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

Forms

Some documents are available for viewing, printing, and downloading (saving) in Adobe Acrobat's portable document file (PDF) format. You will need the Adobe Acrobat Reader 6.0 or above on your computer and configured to work on your browser to access the file.

If you do not have the latest version of Adobe Acrobat Reader, you may download a free copy from adobe acrobat logo

If you will be completing the form electronically, download the fillable PDF below, then complete, print and sign the form. If you will be completing the form by hand, use the print-only PDF, then print, complete and sign the form. All completed forms must be submitted via fax or mailed directly to CDC or APHIS.

All forms for the Select Agents Program have been reviewed and approved by the Office of Management and Budget as prescribed by the Paperwork Reduction Act of 1995. The only authorized location to obtain these forms is this website (www.selectagents.gov).

APHIS/CDC Form 1, Application for Registration for Possession, Use, and Transfer of Select Agents and Toxins

APHIS/CDC Form 2, Request to Transfer Select Agents and Toxins

APHIS/CDC Form 3, Report of Theft, Loss or Release of Select Agents or Toxins

APHIS/CDC Form 4, Report of the Identification of a Select Agent or Toxin

APHIS/CDC Form 5, Request for Exemption of Select Agents and Toxins for an Investigational Product



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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: ASAP@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