AD-943 Biological Shipment Record - Non-Quarantine

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United States Department of Agriculture
BIOLOGICAL SHIPMENT RECORD -NON.QUARANTINE
Form AD-943

/TL> ..q Lj 3
This form is for use in recording details concerning living material for biological control and pollination studies, and other bene- ficial
uses (biological control agents, parasitized or diseased hosts, pollinators, competitors, an tagonists, and other material required for
biological control studies) that are 1. Released from U.S. non-quarantine cultures or recolonized from established populations in the U.S., or
2. Shipped interstate between U.S. non-quarantine locations in the 48 contiguous states.
Note: Use Form AD-94 1 for shipments (1) to U.S. locations outside the 48 contiguous states (Hawaii, Alaska, U.S. territories), (2) to all
foreign locations (including Canada and Mexico), and (3) to U.S. quarantine facilities for studies in quarantine.
Information from this form will be computerized and published by the U.S. Department of Agriculture, Agricultural Research Service
Insect Identification and Beneficial InsectIntroduction Institute, Beneficial Insect Introduction Laboratory (Biological Control
Documentation Center), Beltsville, Maryland 20705. Full credit will be I';iven to the individuals and organizations responsible for
collection, shipment, culture and release of the organisms included in these records. Completion of the form is voluntary.
INSTRUCTIONS
.Use a separate AD-943 set for each beneficial species or each parasitized/diseased pest species shipped.
.Type or print firmly with a ball point pen to record on all copies.
.Fill out all blocks as completely as possible. Use "N/A" for those not applicable, "UNK" for unknown. Shaded blocks are for Documentation Center use only.
.Use Form AD-943A, "Supplemental Data" on reverse of this cover sheet for recording additional information; note "943A" in the
applicable block on the AD-943.
.Codes for invertebrate stages, plant parts, and microbial organisms on reverse of form may be used.
.See reverse of form for Routing and Copy Distribution Information.
SECTION I
To be completed by Originator of Shipment or Release
Block Number
2. Beneficial shipped -If parasitized host material is shipped or released,give name and order:family of beneficial species in blocks A
andB. For block C, give name and institutional affiliation of last known identifier of the cultured or field -collected material being
shipped or released.
3. Shipper/Releaser File No. -Use acronym of facility and shipper/releaser's full initials in parentheses, and the year and the consecutive
number of shipment/release by that shipper/releaser for that year (e.g., BIlL (RFWS). 83 -2).
4. Type of Organism -Parasites, predators, and weed feeders include nematodes. Other includes competitors (e.g., dung beetles) and
plants used for biological control. Microbials include cultures and isola tes of microbial (fungal, bacterial, viral, rickettsial, protozoan)
pathogens, antagonists, competi- tors, etc.
5-8. Part A: From U.S. Field Collection -Complete if organism to be shipped or released has been field collected in the U.S. for
recolonization else- where or for culture. In block 5, give original shipment/release file numbers, if known. If maintained in culture for
more than one generation before release, also complete Part B.
9-13. Part B: From Laboratory Culture -Complete if organism is being shipped or released from a laboratory culture at a non-quarantine
facility. In block 9, list file numbers from block 3 of all quarantine (AD-942) and/or non-quarantine (AD-943) forms for shipments
which provided material for
the culture. If culture includes domestically collected material listed in Part A, check appropriate box. Complete blocks 10 and 11,
especially if culture
is from other sources.
SECTION 11- SHIPMENT INFORMATION
Complete only in case of shipments; blocks 14-18 are to be completed by originator (shipper), blocks 19-24 (and Section III, if
appropria te) by receiver. See codes for invertebrate stages, plant parts, and microbial organisms on reverse of form; if parasitized hosts
are shipped, give estimated % parasitized.

