APHIS 7020 Record of Acquisition, Disposition, or TRansport of Anim

Animal Welfare

APHIS 7020 JUN 2012

Animal Welfare (Private Sector)

OMB: 0579-0036

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UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE

1. INVOICE NUMBER

RECORD OF ACQUISITION, DISPOSITION OR TRANSPORT OF ANIMALS
(Other Than Dogs and Cats)
SALE
EXCHANGE OR TRANSFER
DONATION
This record is required by law (7 U.S.C. 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 year, or a fine of not more than $1,000, or both.

OMB APPROVED
0579-0036
0579-0093

2. PAGE

3. DATE OF DISPOSITION

4. DEALER’S LICENSE NUMBER

INSTRUCTIONS: Complete applicable items 1 through 13. Original and one copy to accompany animals. When delivery is made – Items 14 through 20 must be completed by Buyer
(Receiver) and copy one returned to Dealer (Seller or Donor). Copy two to be retained by Dealer (Seller or Donor). Attach Continuation Sheet (APHIS Form 7020A), as needed.
5. SELLER OR DONOR (Name and Address, include ZIP Code)

6. BUYER OR RECEIVER (Name and Address, include ZIP Code)

7. USDA LICENSE NUMBER (If any)

8. IDENTIFICATION OF ANIMALS BEING DELIVERED
A.

B.

CONTAINER
TAG NUMBER,
CRATE OR
PEN NUMBER

NUMBER
ANIMALS

C.
PREVIOUS
INVOICE
NUMBER
(if any)

9. DELIVERY BY (“X” one)

D.

E.

INDIVIDUAL
IDENTIFICATION
TATTOOS, TAG
NUMBERS
(if applicable)

SPECIES

AGE - SEX
G.

F.

NUMBER
YOUNG

H.

NUMBER
ADULT

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

RECEIVER’S USE
REMARKS
(Condition, etc.)

EST.
WEIGHT
(lbs.)

DELIVERY BY COMMERCIAL CARRIER
10. TRUCK LICENSE NUMBER

Dealer’s Truck
(Seller or Donor)
12. NAME AND ADDRESS OF COMPANY OR FIRM (Include ZIP Code)

I.

J.

K.

11. BILL OF LADING NUMBER

Buyer’s Truck

13. NAME AND ADDRESS OF TRUCK DRIVER (Include ZIP Code)

DELIVERY RECEIPT – TO BE COMPLETED BY BUYER OR RECEIVER
14. ANIMALS DELIVERY WERE (“X” one)
IN APPARENT GOOD CONDITION
15. TOTAL NUMBER RECEIVED
18. BY (Signature)

APHIS FORM 7020
JUL 2012

POOR CONDITION
16. NUMBER DEAD
19. TITLE

REJECTED (Attach explanation for rejection)
17. NUMBER ALIVE
20. DATE


File Typeapplication/pdf
File TitleAccording to the paperwork reduction Act of 1995, no persons are required to
AuthorGovernment User
File Modified2015-03-31
File Created2014-01-30

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