VS 1-27A Continuation Sheet for Permit for Movement of Restricted

HPAI: Testing, Surveillance, and Reporting of HPAI in Livestock; Dairy Herd Certification

VS 1-27A SEP 1991-ICR-FIL-508-RE

OMB: 0579-0494

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valid OMB control number. The valid OMB control numbers for this information collection are 0579-0047, 0579-0065, 0579-0101, 0579-0127, 0579-0146, 0579-0338, and 0579-0393.
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UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
VETERINARY SERVICES

OMB APPROVED
0579-0047, 0065, 0101,
0127, 0146, 0338, and 0393

PERMIT FOR MOVEMENT OF ANIMALS
CONTINUATION SHEET

PAGE
OF

USE A SEPARATE FORM FOR EACH SPECIES

1. NAME AND ADDRESS OF SHIPPER OR COSIGNOR (include Zip Code)

OF VS Form 1-27

No.

3. MOVED FROM (Name and location of premise if other than item 1)
2. CONSIGNEE (Destination Name and Address include Zip Code)

4. NAME AND ADDRESS OF OWNER AT TIME CONDITION DIAGNOSED

VALID ONLY FOR ABOVE DESTINATION
EAR TAG NO.

BREED

SEX

A

B

C

VS Form 1-27A
SEP 1991

DISEASE
BRAND
D

ANIMALS TO BE MOVED

OTHER IDENTIFICATION
(Complete No.)
E

EAR TAG NO.

BREED

SEX

A

B

C

DISEASE
BRAND
D

OTHER IDENTIFICATION
(Complete No.)
E


File Typeapplication/pdf
File TitleVS Form 1-27A Permit for Movement of Animals continuation sheet
AuthorParis, Toni M - APHIS (APHIS-IMB)
File Modified2024-04-10
File Created2020-03-12

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