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If count is estimated, use Est box. For certain commercial and other facilities with numerous shipments annually who choose not to use
this form for each shipment, please provide Documentation Center with one form for each species shipped during the year, with Section
I completed, and in lieu of Section II, a list of recipients (names, with city and state in lieu of full addresses), with numbers shipped to
each, and dates of shipments, or provide other records of shipments.
SECTION III -RELEASE/RECOLONIZATION
If more than 3 releases of material reported in Section I are made during a single year and in a single state, use Form AD-943A on
reverse of this cover sheet to record details, and data can be summarized on Form AD-943 as follows:
.Alternative 1 -Multiple releases made at a single location/site (or within an area of 1 square mile) during the year may be reported under
a single site column of a single form, if entries for blocks 29 and 30 (host information) remain the same for all releases. Give specific
information on AD-943 (and on AD-943 A, Sections A & B as appropriate) on location in block 26, total number and stages released at
that location/site (use Code; if parasitized hosts are released, give estimated % parasitized) in block 27, and give inclusive release dates
(e.g., 5/3 -7/16/83), in block 28. Record actual release numbers and dates on Form AD-943A, Section C,on back of this cover sheet.
.Alternative 2 -Multiple releases made at several sites within 5 miles of a locauon (town or suburb or physical feature locatable on
amap) may be re- ported under a single site column ofa single form, if entries for blocks 29 and 30 (host information) remain the same
for all releases. Give location and number of sites in block 26. Give total number and stages released and inclusive dates of release in
blocks 27 and 28, in the manner noted for Alternative 1 above. Record actual release sites, numbers and dates on Form AD-943A,
Section C, on reverse of cover sheet; photocopy and use additional sht:ets
as needed.
.Alternative 3 -If material is released at numerous locations within a county or within a state during a single year and against the same
target species (and host plant if applicable), blocks 26-28 may be used as a single block to record all releases within the county or state.
Record the total number of individuals released, the stages released, the inclusive dates of release, and total number of release sites, for
the county or state in which the releases were made. Record actual details of each release on Form AD-943A, Section C, on reverse of
cover sheet; photocopy and use additional sheets as needed. Block Number
29. Target hosts/prey -Be as specific as possible here; i.e., give genus-species of host/prey against which this material is actually
released. If more than two hosts/prey are present at the release site, or actual host/prey species present is unknown, give generic names
(e.g., Heliothis spp., Lygus spp.) or if more appropriate, other general term (e.g., aphids, dung flies, etc.; Note: Recording of family
names is most important in this case). Give further details in block 32 or on Form AD-943A on the reverse of this cover sheet.
:11. Host/prey food -Use common name of plants or animals, or generic names of hosts/prey that lack common names. Also note if food
is other than plant or animal (e.g., dung, decayed material, etc.). If more than one food source of target host/prey is present at release
site, note here and give details in block 32 or on Form AD-943A on the reverse of this cover sheet.
31. Give name of actual releaser (and of supervisor, if appropriate, in parentheses). For multiple releases, give details on Form AD943A on the reverse
of this cover sheet, as needed.

SUPPLEMENTAL
DATA

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.Township, route no., Farmer's name,etc. .Map of release site.
NOTE: .Do not fold this sheet over form when writing-t:arbons will distort entries.
.If additional copies are needed.,photot:opy and staple to form.
Section A -RELEASE SITE DETAILS, SITE NO.
OTHE~ COMMENTS EPORTED BY 80 DATE

I !§SO
~
~

,-N

W+E
5
Types of release
Section B -DET AtLSDFADqITI(;>NAL RELEA~~ (Attachadditi~naI8heets as needed,)
SITE 4 SITE 5
DFleld DGreenhouse Dcage DField DGreenhouse DCage Q61h~r:',;! DOtheri .;
B. Other-Genus, species C. Famil.ies
COMD1TION OFCROP FI ELO
Food (plant/animal/other) of target ho$t/prey at release
CONC1TION OF RELEASE MATERIAL
OMBNO. 0518-0013 (EXP. 5/31/96)
Released by,""
IP~EDOMINANT TARGET I'!OST/PREY -STAGE PRESENT
ITARGET HOST/PREY ABUNDANCE

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'Shipper's File Number (From AD'943)

TEMP.
ADDITIONAL HOST P~EY P~ESENT
=== i' c', ; "c

~O

SITE 6
IDFie'd DGreenhouse Dc~~e QQther:
@o~

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LEsO
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~
~
B. Other -Genus, species C. Families
REMARKS (UseAD-943A-rormoredetails)
(Name and
affiliation)
tgsu
IIEstJ
33. REPORTED BY
A.Name
B. Date (m.d,)I)
m AD-943 (5/93)
Part! DOCUMENTATION CENTER COpy

SECTION I -REPORT OF MATERIAL RELEASED OR SHIPPED
:ROM (Name & addreBBof Shipper/ReleaBer) 2. BENEFICIAL .A. Gen., sp., subsp., auth. ~ 3. SHI~PER IR~LEASER ALE
NO.
~ (see InBtructlons)
"'.

re:-Order7Fan,Ii'Y
iIIi
:4. TYPE OF BENEFICAL
i 0 PArasite 0 WEed feeder i 0 PRedator 0 POllinator

