VSLS Goat RSSS Collection Worksheet Fill-in

GOAT RSSS WORKSHEET – (blank fields)

Page 1 of

RSSS Collection Site Name:
Collection Site SNGD Premises Number:

Collection Date:
Collector’s Name:

Total Number of Mature Goats Slaughtered Today:
Number of Goats Slaughtered Today with Official ID:
Total Heads Sampled Today:
Jar #

UPC Barcode

12.02.22 Version

Goat Type
Designation
1. Non-Clinical
2. Less spec. clin.
Signs - LIST SIGNS
3. Suspect
4. Known exposed
5. SFCP
6. Directed by
Reg Epi

Clinical Signs
1. CNS
2. Rubbing/abrasions
/bare areas
3. Unthrifty
4. Nonambulatory
5. Less specific signs
6. Died before slaughter
7. Condemned

Dairy
Fiber
Meat
Multi-purp

Gender
Female
Male
NM
Unk

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

Official ID/types
Herd ID
Herd ID (SFCP)
Official Herd ID tattoos
Serial -- metal
Serial -- plastic
RFID
Backtag
Premises

Other IDs
and ID types (write in type)

GOAT RSSS WORKSHEET – (blank fields - continuation sheet)
Jar #

Page

of

Age

UPC Barcode

Goat Type
Designation
1. Non-Clinical
2. Less spec. clin.
Signs - LIST SIGNS
3. Suspect
4. Known exposed
5. SFCP
6. Directed by Reg
Epi

Clinical Signs
1. CNS
2. Rubbing/abrasions
/bare areas
3. Unthrifty
4. Nonambulatory
5. Less specific signs
6. Died before slaughter
7. Condemned

Dairy
Fiber
Meat
Multi-purp

Gender
Female
Male
NM
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/types
Herd ID
Herd ID (SFCP)
Official Herd ID tattoos
Serial -- metal
Serial -- plastic
RFID
Backtag
Premises

Other IDs
and ID types (write in type)