VS 4-7 Agreement for Complete Herd Depopulation - Brucellosis

Brucellosis Program

4-7

Brucellosis Program - Business

OMB: 0579-0047

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UNITED STATES DEPARTMENT AGRICULTURE

ANIMAL AND PLANT HEALTH INSPECTION SERVICE

VETERINARY SERVICES


AGREEMENT FOR COMPLETE HERD DEPOPULATION - BRUCELLOSIS

NAME AND ADDRESS OF HERD OWNER











species

TOTAL NO. ANIMALS IN HERD

NO. EXPOSED NONREACTORS

TO BE DESTROYED



DESCRIPTION OF NONREACTOR ANIMALS


Description is on attached fully completed VS Form 4-33 or 33A, giving identification eartag, breed, sex, age, and reactor eartag.


AGREEMENT

Within 15 days, unless an extension of time is specifically granted, I agree to the destruction of all animals and spayed heifers which are a part of the infected herd and are identified herein. (Steers and spayed heifers may be retained for feeding purposes if approved by the Veterinarian in charge.) I understand Federal indemnity will be paid for all animals except steers and spayed heifers. Cleaning and disinfection of the premises will be completed within 15 days of removal of last eligible animals. Restocking of the premises will be delayed until at least 30 days have elapsed from the date of completion of disinfection.


SIGNATURE OF OWNER




DATE SIGNED



I have explained depopulation procedures for herds affected with brucellosis and have witnessed the owner’s signature.


SIGNATURE OF FEDERAL VETERINARIAN




DATE SIGNED



VS FORM 4-7

APR 2009

File Typeapplication/msword
File TitleAccording to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond
AuthorKhbrown
Last Modified ByKhbrown
File Modified2009-04-14
File Created2009-04-14

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