transport Controlled Material or Organisms or

Vectors

Application No. 10052017

•

•

•

Importer

•

Shipper

•

Pmdoc'

I. Certify 8. PaV

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YS1S.7form

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•

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ReqUired

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0 I CERTIfY. AS AUTHORtZEO BYTHE COMPAflY~NSTlTUT10N TtiAT I REPRESENT. mAT mtS MATERIAL VIIIL..l BE USED IN
ACCOROArtCEWlTH AU RESTPJCTIONS AND PRa:J\U11ONS AS ftlAYBESPECJfIED IN THE PERMIT.

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PdYlneut:
Request Type.

Processing Fee:
Select paymentType.

New Applte:9tlon

$137.00

:-!") On-Line Credit Card

<; Ma:!Hn Check

_'MOney Order

(:" APHIS User N;count

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APHIS User Fee Account Numbf:ir:~...

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Step 1: Enter Payment Information
Pay Via

PI~e

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Cafd ,PQ (elC: Amelican Exp...~ Dlners Club, Dtsc.over. Mastercard, VISA)

Required flftlds are indical11!d wfth aced asthrisk"
Account Holder Hame1

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po"hn SmIth

Payment Amount: $94,00

Ollnng Address: f12"'3C-MC-ID~OC'SC-1-

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Billing Address 2:
City: r.IF~oI"'S-C"'h-U--,c7h----

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Expiraiinn Date:

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and paQos being loaded inccrrectly Ploase IJse the Imks provided whenever posslble_

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On-line Payment: Step 1 Screen from pay.gov

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Online Payment: Step 2: Authorize Payment

Step 2: Authorize Payment on the pay.gov site requires the user to click the Authorize checkbox.

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Online Payment

Return to YQUF ongi~.ttng appucation

":2

Step 2: Authorize Payment
Payment Summary

Edit Ih!~ fntormatiQn

Addrosslnl'ormatlon
Account Hold.r App~cant
Name: Tester
123 Main
Billing Address: Street
BIlling Addre•• 2:
City: Reston
State I Province: VA
Zip I Postal Code: 201 90
Country: USA

Account Information
Card Type: Visa
Card Number: u","",,"''In\*''''~1111

Payment Information
Payment$137.00
Amount:
Transaction 1011312010
Date and 11m.: 16:57 EDT

Email Confirmation Receipt
To have a confirmation sent to you upon completIon of this transaction, provide an email address and
c{l(lfirmation below.
Email Address:
Confirm Email Addr...:

cc:
Authorization and Disclosure
Required fields are indicated w~h a red asterisk'
f authoriz.e a charge to

agreement.

my card account fariM above amount In accordance with my card issuer

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Press the "Submit Payment' Button only once. Pressmg the button more than once could result in multiple
transactlons

Submit Payment]

j-C;;;I!

Note: Please avoid navigatmg the site using your browser's Back Button - thIS may lead to incomplete
.data being transmitted and pages being loaded incorrectly Please use the links provided whenever
:oossible.

On-line Payment: Step 2 Screen from pay.gov

31

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Online Payment: Your request is being processed. Please wait.
Pay.gov displays the Your request is being processed. Please wait. page while it processes the
credit card transaction.

Your request is being processed. Please walt.

On-line Payment: Your request is being processed screen from pay.gov
If the payment is unsuccessful, pay.gov will return the applicant to the ePermits 'CertifY & Pay'
page. The applicant can then select another Payment Type. If the payment is successful,
pay.gov will return the applicant to the ePermits 'Application Submitted' page.

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VS Form 16-3 Application for
Vectors
Application No. 102~6004

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To: Import or Transport Controlled Material or Organisms or

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