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 5, Request for Exemption, is used by an entity to request an exemption from the Select Agents Regulations for an investigational product.

Guidance Document for the Completion of APHIS/CDC Form 5(PDF 58KB)

Fillable PDF: APHIS/CDC Form 5(PDF 118KB) (Adobe Reader 6.0 or greater required)

Print Only PDF: APHIS/CDC Form 5(PDF 100KB)