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Animal and Plant Health Inspection Service
U.S. Department of Agriculture
USDA FAQ's and resources about coronavirus (COVID-19).  LEARN MORE

VS Forms

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Form
Number

Fillable

Description

Revision Date, Other Info

Format

VS 1-9 R

No

Fee Basis Agreement

07/2023

PDF

VS 1-23
Yes Appraisal and Indemnity Claim for Animals Destroyed, Materials Destroyed, or Services Provided
8/2018 PDF
VS 1-23A
Yes Continuation Sheet - Indemnity Claim for Animal Destroyed, Materials Destroyed, or Services Provided
5/2009 PDF
VS 1-24
Yes Proceeds from Animals/Animal Products/Materials Sold for Salvage
8/2018 PDF
VS 1-26
Yes Appraisal and Indemnity Request for Affected Premises Using Contract Growers
5/2016 PDF
VS 1-27
Yes Permit for Movement of Restricted Animals
7/2011 PDF

VS 1-36A

Yes

National Veterinary Accreditation Program Application Form

12/2013

PDF

VS 1-64 Yes Manufacturer Application for Approval of Official Animal Identification Devices 02/2022 PDF

VS 2-11

Yes

Report of Diseased Animals Found at Slaughter Establishments

06/2012

PDF

VS 4-1
No

Application for Brucellosis Classification or Reclassificaton of State

2/2009

Not downloadable, contact program

VS 4-1 D


Yes Application for Validation of a Brucellosis Free Area 
2/2009 PDF

VS 4-8

Yes

Ivermectin Corn Submission Form

03/2010

PDF

VS 4-9

Yes

Request for Reagents or Supplies (with Instructions)

04/2017

PDF

VS 4-10

Yes

NVSL Customer Contact Information Update

05/2015

PDF

VS 4-11

Yes

Request for Training at the NVSL

05/2015

PDF

VS 4-12

Yes

NVSL Kit & Instrument Order Form

02/2021

PDF

VS 4-13
No Certified Herd - Cooperative Brucellosis Eradication
11/1972 Not downloadable, contact program.

VS 4-26

Yes

Calfhood Vaccination Record - Long Form

06/2014

PDF

VS 4-33

Yes

Brucellosis Test Record

06/2014

PDF

VS 4-33A

Yes

Brucellosis Test Record – Continuation Sheet

06/2014

PDF

VS 4-52
Yes Report of Backtags Applied
4/2009 PDF

VS 4-52A

Yes

Report of Back Tags Applied

08/2012

PDF

VS 4-54

Yes

Brucellosis Test Record Market Cattle Testing Program

05/2014

PDF

VS 5-14

Yes

Dip Sample Data

08/2009

PDF

VS 5-18

No

Record of Animals Moved

12/2003

PDF

VS 5-18a

No

Record of Animals Acquired

12/2003

PDF

VS 5-19a

Yes

Scrapie SFCP Flock Inspection Report - Initial Flock Inspection for Export Monitored Status in the Scrapie Free Flock Certification Program (SFCP)

06/2013

PDF

VS 5-19b

 

Scrapie SFCP Flock Inspection Report - Annual Inspection Report for Scrapie Free Flock Certification Program - Export Category Flocks

06/2013

PDF

VS 5-22

Yes

Application for the Scrapie Free Flock Certification Program (SFCP)

06/2013

PDF

VS 5-24

Yes

Application for Scrapie Classification, Classification Renewal, or Reclassification of a State

08/2010

PDF

VS 5-38

Yes

Parasite Submission Forma & Instructions

09/2009

PDF

VS 6-4A Yes Investigation for Evidence of Tuberculosis (Reactor) 07/1973 PDF
VS-6-4B Yes Investigation for Evidence of Tuberculosis (Exposed Animal) 01/2007 PDF
VS 6-22 Yes Cooperative State - Federal tuberculosis Eradication Program (Tuberculosis Test Record) 02/2020 PDF
VS 6-22B Yes Tuberculosis Test Record - Continuation Sheet 02/1999 PDF

VS 6-35

Yes

Report Of Tuberculosis Lesions or Thoracic Granulomas in Regular Kill Animals

03/2014

PDF

VS 6-38 Yes Accredited Area Surveillance for Tuberculosis 06/2009 PDF

VS 8-18

Yes

Statement of Services Performed

08/2023

PDF

VS 9-13
No Appraisal and Indemnity Request Form - Contract Grower
01/2016 PDF
VS 9-13
No Appraisal and Indemnity Request Form - Owner
01/2016 PDF
VS 9-14
No Indemnity and Compensation Decision Determination Worksheet
02/2016 PDF
VS 9-15
No Compost Windrow Checklists
06/2017 PDF
VS 9-16
No Initial Contact Epidemiological Report
06/2017 PDF

