HERD HEALTH STATUS DECLARATION FOR SHOWS & SALES
DAIRY CATTLE
Provided by Federal Council of Agricultural Societies as part of showground biosecurity and the management of animal health.
Instructions to Owners/Exhibitors:
1. Complete Part 1 of this form.
2. This form is not an interstate entry permit. However, if stock are likely to be sold or moved onwards from a show,
Part 2 be completed by your local animal health official to assist authorities prepare the necessary official
interstate movement certificates
3. This Herd Health Status form is valid for 6 months from the date of issue. The owner must notify the issuing
Government Veterinarian, Animal Health Officer of any change in herd status or other information on the form
subsequent to completion of this form.
THIS FORM IS NOT ACCEPTABLE AS AN ENTRY PERMIT TO OTHER STATES AND/OR ZONES
PART 1
OWNER/EXHIBITOR DECLARATION
TRADING NAME: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ADDRESS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .POST CODE: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PROPERTY ADDRESS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . POST CODE: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TELEPHONE: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FAX: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PROPERTY INDENTIFICATION CODE (PIC): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SALE/SHOW: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Description of cattle (attach list if necessary)
NLIS Device