VSLS Sheep RSSS Collection Worksheet Circle

VSLS Sheep RSSS_Collection_worksheet_Circle choice.pdf

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

VSLS Sheep RSSS Collection Worksheet Circle

OMB: 0579-0101

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SHEEP RSSS WORKSHEET -- (circle choices)

Page 1 of

RSSS Collection Site Name:

Collection Date:

Collection Site SNGD Premises Number:

Collector’s Name:

Total Number of Mature Sheep Slaughtered Today:
Number of Sheep Slaughtered Today with Official ID:

12.02.22
Version

Total Heads Sampled Today:

Designation (circle
Jar #

UPC Barcode

Face
Color

first designation that
applies)

Clinical Signs (circle all

Non-Clinical
Less spec. clin.
signs--LIST SIGNS
Suspect
Known exposed
SFCP
Directed by Reg Epi

CNS
Rubbing/abrasions/bare
areas
Unthrifty
Nonambulatory
Less specific signs
Died before slaughter
Condemned

Black
White
Mottled
Red
Hair
Grey
Brown
Other
Unk

Non-Clinical
Less spec. clin.
signs--LIST SIGNS
Suspect
Known exposed
SFCP
Directed by Reg Epi

CNS
Rubbing/abrasions/bare
areas
Unthrifty
Nonambulatory
Less specific signs
Died before slaughter
Condemned

Non-Clinical
Less spec. clin.
signs--LIST SIGNS
Suspect
Known exposed
SFCP
Directed by Reg Epi

that apply)

CNS
Rubbing/abrasions/bare
areas
Unthrifty
Nonambulatory
Less specific signs
Died before slaughter
Condemned

Estimated
% Black (if
mottledface)

Gender

Age

>40%
10-40%
1-10%
<1%
Unk

Female
Male
MC
Unk

12-<18 mos
18-<24 mos
2yr
3yr
4yr
5 yr (full mouth)
6-7yr (full mouth
moderate cond)

Black
White
Mottled
Red
Hair
Grey
Brown
Other
Unk

>40%
10-40%
1-10%
<1%
Unk

Female
Male
MC
Unk

12-<18 mos
18-<24 mos
2yr
3yr
4yr
5 yr (full mouth)
6-7yr (full mouth
moderate cond)

Black
White
Mottled
Red
Hair
Grey
Brown
Other
Unk

>40%
10-40%
1-10%
<1%
Unk

Official ID:
#
Circle Type: Official ID/types
Flock ID
Flock ID (SFCP)
Official Flock ID tattoos
Serial -- metal
Serial -- plastic
8yr (broken mouth) RFID
Backtag
Premises

8yr (broken mouth)

Female
Male
MC
Unk

Official ID/ID Type (If flock ID,
enter as Flock ID_(underscore)
and animal ID. Example:
XX1234_3456)

12-<18 mos
18-<24 mos
2yr
3yr
4yr
5 yr (full mouth)
6-7yr (full mouth
moderate cond)
8yr (broken mouth)

Official ID:
#
Circle Type: Official ID/types
Flock ID
Flock ID (SFCP)
Official Flock ID tattoos
Serial -- metal
Serial -- plastic
RFID
Backtag
Premises

Official ID:
#
Circle Type: Official ID/types
Flock ID-with animal #
Flock ID-without animal #
Flock ID (SFCP)
Official Flock ID tattoos
Serial -- metal
Serial -- plastic
RFID
Backtag
Premises

Other IDs
and ID types (write in
type)

RSSS WORKSHEET – (circle choices - continuation sheet)

Jar #

UPC Barcode

Designation (circle
first designation that
applies)

Estimated
% Black (if
mottledface)
Gender

Page

of

Official ID/ID Type (If flock ID,
enter as Flock ID_(underscore)
and animal ID. Example:
XX1234_3456)

Clinical Signs (circle all
that apply)

Face
Color

Non-Clinical
Less spec. clin.
signs--LIST SIGNS
Suspect
Known exposed
SFCP
Directed by Reg Epi

CNS
Rubbing/abrasions/bare
areas
Unthrifty
Nonambulatory
Less specific signs
Died before slaughter
Condemned

Black
White
Mottled
Red
Hair
Grey
Brown
Other
Unk

>40%
10-40%
1-10%
<1%
Unk

Female
Male
MC
Unk

12-<18 mos
18-<24 mos
2yr
3yr
4yr
5 yr (full mouth)
6-7yr (full mouth
moderate cond)
8yr (broken mouth)

Official ID:
#
Circle Type: Official ID/types
Flock ID
Flock ID (SFCP)
Official Flock ID tattoos
Serial -- metal
Serial -- plastic
RFID
Backtag
Premises

Non-Clinical
Less spec. clin.
signs--LIST SIGNS
Suspect
Known exposed
SFCP
Directed by Reg Epi

CNS
Rubbing/abrasions/bare
areas
Unthrifty
Nonambulatory
Less specific signs
Died before slaughter
Condemned

Black
White
Mottled
Red
Hair
Grey
Brown
Other
Unk

>40%
10-40%
1-10%
<1%
Unk

Female
Male
MC
Unk

12-<18 mos
18-<24 mos
2yr
3yr
4yr
5 yr (full mouth)
6-7yr (full mouth
moderate cond)

Official ID:
#
Circle Type: Official ID/types
Flock ID
FFlock ID (SFCP)
Official Flock ID tattoos
Serial -- metal
Serial -- plastic
RFID
Backtag
Premises

Age

8yr (broken mouth)

Non-Clinical
Less spec. clin.
signs--LIST SIGNS
Suspect
Known exposed
SFCP
Directed by Reg Epi

CNS
Rubbing/abrasions/bare
areas
Unthrifty
Nonambulatory
Less specific signs
Died before slaughter
Condemned

Black
White
Mottled
Red
Hair
Grey
Brown
Other
Unk

>40%
10-40%
1-10%
<1%
Unk

Female
Male
MC
Unk

12-<18 mos
18-<24 mos
2yr
3yr
4yr
5 yr (full mouth)
6-7yr (full mouth
moderate cond)
8yr (broken mouth)

Official ID:
#
Circle Type: Official ID/types
Flock ID
Flock ID (SFCP)
Official Flock ID tattoos
Serial -- metal
Serial -- plastic
RFID
Backtag
Premises

Non-Clinical
Less spec. clin.
signs--LIST SIGNS
Suspect
Known exposed
SFCP
Directed by Reg Epi

CNS
Rubbing/abrasions/bare
areas
Unthrifty
Nonambulatory
Less specific signs
Died before slaughter
Condemned

Black
White
Mottled
Red
Hair
Grey
Brown
Other
Unk

>40%
10-40%
1-10%
<1%
Unk

Female
Male
MC
Unk

12-<18 mos
18-<24 mos
2yr
3yr
4yr
5 yr (full mouth)
6-7yr (full mouth
moderate cond)
8yr (broken mouth)

Official ID:
#
Circle Type: Official ID/types
Flock ID
Flock ID (SFCP)
Official Flock ID tattoos
Serial -- metal
Serial -- plastic
RFID
Backtag
Premises

Other IDs
and ID types (write in type)


File Typeapplication/pdf
Authorabutler
File Modified2022-12-28
File Created2022-12-02

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