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! 0 Microbial 0 OTher
! (Explain
MlorOT):
Part A. From U.S. Field Collection
(Collected for field to field recolonization or laboratory culture) :OLLECTION LOCALITY(SJ -State, County, nearest Town
1f more than 2 collection sites, give State & County only)

IATES OF COLL£CTlON (m,d,)') 7. COLLECTORS (Names and
affiliations)
1.5. FIELD HOSTS/PREY AT COLLECTION
\. Genus, species
And/Or Part B.From Laboratory Culture it.SOURCE FILE NOS.
0 AO.942. AO-943: Nos.
0 Part A 0 Other:
to. COUNTRIES REGION/STATE OF ORIGIN
lB. Stage/part
I attacked (see codes)
II. ORIGINAL COLLECTORS (ames 12. NO. LAB GENERATIONS t, ipper/ : and affiliation,) relealer location)
! OF I -FIO OF51 +
OFII-F50
13. LABORATORY HOST/PREY B.Stage/part
A. Genus, species I attacked (,ee
code,)
I
SECTION II -REPORT OF SHIPMENT
SHIPPED TO (Name & addre..) 15. NO. 80 STAG ES SHIPPED(use codes on rellerse) I 16. DATE SHI PPED (m. .y)

If:st)
17. SHIPPER'S REMARKS
VIA:
-I

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DATE RECEIVED (m,d,)'} zo. NO. 8c STAGES (use codes) ..I A. Rec'd. Alive B. Emerged (Beneflclals) I
LEs!J ~s!J
D.INTENDED USE Lab culture/study (complete B"~. 24)
Dlmmedlatl!release ~B.DRe'easelntended I
(complete Sect. .III) .DNo release Intended
SPECIMENS RETAINED BY RECEIVER

DNa
Dyes .
nos

21. RECEIVER'S REMARKS
24. INTENDED LAB HOST I PREY -Gen., sp.

~!J
--""
Types of release
SECTION III -REPORT OF RELEASE I RECOLONIZATION (See instructions on colle-;:;he;t; w;F;;-;:;;; AD-943A for more
detail.)
c SITE 1 ~:il ~ ~ SITE 2 SITE 3 0 Field 0 Greenhouse 0 Ca9~'" 0 Field 0 Greenhouse 0 Cage 0 Greenhouse
0 ..
0Other: I Other:
B. Other -Genus, species
C. Families
IIf;sU
Food (plant/animal/other} of target host/prey at release
(Name and
Released by affiliation)
!
REMARKS (UaeAD.943A formoredeta/ls)
0 Field 0 Other:

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lEstJ
0 Cage
i33. REPORTED BY
A. Name
B. Date(m,d,y)
'm AD-943 (5/93)
Part 2 SHIPPER/RELEASER COpy

$ECTIONI- REPORT OF MATERIAL RELEASED OR SHIPPED
:ROM (Name & addre..ofShipper/Rele~er) 2. BENEFICIAL -A. Gen., sp.,subSp., auth. ;G 3. SHIPPER {RELEASER F1LE NO.
\~i~ (see instructions)
,'\C
B. Order: Family

Part A. From U.S. Field Collection
(Collected for field to field recolonization or laboratory culture) :OLLECTION LOCALITY(S)- State, County, nearest Town
rf more than 2 collection sites, gille State & County only)

iATES OF COU.ECTlON (m,d,)') 7. COU.ECTORS (Names and
affiliations)

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1.5. FIELD HOSTS/PREY AT COLLECTION IS.Stage/part
\. Genus. species I attacked (see .codes)
c.Oeterm I ned bY (Name andaffl'liatlOnTt knouiit) --

And/Or Part B. From Laboratory Culture
9.S0URCE FILE NOS.
0 AD-942. AD-943: Nos.
0 Part A 0 Other:
10. COUNTRIES/REGION/STATE OF ORIGIN

II. ORIGINAL COLLECTORS (ames 12. NO. LAB GENERATIONS tshipper/ and affiliahons) releaser location)
0 F 1 -F 10 0 F 51 +
OF 11- F 50
13. LA.,RATORY HOST/PREY B.Stage/part
A. Genus, species I attacked (see codes)
J
14. TYPE OF BENEFICIAL
0 PArasite 0 WEed feeder 10 PRedator 0 POllinator 10 Microbial 0 OTher
(Explain
MlorOT):
SECTION II -REPORT OF SHIPMENT

