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

The APHIS/CDC Form 1, Application for Registration, is to provide a method for entities to register to possess, use, or transfer select agents and toxins (as described in 7 CFR 331, 9 CFR 121, and 42 CFR 73). The information requested in this form includes: facility information; a list of select agents or toxins to be possessed, used, or transferred by the entity; a list of individual(s) who will have access to select agents and toxins; characterization of the select agents and toxins and additional laboratory information. Entities may also use this form to amend their registration. To apply for an amendment to a certificate of registration, an entity must obtain the relevant portion of the APHIS/CDC Form 1 and submit the information requested in the package to the Federal Select Agent Program.

An entity is required by regulations (7 CFR 331, 9 CFR 121, and 42 CFR 73) to register with the Federal Select Agent Program if they wish to use, possess, or transfer select agents or toxins. An entity as defined by the Federal Select Agent Program 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 1.09MB) Fillable PDF: APHIS/CDC Form 1 (Reader-Enabled) (PDF 1.36M) (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 1.34M) (Adobe Reader 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 1.31M) 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 1.87M) Sections 1 & 2 - Entity Information and Certification (WRD 80K) Section 3 - Entity Summary (XLS 65K) Section 4 - Entity-Personnel Information (XLS 57K) Section 6A - Biosafety and Laboratory Information on Select Agents and Toxins (XLS 32K)