APHIS 7005 Record of Acquisition of Dogs and Cats On Hand

Animal Welfare

APHIS 7005 0392

Animal Welfare (State, Local, and Tribal Governments)

OMB: 0579-0036

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OMB APPROVED 0579-0036
Exp.: XX/XXXX

UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE

RECORD OF ACQUISITION OF DOGS AND CATS ON HAND
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.
1. RECORD FOR (“X”)

USDA LICENSE OR
REGISTRATION NUMBER

Dealer

Holding Facility (Submit copy to Dealer)

Other

Exhibitor (Dogs and Cats only)

2. NAME AND ADDRESS OF LICENSEE, REGISTRANT, OR HOLDING
FACILITY

IDENTIFICATION OF EACH ANIMAL BEING DELIVERED (See reverse for Breed Abbreviations)
A.
TATTOO OR
USDA TAG NUMBR

B.

C.

DOG

CAT
“X”
M OR 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

D.

E.

AGE OR
DATE OF
BIRTH

WT.

F.

G.

BREED OR
TYPE *
(If mixed breed,
list 2 dominant
breeds)

LAST INSPECTION (Date)

APHIS 7005
JUL 2009
INSPECTOR USE
ONLY

TOTAL NUMBER ANIMALS ENTERED
SINCE LAST INSPECTION

TO (Mo., Day, Yr.)

ACQUIRED FROM
H.

DESCRIPTION OF ANIMAL
(Color, Distinctive Marks, Hair, Tail,
Tattoos, etc.)

3. BUSINESS YEAR
FROM (Mo., Day, Yr.)

I.

J.
NAME AND ADDRESS,
USDA LICENSE OR REGISTRATION NUMBER,
OR DRIVER’S LICENSE NUMBER AND STATE,
VEHICLE LICENSE NUMBER AND STATE

DATE
ACQUIRED

COUNT TOTAL NUMBER
ANIMALS ACTUALLY ON
PREMISES

Previous edition may be used. Replaces VS 18-5 which may be used.

DIFFERENCE (+ OR -)

4. PAGE
NUMBER

DISPOSITION
K.

Date
Removed or
Sold

Date
Died or
Euthanized
(Specify)

DATE

INITIALS

BREED ABBREVIATIONS – DOGS (Column F)

Afghan Hound
Airedale Terrier
Akita
American Bull Terrier
Basenji
Basset Hound
Beagle
Bedlington Terrier
Bichon Frise
Black and Tan
Coonhound
Bluetick
Boston Terrier
Boxer
Bullmastiff
Cairn Terrier
Catahoula
Chihuahua
Chinese Crested Dog
Chow-Chow
Cocker Spaniel
Collie
Coonhound (Specify)

-

AH
AD
AK
AB
BS
BH
BE
BL
BF
BT

-

BK
BO
BX
BM
CT
CU
CA
CD
CC
CK
CL
CH

Dachshund
Dalmatian
Doberman
Elkhound
English Bulldog
English Setter
Eskimo Dog
Foxhound
Fox Terrier
French Bulldog
German Shepherd
German Short Haired
Pointer
Golden Retriever
Gordon Setter
Great Dane
Great Pyrenees
Greyhound
Husky
Irish Setter
Jack Russell Terrier
Keeshond
King Charles Spaniel

-

DH
DL
DB
EH
EB
ES
ED
FH
FT
FB
GS
SH

-

GR
GO
GD
GP
GH
HK
IS
JR
KH
KC

Komondor
Labrador Retriever
Lhasa Apso
Malamute
Mastiff
Maltese
Miniature Pinscher
Newfoundland
Old English Sheepdog
Pekingese
Pomeranian
Poodle
Pug
Redbond Coonhound
Rhodesian Ridgeback
Rottweiler
Saint Bernard
Samoyed
Schipperkee
Schnauzer
Scottish Terrier
Shar-pei
Shetland Sheepdog

BREED ABBREVIATIONS – CATS (Column F)

Abyssinian
Burmese
Domestic Long Hair
Domestic Short Hair
Himalayan
Maine Coon

APHIS 7005 (REVERSE)
JUL 2009

-

AB
BU
DL
DS
HM
MC

Manx
Persian
Russian Blue
Rex
Siamese
Other (Specify)

-

MX
PR
RB
RE
SI

-

KM
LR
LA
MM
MA
MT
MP
NF
OE
PK
PM
PO
PU
RB
RR
RW
SB
SM
SK
SN
SC
SP
SS

Shih-tzu
Silky Terrier
Spitz
Springer Spaniel
Staffordshire Bull
Terrier
Walker
Weimaraner
Welsh Corgi
Whippet
Yorkshire Terrier
Other (Specify)

-

SI
ST
SZ
SR
SA

-

WK
WI
WC
WH
YT

TYPE (Column F)

Hound Crossbreed
Terrier Crossbreed
Shepherd Crossbreed
Spaniel Crossbreed

-

HX
TX
SX
PX


File Typeapplication/pdf
File TitleAccording to the paperwork reduction Act of 1995, no persons are required to
AuthorGovernment User
File Modified2015-03-31
File Created2014-02-25

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