Application for Laboratory Registration for Possession, Use, and Transfer of Select Agents and Toxins

The APHIS/CDC Form 1, Application for Registration, is used by entities to register with APHIS or CDC. The Application for Registration requests facility information, a list of Select Agents or Toxins in use, possession, or for transfer by the entity, characterization of the Select Agents or Toxins, and laboratory information. Entities may also amend their registration if any changes occur in the information submitted to APHIS or CDC. To apply for an amendment to a certificate of registration, an entity must obtain the relevant portion of the APHIS/CDC Form 1, Application for Registration and submit the information requested in the package to APHIS or CDC.

An entity is required by regulation (42 CFR 73, 9 CFR 121, and 7 CFR 331) to register with either APHIS or CDC if they wish to use, possess, or transfer Select Agents or Toxins. An entity as defined by HHS/CDC and USDA/APHIS means any government agency (Federal, State, or local), university, corporation, company, partnership, society, association, firm, sole proprietorship, or other legal entity.

Form 1 Downloads

For assistance in the completion of APHIS/CDC Form 1, please refer to the guidance document below. This guidance document provides detailed information and direction to applicants and registered entities on how to complete all sections of APHIS/CDC Form 1 and on the submission of registration amendments: Guidance Document for the Completion of APHIS-CDC Form 1 (PDF 514K) Fillable PDF: APHIS/CDC Form 1 (Reader-Enabled) (PDF 826K) (Adobe Reader 6.0 or greater required) Note: The version above allows Acrobat Reader users to save the form once completed. APHIS/CDC Form 1 (PDF 814K) (Adobe Acrobat 6.0 or greater required) Note: The version above allows Adobe Acrobat users to save the form once completed and to utilize the “Duplicate Page” feature. Print Only PDF: APHIS/CDC Form 1 (PDF 112K) Application tables in Excel format: Note: The Microsoft Excel spreadsheets and Word document must be saved to a local drive before they can be edited. For assistance in using the spreadsheets, please refer to the spreadsheet help document below. Spreadsheet Help (PDF 1.2M) Sections 1 & 2 - Entity Information and Certification (WRD 212K) Section 3 - Entity Summary (XLS 43K) Section 4 - Entity-Personnel Information (XLS 57K) Section 6A - Biosafety and Laboratory Information on Select Agents and Toxins (XLS 52K)