National Select Agent Registry phone numbers for APHIS (301-851-3300) and CDC (404-718-2000).
Last Updated: Wednesday, June 27, 2012

Request for Exemption of Select Agents and Toxins for Public Health or Agricultural Emergency or Investigational/Experimental Product

The APHIS/CDC Form 5, Request for Exemption, is used by an entity to request an exemption from the Select Agents Regulations for an investigational product or in cases of agriculture or public health emergency.

An entity may apply for an exemption from the requirements (7 CFR 331, 9 CFR 121, and 42 CFR 73) in order to: (a) use an investigational product that is, bears, or contains select agents or toxins, or, (b) provide a response to a public health or agricultural emergency. This exemption request (APHIS/CDC Form 5) should be sent to either APHIS or CDC for consideration.


Form 5 Downloads

For assistance in the completion of APHIS/CDC Form 5, please refer to the guidance document below. This guidance document provides detailed information and direction on how to complete Section 1 of APHIS/CDC Form 5.

Guidance Document for the Completion of APHIS/CDC Form 5PDF version (PDF 1.08MB)

Fillable PDF: APHIS/CDC Form 5PDF version (PDF 207K)

(Adobe Reader 6.0 or greater required)

Print Only PDF: APHIS/CDC Form 5PDF version (PDF 195K)


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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