Download:
pdf |
pdfFLOCK NAME OR ID
16. List purchases of sheep over the last 5 years. If the source has been identified (infected animal was purchased and under 72 months of age), you can lim it this information to that source.
DATE
VS 5-19D
(NOV 2005)
BREED
# RAMS
# EWES
FLOCK ID
SELLER'S NAME
EPIDEMIOLOGY
ADDRESS
OTHER INFORMATION
PAGE 3 of 8
FLOCK NAME OR ID _____________________________________________
17. Listing of all sexually intact sheep sold, except lambs less than 12 months of age, direct to slaughter.
SALE DATE
VS 5-19D
(NOV 2005)
ID
SEX
BREED
DATE OF BIRTH
OR AGE
BUYER PREM ID
BUYER'S NAME
EPIDEMIOLOGY
ADDRESS
COMMENTS
PAGE 4 of 8
FLOCK NAME OR ID
18. List the current flock inventory. For animals born in the flock, record the flock ID for the flock of origin.
NO.
VS 5-19D
(NOV 2005)
OFFICIAL ID
OTHER ID
SEX
BREED
BIRTH DATE
OR AGE
FLOCK OF ORIGIN
EPIDEMIOLOGY
ACQUISITION
DATE
COMPLETED BY DSE
GENOTYPE
RISK GROUP
FLOCK PLAN DISPOSITION
PAGE 5 of 8
FLOCK NAME OR ID _____________________________________________
NO.
VS 5-19D
(NOV 2005)
OFFICIAL ID
OTHER ID
SEX
BREED
BIRTH DATE
OR AGE
FLOCK OF ORIGIN
EPIDEMIOLOGY
ACQUISITION
DATE
COMPLETED BY DSE
GENOTYPE
RISK GROUP
FLOCK PLAN DISPOSITION
PAGE 6 of 8
FLOCK NAME OR ID _____________________________________________
NO.
VS 5-19D
(NOV 2005)
OFFICIAL ID
OTHER ID
SEX
BREED
BIRTH DATE
OR AGE
FLOCK OF ORIGIN
EPIDEMIOLOGY
ACQUISITION
DATE
COMPLETED BY DSE
GENOTYPE
RISK GROUP
FLOCK PLAN DISPOSITION
PAGE 7 of 8
| File Type | application/pdf |
| File Title | InForms - vs5-19d2.wpf |
| Author | kastratchko |
| File Modified | 2008-04-09 |
| File Created | 2008-04-09 |