National Select Agent Registry phone numbers for APHIS (301-851-3300) and CDC (404-718-2000).
Last Updated: Tuesday, August 13, 2013

Request for Exemption of Select Agents and Toxins for an Investigational Product

The APHIS/CDC Form 5, Request for Exemption, is used by an entity to request an exemption from the Select Agents Regulations for an investigational product.

An entity may apply for an exemption from the requirements of 7 CFR 331, 9 CFR 121, or 42 CFR 73 in order to use an investigational product that is, bears, or contains select agents or toxins. This exemption request (APHIS/CDC Form 5) should be sent to either APHIS or CDC for consideration.


Form 5 Downloads

For assistance in the completion of APHIS/CDC Form 5, please refer to the guidance document below. This guidance document provides detailed information and direction on how to complete APHIS/CDC Form 5.

Guidance Document for the Completion of APHIS/CDC Form 5PDF version(PDF 58KB)

Fillable PDF: APHIS/CDC Form 5PDF version(PDF 118KB)

(Adobe Reader 6.0 or greater required)

Print Only PDF: APHIS/CDC Form 5PDF version(PDF 100KB)



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Animal and Plant Health Inspection Service Agricultural Select Agent Program 4700 River Road Unit 2, Mailstop 22, Cubicle 1A07 Riverdale, MD 20737 FAX: 301-734-3652 E-mail: AgSAS@aphis.usda.gov and Centers for Disease Control and Prevention Division of Select Agents and Toxins 1600 Clifton Road NE, Mailstop A-46 Atlanta, GA 30333 FAX: 404-718-2096 E-mail: lrsat@cdc.gov