VS 9-12A Grower Contract Worksheets - Layers (Continuation Sheet)

Conditions for Payment of Highly Pathogenic Avian Influenza Indemnity Claims

VS 9-12a JAN 2016

State

OMB: 0579-0440

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United States Department of Agriculture
Animal and Plant Health Inspection Service
Veterinary Services

OMB Approved
0579-XXXX
Exp.: XX/XXXX

Grower Contract Worksheet – Layers
(Continuation Sheet)

Premises ID where birds are located:

Barn or Flock Number

VS FORM 9-12a
JAN 2016

Bird Placement
Date

Average Daily
Egg
Production

Date through
which eggs
have been
reimbursed

Amount expected
for eggs
produced since
last payment

Process used to determine expected contract
payment (e.g., price per bird and average load
out numbers, flat rate, average of last flocks,
etc.)


File Typeapplication/pdf
AuthorHardy, Kimberly A - APHIS
File Modified2016-01-20
File Created2016-01-20

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