VS 5-18 Record of Animals Moved

Scrapie in Sheep and Goats; Interstate Movement Restrictions and Indemnity Program

VS 5-18 Dec 2011

State, Local, or Tribal Government

OMB: 0579-0101

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According to the Paperwork Reduction Act of 1995, Dn DJHQF\PD\QRWFRQGXFWRUVSRQVRU aQGLVQRW required to respond to a collection of
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existing data sources, gathering and maintainingthe data needed, and completing and reviewing the collection of information.

1. FLOCK NAME/CONTACT AND ADDRESS
2. FLOCK ID NO.
U.S. DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
VETERINARY SERVICES

RECORD OF ANIMALS MOVED
3. ANIMALS REMOVED SINCE LAST INSPECTION (LEGEND: E=Eartag, I=Implant, T=Tattoo, O=Other)
ANIMAL IDENTIFICATION

DATE
REMOVED

Official ID and
Specify Type

Other - Specify

DISPOSITION
(Include name, address, and telephone no.)

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VS FORM 5-18
DEC 2011

(Previous editions are obsolete.)

REMARKS


File Typeapplication/pdf
File TitleInForms - vs5-18.wpf
Authorkastratchko
File Modified2011-12-13
File Created2008-04-09

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