VS 5-18 A Record of Animals Acquired

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 0579-0101. The time required to complete this information collection
is estimated to average .16 hours 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.
U.S. DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
VETERINARY SERVICES

1. FLOCK NAME/CONTACT AND ADDRESS

FORM APPROVED
OMB NO. 0579-0101
2. FLOCK ID NO.

RECORD OF ANIMALS ACQUIRED
3. ANIMALS ACQUIRED SINCE LAST INSPECTION (LEGEND: E=Eartag, I=Implant, T=Tattoo, O=Other)
ANIMAL IDENTIFICATION
DATE
ACQUIRED

Official ID and
Specify Type

Other - Specify

1.
E

I

T

O

E

I

T

O

E

I

T

O

E

I

T

O

E

I

T

O

E

I

T

O

2.

3.

4.

5.

6.

7.
E

I

T

O

E

I

T

O

E

I

T

O

8.

9.

10.
E

I

T

O

E

I

T

O

E

I

T

O

11.

12.

4. REMARKS

VS FORM 5-18A (DEC 2003)

ORIGIN
(Include name, address, and telephone no.)

ORIGIN FLOCK
STATUS