National Select Agent Registry phone numbers for APHIS (301-734-5960) and CDC (404-718-2000).
Last Updated: Thursday, May 20, 2010

Report of Theft, Loss, or Release of Select Agents and Toxins

The APHIS/CDC Form 3, Report of Theft, Loss, or Release of Select Agents or Toxin, is used by entities to report a theft, loss, or release of a Select Agent or Toxin.

An entity is required by regulation (7 CFR 331.19, 9 CFR 121.19, and 42 CFR 73.19) to contact APHIS or CDC immediately upon discovery of a theft, loss, or a release (occupational exposure or release of an agent or toxin outside of the primary barriers of the biocontainment area) of a Select Agent and Toxin not authorized under a federal act.

Form 3 Downloads

Fillable PDF: APHIS/CDC Form 3 PDF version (PDF 59K)

(Adobe 6.0 or greater required)

Print Only PDF: APHIS/CDC Form 3 PDF version (PDF 45K)



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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: Agricultural.Select.Agent.Program@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