ANNEX
‘OPERATIONAL COSTS — REQUEST FOR PAYMENT
Submission deadline:
Upon adoption of Financing Decision, 6 months after the end date or confirmation of eradication of the disease, whichever is earlier.
Outbreak reference
MS/DISEASE/YEAR
Slaughtering and culling
ADNS No
Holding No
Amount of invoice excluding VAT
Supplier's Name
Payment date
Total
Cleaning desinsectisation and disinfection (holdings and equipment)
ADNS No
Holding No
Amount of invoice excluding VAT
Supplier's Name
Payment date
Total
Transport and destruction of the contaminated feeding stuffs and equipment
ADNS No
Holding No
Amount of invoice excluding VAT
Supplier's Name
Payment date
Total
Purchase, storage, administration, distribution of vaccines and baits as well as costs of inoculation itself
ADNS No
Purchase costs
Storage costs
Administration costs
Distribution of vaccines and baits costs
Inoculation costs
Payment date
Number of vaccine doses used
Type of vaccines
Cost of vaccine doses
Total
Transport and disposal of carcasses
ADNS No
Holding No
Amount of invoice excluding VAT
Supplier's Name
Payment date
Total
Other costs essential for the eradication of the disease
ADNS No
Holding No
Amount of invoice excluding VAT
Supplier's Name
Payment date
Total
TOTAL
Slaughtering and culling
Cleaning desinsectisation and disinfection (holdings and equipment)
Transport and destruction of the contaminated feeding stuffs and equipment
Purchase, storage, administration or distribution of vaccines
Transport and disposal of carcasses
Other costs essential for the eradication of the disease (specify)
Total’