VS 10-3

Yes

Request for Salmonella Serotyping Form & Instructions

10/2009

PDF

VS 10-4

Yes

Specimen Submission

06/2022

PDF

VS 10-4a

Yes

Specimen Submission Form (continuation page)

08/2009

PDF

VS 10-5 Yes UDSA Listed Slaughter or Rendering Facility Inspection Report 05/2017 PDF
VS 10-6a Yes Listing Agreement for a Slaughter Establishment Handling Livestock, Poultry, or Carcasses in Interstate Commerce Pursuant to Title 9, Code of Federal Regulations 05/2017 PDF
VS 10-6b Yes Listing Agreement for a Rendering Establishment Handling Livestock, Poultry, or Carcasses in Interstate Commerce Pursuant to Title 9, Code of Federal Regulations 05/2017 PDF

VS 10-7

Yes

Specimen Collection Bovine Tuberculosis Reactors, Suspects, and Trace-Exposed

05/2014

PDF

VS 10-13

Yes

Owner/Shipper Certificate Fitness to Travel to a Slaughter Facility

02/2018

PDF

VS 10-13a

Yes

Owner/Shipper Certificate Fitness to Travel to a Slaughter Facility - Continuation Sheet

02/2018

PDF

VS 10-15 Yes Agreement to Conduct Equine Infectious Anemia (EIA) Testing 06/2018 PDF
VS 10-16 Yes Application t to Conduct Laboratory Equine Infectious Anemia (EIA) Testing 06/2018 PDF

VS 11-2

Yes

Application for Chronic Wasting Disease Herd Certification Program (CWD HCP) Approval, Renewal, or Reinstatement of a State

08/2012

PDF

VS 16-3

Yes

Application for Permit To Import or Transport Controlled Material or Organisms or Vectors

07/2012

PDF

VS 16-7

Yes

Additional Information for Cell Cultures and Their Products

12/2011

PDF

VS 16-28 Yes Approved Warehouse Request and Agreement to Handle Restricted Animal Byproducts (Hunting Trophies & Museum Specimens) 02/2020 PDF
VS 16-29 Yes Approved Establishment Request and Agreement to Handle Restricted Animal Byproducts (Hunting Trophies & Museum Specimens) 02/2020 PDF
VS 16-78 Yes Report of Entry and Shipment of Restricted Imported Animal Products or Byproducts
Instructions for Completing and Submitting VS 16-78
07/2021 PDF

VS 17-6

Yes

Certificate for Poultry or Hatching Eggs for Export

07/2014

PDF

VS 17-8

Yes

Agreement of Pet Bird Owner

07/2014

PDF

VS 17-13 Yes Summary of Quarantine Birds 05/2020 PDF

VS 17-29

No

Declaration of Importation (Animals, Animal Semen, Animal Embryos, Birds, Poultry, or Hatching Eggs)

05/2017

PDF

VS 17-31

Yes

Equine Import Testing Submission
Instructions for Completing and Submitting a VS Form 17-31 and 17-31A

06/2017

PDF

VS 17-31A Yes Equine Import Testing Submission - Continuation Sheet
Instructions for Completing and Submitting a VS Form 17-31 and 17-31A
06/2017 PDF

VS 17-37

Yes

Certification of Inspection of Export Animals

07/2011

PDF

VS 17-41

Yes

Notice of Animals Not Shipped

08/2011

PDF

VS 17-129

Yes

Application for Import or in Transit Permit
Instructions for Completing and Faxing a VS Form 17-129 and Instructions for Completing and electronically Submitting a VS 17-129

12/2020

PDF

VS 17-131

Yes

USDA BSE Surveillance Data Collection Form

02/2014

PDF

VS 17-136 No Refusal of Entry and order to Dispose of Fish 02/2006 PDF

VS 17-145

Yes

U.S. Origin Health Certificate For The Export Of Horses From The United States To Canada

02/2022

PDF

VS 17-146

Yes

BSE Surveillance Submission Form

02/2014

PDF

VS 17-146a

Yes

BSE Surveillance Submission Form Continuation Sheet

02/2014

PDF

Worksheets

No

Laboratory Proficiency Test Worksheets

N/A

Animal Health Web Site

 

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