Sch. 9
Livestock Disease Control Act 1994
Livestock Disease Control Regulations 2006
CERTIFICATION AND STATEMENT OF STOCK HEALTH ON LICENSED SEMEN COLLECTION PREMISES
PART A
CERTIFICATION BY VETERINARY PRACTITIONER
I, [ name of veterinary practitioner ] being a veterinary practitioner within the meaning of the Livestock Disease Control Regulations 2006, whose signature appears below,
in respect of the premises: [ name of premises if any ]
being premises located at [ address of premises ]
CERTIFY:
1. that I have, within the preceding 14 days, examined all livestock on the premises and found them to be free from evidence of infectious and contagious disease;
2. that during the past 12 months, no evidence of infectious disease has been observed in the breeding sires on the premises or in livestock bred there from those sires with the following exceptions
|
|
Number of progeny affected |
| | |
| | |
| | |
(attach a separate sheet if insufficient space)
3. that, during the 12 months ending on 31 December, no sires have been used for collection of semen for sale on the premises unless approved by the Secretary under section 55 of the Livestock Disease Control Act 1994 ;
4. that all livestock on the premises have been
re-tested with negative results, or where applicable treated in accordance
with the conditions of the licence with the exception of the following
animals, for the reasons stated
Sch. 9
|
|
Reason for the exception |
| | |
| | |
| | |
[ attach a separate sheet if insufficient space ]
Signed: [Veterinary Practitioner] Date / /
PART B
STATEMENT OF LICENSEE
I, [name of licensee] being the licensee of the premises [ name of premises] located at [address of premises ] state that to the best of my knowledge and belief, the statements made by the veterinary practitioner in Part A of this Schedule are true and correct.
Signed: Date / /
__________________