Report of Theft, Loss, or Release of
Select Agents and Toxins
Expired forms available on this website can be used because the revision application package is currently under review by Office of Management & Budget.
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. 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 is required to be immediately reported:
Division of Select Agents and Toxins
1600 Clifton Road, NE, Mailstop A-46
Atlanta, GA 30329
Fax: 404-471-8375
Email: LRSAT@cdc.gov
Phone: 404-718-2000
Agriculture Select Agent Services
4700 River Road, Unit 2, Mailstop 22, Cubicle 1A07
Riverdale, MD 20737
Fax: 301-734-3652
Email: AgSAS@aphis.usda.gov
Phone: 301-851-3300 option 3 (voice only)
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 207KB) (Adobe Reader 6.0 or greater required)
Print Only PDF: APHIS/CDC Form 3 (PDF 78KB)