SHIPPED TO (Name & addreuJ
VIA:
:>ATE RECEIVED (mod,)') Izo. NO. 8c STAGES (use codes)

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A. Rec'd. Alive B. Emerged (Beneficials)
[Est] ffis!J
D.INTENDED USE Lab culture/study (complete BI~. 24)
.Dlmmedlate release

l B. DRelease Intended
(complete Sect. III) ~. DNa release Intended
SPECIMENS RETAINED BY RECEIVER
DNo
0 Yes nos.
SECTION 111- REPORT OF RELEASE/RECOLONIZATION (See in.tructionl on cover.heet; we Form AD-943A for more
detaill)
SITE 1 SITE 2 SITE 3
0 Field 0 Greenhouse 0 Field 0 Greenhouse 0 Cage 0 Field 0 Greenhouse 0 Cage 0 Other: 0 Other: 0 Other:

Types of release
Locations (State. County.
nearest Town or physical
feature, map coordinates)
(Uae AD.943A for more detai,.;
aee inatructiona on colier aheet) I ~
Number & stages released [Esi)
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(Uae codea; aee inatructiona
for recording multiple
lWIleaaes.)
Dates ot releases (m,d,y)
(See ImtrucHom for recording multiple
relea8e8.)
Target hosts/prey at release A. Primary -Genus, species
\ 15. NO. 8c STAGES SHIPPED(use codes on reverse)
I [gs 1]
17. SHIPPER'S REMARKS I
B. Other -Genus, spec!es
C. Families
21. RECEIVER'S REMARKS
Food (plant/animal/other) of target host/prey at release
24. INTENDED LAB HOST I PREY -Gen., sp.
(Name and i
Released by affiliation) ,
~REMARKS (UseAD.943A for more de to/Is)
18. SPECIMENS RETAINED BY SHIPPER
ONO
0 Yes nos.
LgstJ
II Est .J
33. REPORTED BY
A.Name
B. Date(m,d.Y)
m AD-943 (5/93)
Part :1 RECEIVER COpy

SECTION I -REPORT OF MATERIAL RELEASED OR SHIPPED
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=ROM (Name & address of Shlpper/Relea&er) z. BENE FICIAL .A. Gen., sp., subsp., auth. ~
M"'::'; 3. SHIPPER I REL£ASER F1LE NO.
~; (see Instructions)
BIOLOGICAL SHIPMENT RE:CORD -NON-QUARANTINE

Part A. From U.S. Field Collection
(Collected for field to field recolonization or laboratory culture)
:OLLECTION LOCALITY(S)-State. County, nearest Town
'[fmore than 2 collection sites. gitJe State & County only)

)ATES OF COU.ECTlON (m,d,)'} 7. CO~CTORS (Name. and -a"ilial~ions)
1.5. FIELD HOSTS/PREY AT COLLECTION lB. Stage/part
~. Genus. species I attacked (lee

code.)
'B:-Order-;:Famli"Y
SECTION II -REPORT OF SHIPMENT
SHIPPED TO (Name I. GddNa) IS. NO. & STAG ES SHIPPED(~e code. on reverae) 16. DA= SHI PPED (m. .)1)
[Es[]
4, TYPE OF BENEFICAL
0 PArasite 0 WEed feeder 1 0 PRedator 0 POllinator
'c.-DetermlnOd bY (Name andaffl'llatiOnTt known) -00OThMicrobial er
(E%plaln

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MlorOT):

VIA:
OATE RECEIVED ,,",Ii,)') ~20. NO. a. STAGES (use codes)
A. Rec'd. Alive
lB. Emerged (Beneficials) I [EsU fEst I I
-D. INTENDED I;JSE Lab culture/study
(complete BIll. 24)
DlmmedlatE' release B. DRel~ase intended (complete Sect. Ill) DNo release Intended
And/Or Part ~. From Laboratory Culture
I.SOURCE FILE NOS.
0 AD-942, AD.943: Nos.
0 Part A 0 Other:
10. COUNTRIES/REGION/STATE OF ORIGIN
SPECIMENS RETAINED BY RECEIVER

DNo
DYes nos.
LEst]
~

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Types of release
II. ORIGINAL COLLECTORS (ames 12. NO. LAB GENERATIONS t s ipper/ and affiliahons) releaser location)
OFI -FIO OF51+
OF 11- F 50
13. LA~RATORY HOST /PREY B.Stage/part
A. Genus, species I attacked (see
.codes)
SECTION 111- REPORT OF RELEASE/RECOLONIZATION (See InstrucHoM on colJersheet: use Form AD-943A for more
detalu)
SITE I SITE 2 SITE 3
0 Field 0 Greenhouse 0 Cage 0 Field 0 Greenhouse 0 Field 0 Greenhouse 0 Cage 0 Other: " LJ Other: 0 Other:
I

