According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to, a collection of information unless it displays a valid OMB control number. 
The valid OMB control numbers for thisinformation collection are 0579-0052, 0094, and 0240. The time required to complete this information collection is estimated to average 1.2 hours per response, 
including the time for reviewing instructions, searching existing data sources,gathering and maintaining the data needed, and completing and reviewing the collection informationOMB Approved
0579-0052,
0094 and 0240
UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
PLANT PROTECTION AND QUARANTINE
PHYTOSANITARY CERTIFICATE
TO: THE PLANT PROTECTION ORGANIZATION(S) OFFOR OFFICIAL USE ONLY
PLACE OF ISSUE 
NO.
DATE INSPECTED
CERTIFICATION
This is to certify that the plants, plant product or other regulated articles described herein have been inspected and/or tested according to appropriate official 
procedures and are considered to be free from the quarantine pests, specified by the importing contracting party and to conform with the current phytosanitary 
requirements of the importing contracting party including those for regulated non-quarantine pests.
DISINFESTATION AND/OR DISINFECTION TREATMENT
1. DATE
*************************************************2. TREATMENT
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3. CHEMICAL (active ingredient)
*************************************************4. DURATION AND TEMPERATURE
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5. CONCENTRATION
*************************************************6. ADDITIONAL INFORMATION
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DESCRIPTION OF THE CONSIGNMENT
7. NAME AND ADDRESS OF EXPORTER 8. DECLARED NAME AND ADDRESS OF THE CONSIGNEE
9. NAME OF PRODUCE AND QUANTITY DECLARED
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*************************************************10. BOTANICAL NAME OF PLANTS
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11. NUMBER AND DESCRIPTION OF PACKAGES
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*************************************************12. DISTINGUISHING MARKS
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13. PLACE OF ORIGIN
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*************************************************14. DECLARED MEANS OF CONVEYANCE
15. DECLARED POINT OF ENTRY
WARNING: Any alteration, forgery, or unauthorized use of this phytosanitary certificate is subject to civil penalties of upto $250,000 (7 U.S.C. Section 7734(b)) or punishable by a fine 
of not more than $10,000, or imprisonment of not more than 5years, or both (18 U.S.C. Section 1001).
ADDITIONAL DECLARATION
Page  1  of  1
16. DATE ISSUED 17. NAME OF AUTHORIZED OFFICER  (Type or Print) 18. SIGNATURE OF AUTHORIZED OFFICER
No liability shall attach to the USDA or to any officer or representative of the USDA with respect to this certificate.
PPQ Form 577 FEB 2001 Previous editions are obsolete after 6/30/01 SHIPPER'S ORIGINAL