VSLS Goat RSSS Collection Worksheet Circle

VSLS Goat RSSS_Collection_worksheet_Circle choice.pdf

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

VSLS Goat RSSS Collection Worksheet Circle

OMB: 0579-0101

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GOAT RSSS WORKSHEET -- (circle choices)
RSSS Collection Site Name:
Collection Site SNGD Premises Number:
Total Number of Mature Goats Slaughtered Today:
Number of Goats Slaughtered Today with Official ID:

Collection Date:
Collector’s Name:

Total Heads Sampled Today:

12.01.2022 Version

Designation (circle
Jar #

UPC Barcode

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

Goat Type

that apply)

Dairy
Fiber
Meat
Multi-purp

Gender

Age

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)

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

Dairy
Fiber
Meat
Multi-purp

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)

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

Dairy
Fiber
Meat
Multi-purp

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/ID Type (If herd ID,
enter as Herd ID_(underscore)
and animal ID. Example:
XX1234_3456)
Official ID:
#
Circle Type: Official ID/types
Herd ID
Herd ID (SFCP)
Official Herd ID tattoos
Serial -- metal
Serial -- plastic
RFID
Backtag
Premises
Official ID:
#
Circle Type: Official ID/types
Herd ID
Herd ID (SFCP)
Official Herd ID tattoos
Serial -- metal
Serial -- plastic
RFID
Backtag
Premises

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

Other IDs
and ID types (write in
type)

Jar #

UPC Barcode

Designation (circle
first designation that
applies)

Clinical Signs (circle all
that apply)

Goat Type

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

Dairy
Fiber
Meat
Multi-purp

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

Dairy
Fiber
Meat
Multi-purp

Gender

Age

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)

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)

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

Dairy
Fiber
Meat
Multi-purp

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

Dairy
Fiber
Meat
Multi-purp

Female
Male
MC
Unk

Female
Male
MC
Unk

Official ID/ID Type (If herd
ID,
enter
as
herd
ID_(underscore) and animal
ID. Example:
XX1234_3456)
Official ID:
#
Circle Type: Official
ID/types
Herd ID
Herd ID (SFCP)
Official Herd ID tattoos
Serial -- metal
Serialplastic
RFID
Backtag
Premises
Official ID:
#
Circle Type: Official
ID/types
Herd ID
Herd ID (SFCP)
Official Flock ID tattoos
Serial -- metal
Serial plast
RFID
Backtag
Premises

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

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

Herd ID
Herd ID (SFCP)
Official Herd ID tattoos
Serial -- metal
Serialplastic
RFID
Backtag
Premises

Herd ID
Herd ID (SFCP)
Official Herd ID tattoos
Serial -- metal
Serialplastic
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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