Mdj Form 270 PDF Details

Are you looking for comprehensive information on the Mdj Form 270? Whether you're a solo legal practitioner, staff at a law firm, or a third-party administrator of court documents, it's important to have an in-depth understanding of this form. This blog post aims to provide you with everything you need to know about the Mdj Form 270—from its purpose and instructions right through to completing and submitting it successfully. With our thorough guide in hand, you can be confident that regardless of your role regarding court filings and records management is compliant with all applicable regulations. Keep reading to learn more!

QuestionAnswer
Form NameMdj Form 270
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesmdj 270 form, mdj form quarantine, 270 form mdj, mdj form

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PET QUARANTINE AND EXAMINATION CERTIFICATE

(See back side for Privacy Act Statement)

Control #:

Port of Entry:

PART I – CERTIFICATE OF COMPLIANCE

Japanese law requires pets entering Japan to be quarantined up to 180 days. Pets belonging to U.S. Forces personnel may be placed in a “Working Quarantine” in the custody of the owner under the supervision of the U. S. Forces veterinary service for on‐post/base housing, providing all paper work has been properly completed. Quarantine length depends on proper identification, rabies vaccine history, Fluorescent Antibody Viral Neutralization Test (FAVN) results, date of FAVN testing, and appropriately prepared and verified documents. You must: 1) keep your pet in travel carrier until arrival at military installation; 2) report to the U. S. Forces veterinary clinic within 72 hours, or the first clinic day following arrival of the animal to Japan; 3) present your animal to the U. S. Forces veterinary clinic within 72 hours of completion of the quarantine requirement.

In accordance with the above, I request the pet(s) described below be placed in quarantine in my custody under the supervision of the U. S. Forces veterinary service. I will present my pet(s) to the U.S. Forces veterinary clinic as prescribed and immediately notify vet clinic if my pet exhibits unusual behavior, becomes ill or dies. I will keep my pet(s) within my household on U. S. Installation at all times during the quarantine period. I will not allow my pet(s) to come in contact with other animals or people that are not members of my immediate family.

I fully understand and will comply with above regulations, including all quarantine requirements and understand that any failure to do so will result in forwarding a copy of this report through command channels and a fine of up to 300,000 yen per animal (USFJI 90‐205).

 

PRINT AND SIGN

 

 

 

 

 

 

 

 

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name and Title/Rank of Owner/Last 4 digits of DOD ID Number

 

Contact Phone Number of Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gaining Unit/Installation

 

 

 

 

 

E‐mail Address of Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If not Owner, Name and Title/Rank of Authorized Representative

Contact Phone and E‐mail Address of Authorized Representative

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name and Title/Rank of Sponsor

 

 

 

 

 

Contact Phone Number and E‐mail Address of Sponsor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART II – DESCRIPTION OF PET(S)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pet Name

 

Microchip #

 

Sex

 

Age

Dog, Cat or Other

 

Breed/Color

 

(1)

 

 

 

 

 

M

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2)

 

 

 

 

 

M

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(3)

 

 

 

 

 

M

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Arrival Date of Pet(s)

 

Country of Origin

 

 

 

Name of Airline & Flight #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART III – INITIAL QUARANTINE EXAMINATION

I certify the pet(s) described above was/were examined by me and found to be free from symptoms of communicable diseases. According to current regulation, the pet(s) is/are placed in custody of the owner under the supervision of the U. S.

Forces veterinary service for a period of

days.

Remarks / Reason for assigned quarantine period:

Final Quarantine Date:

Final Quarantine Place:

Name of Animal Quarantine Officer

Signature

PART IV – FINAL QUARANTINE EXAMINATION

I certify the pet(s) described above was/were examined by me and found to be free from symptoms of communicable diseases. According to current regulation, the pet(s) is/are released from quarantine.

Remarks: Actual Release Date:

Name and Grade of Veterinarian

Signature

MDJ FORM 270, DEC 2015

Previous edition is obsolete.

PRIVACY ACT STATEMENT

AUTHORITY: 10 U.S.C. Section 3013, Secretary of the Army; 10 U.S.C. 5013, Secretary of the Navy; 10 U.S.C. 8013, Secretary of the Air Force; DoD Directive 6400.4, DoD Veterinary Services Program; AR 40‐905, SECNAVIST 6401.1B, AFI 48‐131, Veterinary Health Services; and E.O. 9397 (SSN).

PRINCIPAL PURPOSE(S): The personal information will facilitate and document your animal’s general health and rabies vaccination status to permit international movement to Japan.

ROUTINE USE(S): Used by state, Federal and international health authorities to request and record the ownership, identity, and vaccination status of the described animal. The information may also be sued to aid in Federal, state and local preventive health and communicable disease control programs; compile statistical data; conduct research; teach and assist in law enforcement; to include investigations and litigation.

DISCLOSURE: Voluntary; however, if the requested information is not furnished, the animal may not be allowed international movement to Japan.

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Step 2: Once you launch the PDF editor, you will get the form ready to be completed. Aside from filling in various blanks, you might also perform many other things with the file, particularly writing your own text, modifying the initial text, inserting images, putting your signature on the document, and a lot more.

Be mindful when completing this form. Make sure that all required fields are completed accurately.

1. It's essential to complete the mdj 270 accurately, thus take care when filling out the parts comprising all these fields:

How one can complete mdj 270 form portion 1

2. Once the last part is completed, proceed to enter the suitable information in all these: If not Owner Name and TitleRank of, Contact Phone and Email Address of, Contact Phone Number and Email, PART II DESCRIPTION OF PETS, Pet Name, Microchip, Sex, Age, BreedColor, Dog Cat or Other, Arrival Date of Pets, Country of Origin, Name of Airline Flight, PART III INITIAL QUARANTINE, and I certify the pets described above.

PART II DESCRIPTION OF PETS, PART III INITIAL QUARANTINE, and I certify the pets described above of mdj 270 form

Always be really mindful while completing PART II DESCRIPTION OF PETS and PART III INITIAL QUARANTINE, since this is where a lot of people make mistakes.

3. This subsequent step is typically quite straightforward, I certify the pets described above, Name and Grade of Veterinarian, Signature, and MDJ FORM DEC Previous edition is - all of these blanks will have to be filled in here.

Writing part 3 of mdj 270 form

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