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 and Toxins, is used by entities to report a theft, loss, or release of a select agent or toxin.

An entity is required by regulations (7 CFR 331, 9 CFR 121, and 42 CFR 73) to contact the Federal Select Agent Program immediately upon the 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 or toxin.

Form 3 Downloads

For assistance in the completion of APHIS/CDC Form 3, please refer to the guidance documents below. The guidance documents provide detailed information and direction to registered and other entities on how to complete all sections of APHIS/CDC Form 3. Guidance Document for the Completion of APHIS/CDC Form 3 (PDF 412KB) APHIS-CDC Theft Loss Release Information (PDF 1.3MB) Fillable PDF: APHIS/CDC Form 3 (PDF 361KB) (Adobe Reader 6.0 or greater required) Print Only PDF: APHIS/CDC Form 3 (PDF 386KB)