7006A Record of Disposition of Dogs and Cats (Addendum)

See reverse side for
additional information.

This record is required by law (7 USC 2131-2156). (9 CFR, Subchapter A, Parts 1, 2 and 3). Failure to maintain this record can result in
a suspension or revocation of license and/or imprisonment for not more than 1 y ear, or a fine of not more than $1,000, or both.

FORM APPROVED OMB NO. 0579-0036

U.S. DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE

1. DATE OF DISPOSITION

2. PAGE

RECORD OF DISPOSITION OF DOGS AND CATS
1 OF

SALE

EXCHANGE OR TRANSFER

DONATION

INSTRUCTION: Complete applicable items 1 through 8. Original and USDA Copy to the retained by seller.
Buyer's Copy to accompany shipmenet. It must be retained by Buyer.
3. SELLER OR DONOR (Name and Address)

4. BUYER OR RECEIVER (Name and Address)

3A. DEALER'S LICENSE NO. OR RESEARCH FACILITY REGISTRATION NO.
(Seller)

4A. USDA LICENSE NO. OR RESEARCH FACILITY REGISTRATION NO. (if any)

5. IDENTIFICATION OF EACH ANIMAL BEING DELIVERED (See reverse for Breed Abbreviations for Dogs and Cats) *If mixed breed, list 2 dominant breeds
COMPLETE ITEMS A THRU G FOR EACH ANIMAL
IDENTIFICATION
NUMBER

DOG

CAT
"X"
M OR F

A

B

C

F

F

M

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

APHIS FORM 7006A (JUN 1995)

AGE OR
DATE OF
BIRTH
D

WT.

BREED OR
TYPE *

E

F

(Previous edition may be used.)

DESCRIPTION OF ANIMAL
(Color, Distinctive Marks, Hair, Tail, Tattoos, etc.)
G

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB
control number. The valid OMB control number for this information collection is 0579-0036. The time required to complete this information collection
is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information.
BREED ABBREVIATIONS - DOGS (Col. F)
Afghan Hound -

AH

English Setter -

ES

Pomeranian -

PM

Airedale Terrier Akita American Bull Terrier Basenji Basset Hound Beagle Bedlington Terrier Bichon Frise Black and Tan Coonhound
Bluetick Boston Terrier Boxer Bullmastiff Cairn Terrier Catahoula Chihuahua Chinese Crested Dog Chow-Chow Cocker Spaniel Collie Coonhound (Specify) Dachshund Dalmation Doberman Elkhound English Bulldog -

AD
AK
AB
BS
BH
BE
BL
BF
BT

Eskimo Dog Foxhound Fox Terrier French Bulldog German Shepherd German Short Haired Pointer
Golden Retriever Gordon Setter Great Dane Great Pyrenees Greyhound Husky Irish Setter Jack Russell Terrier Keeshond King Charles Spaniel Komondor Labrador Retriever Lhasa Apso Malamute Mastiff Maltese Miniature Pinscher Newfoundland Old English Sheepdog Pekingese -

ED
FH
FT
FB
GS
SH

Poodle Pug Redbone Coonhound Rhodesian Ridgeback Rottweiler Saint Bernard Samoyed Schipperkee Schnauzer Scottish Terrier Shar-pei Shetland Sheepdog Shih-tzu Silky Terrier Spitz Springer Spaniel Staffordshire Bull Terrier
Walker Weimaraner Welsh Corgi Whippet Yorkshire Terrier Other (specify)

PO
PU
RB
RR
RW
SB
SM
SK
SN
SC
SP
SS
SI
ST
SZ
SR
SA

BREED
Abyssinian
Burmese
Domestic Long Hair
Domestic Short Hair
Himalayan
Maine Coon

BK
BO
BX
BM
CT
CU
CA
CD
CC
CK
CL
CH
DH
DL
DB
EH
EB

GR
GO
GD
GP
GH
HK
IS
JR
KH
KC
KM
LR
LA
MA
MA
MT
MP
NF
OE
PK

ABBREVIATIONS - CATS (Col. F)
AB
BU
DL
DS
HM
MC

APHIS FORM 7006A REVERSE

Manx
Persian
Russian Blue
Rex
Siamese

WK
WI
WC
WH
YT

TYPE (Col. F)
MX
PR
RB
RE
SI

Other (specify)

Hound Crossbreed
Terrier Crossbreed
Sheperd Crossbreed
Spaniel crossbreed

HX
TX
SX
PX