" --17. SHIPPER'S REMARKS
18. SPECIMENS RE:TAINED
BY SHIPPER
DNO
D Yes nos.
21. RECEIVER'S REMARKS
24. INTENDED LAB HOST I PREY -G en., sp.
REMARKSTiI,eAD-943A for more aetaill)
m AD-943 (5/93)
(Name and affiliation)

0 Cage
[gstJ

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-33. REPORTEO BY
A.Name
B. Date (m,d.Y)
Part 4 SHIPPER (PENDING) COpy

-CODES NOTE: Use combination of Invertebrat8$ and Plants codes for'weed feeders and otherphytophages shipped in or with
plant host material (e.g., L in SH, A with FO).
INVERTEBRATES PLANTS
A- adults PL- whole plant ST -stems
M- male SO- seeds RT -roots
F- female SH- seed heads TU- tubers E-eggs SP- seed pods FO-foliage
L- larvae (fpr holometabolar RS- rosette LV-leaf,1eaves N- nymphs (for heterometabola) FL -flowers
J- juveniles (for nematodes)
P- pupae, puparia
C- cocoons (can also be A in C, or P in C) MICROBIAL O~GANISMS -: not. including nema
, MI- cultures or Isolates of microbial pathogens, MU-mummles, cadavers antagonists, and competitors; fungi, bacteria,
PH[ '] -parasitized host -give stage and viruses. rickettsia. Drotozoa

H- host
todes
D[ ] -disease suspects for pathogen diagnosis
(e.g., DPL, DFO, etc. -plant and plant parts; DHA. DHE. etc. -invertebrate stages)
-ROUTING AND COpy DISTRIBUTION IF NO SHIPMENT ISMADE1. Releaser complete Sections I (Part A and/or B) and III (seeinstructioncoversheet;use FormAD-943A on the reverse of,
coversheetto record more details of releases.)
,
2. Retain Shipper I Releaser Copy (Part 2).
3. Shipper (Pending) Copy (Part 4) may be discarded.
4. ForwardOocurnentation Center Copy (Part 1) and all copies of AO:'943A Form to:
Beneficial Insect Introduction Laboratory
USDA, Agricultural Research Service
BARC-East
Beltsville, Maryland 20705
5. If Form AO-943A is used -photocopy for your records or request photocopy from
Documentation Center.
IF SHIPMENT IS MADE SHIPPER1. Complete blocks 1 .18 as appropriate.
2. Retain Shipper (Pending) Copy (Part4J.

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3. Send remaining copies to Receiver with material.
4. When copies of complet~d fortn$are returned by receiver- .
-Retain Shipper I Releaser Copy (Part 2J\for your records, discard Shipper (Pending) Copy (Part 4J. , -Forward
Documentation Center Copy (Part 1J and all copies of AD-943A Form to:

,
;, Beneficial Insect Introduction Laboratory
;.'~\\~~"" USDA, Agricultural ResearchServ.ice
BARC.East
Beltsville, Maryland 20705
-If Form AD-943A is used, photocopy for your records and for Receiver if requested.
RECEIVER 1. Complete blocks 19 -24, and if immediate release, complete Section III (see instruction cover sheet; use Fonn AD-943A on
reverse of cover sheet to record more details of releasesJ.
2. RetaiwReceiverCopy (Part 3).
3. Return.rem~i~!.nic~copj~s ~nd al! copies of AD-943A Form used to Shipper.
4.1f Form AD.;943A is used, photocopy for your records, or request copy from Shipper or Document~tion Center.
5. If all or part of mat~rial received is cultured for later release, use separate AD-943 forms to
record subsequent releases from these cultur~s.
Public reporting burden for this collection of inforMation is estilated to average 5 lirutes per response, including the tile for
reviewing instructions, searching existing data sources, ~thering and maintaining the data needed, and completing and
reviewing the collection of infoilation. Send coEents regarding this burden estimate or apy other aspect of this collectiq~ ?
fipfor~tion, i~luding su~stio~s for reducing this . burden, to USDA, ClearanceOfficer,OIRI1, of Information and Re~latory
Affairs, Office of HanagelRent and Budget, Wash~nglol),D'iC.; 20503..
Form AD-943 (Reverse)

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