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Vaccination Forms – Cattle

 
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Online Cattle Vaccination Form

Please fill in the information below. When you are finished, double check your information and then click on “Send” at the bottom of the form to send your information to CLA.

CENTENNIAL LIVESTOCK AUCTION
Vaccination Form – Cattle
Boxes marked with an asterisk (*) are required.
Consigner*: Date*:
Phone*: Cell Phone*:
Email*:
Street Address:
City/State/Zip:
Auction Date*: Arrival Date*:
Livestock:
Steer Head Count: Heifer Head Count:
Dehorned:  Yes No Castrated:  Yes No
Banded:  Yes No  
Provide adequate nutrition including minerals and trace mineral:  Yes No
Implants:      
Implants?  Yes No
Product:
When:
 
Brand: Location:
Level One:
Date Completed:
Four-way Virus Vaccine for IBR PI3 BVD, BRSV:
Seven way Clostridial + Haemophilus Somnus:
Pasteurella Vaccine :
External & Internal Parasite Control Administered:  Product used
Use subcutaneous injection if permitted on label to reduce injection blemishes.  Administer all shots in the neck area or as label directs. Vaccines were administered according to label directions.
Date Completed:
Level Two:
All Level 1 requirements met and documented. Administered booster shots at least 14 days prior to auction.
Date Completed:
Four Way Virus Vaccine for IBR BVD PI3 BRSV booster shot:
Seven way Clostridial + Haemophilus Somnus
Where Administered on animal:
WEANED date weaning began on:
Level Three:
All Level 2 requirements met and documented.  Weaned a minimum of 30 days.
Date Completed:
Certification:
I certify that I have owned these calves or yearlings and have been in the USA for at least 45 days.
I certify that the cattle described on this form meet the recommendations and requirements of the CLA Vaccination Program and that all of the information on this form is true and accurate.  I agree to indemnify CLA against all claims and expenses, including reasonable attorney fees that arise as results of this certification.
Check box to agree  I Agree
       
Other Comments:
   
 
   



Vaccination Forms – Cattle

Centennial Livestock Auction Vaccination Program

113 N W Frontage Road    Fort Collins CO  80524-9294

Office 970-482-6207      Fax  970-416-7302

Consignor/Owner:___________________________________Date:__________

Address: ________________________________________________________

City, State, Zip: ___________________________________________________

Phone Number    (        ) ________________  Cell (       ) _________________

Date of Auction: _______________Arrival Date__________________________

Livestock: _______________Steers _________________________Heifers

Dehorned (Please circle)         Yes           No

Castrated    (Please circle)       Yes           No     Banded (Please circle)        Yes     No

Provide adequate nutrition including minerals and trace mineral (Please circle)  Yes   No

Implants:   Yes _____No ________Product:_______________ When__________

Brand                                                        Location: _________________________

________________________

LEVEL ONE – Date completed: ______________________________________

Four-way Virus Vaccine for IBR PI3 BVD, BRSV: _____________________________________

Seven way Clostridial + Haemophilus Somnus:__________ _____________________________

Pasteurella Vaccine : ____________________________________________________________

External & Internal Parasite Control Administered:  Product used_________________________

Use subcutaneous injection if permitted on label to reduce injection blemishes.  Administer

all shots in the neck area or as label directs. Vaccines were administered according to label

directions.   Date Completed:______________________________________________________

LEVEL TWO – Date completed: ______________________________________

All Level 1 requirements met and documented…

Administered booster shots at least 14 days prior to auction.

Four Way Virus Vaccine for IBR BVD PI3 BRSV booster shot____________________________

Seven way Clostridial + Haemophilus Somnus_________________________________________

Where Administered on animal: ____________________________________________________

WEANED date weaning began on: _____________________________________

LEVEL THREE – Date Completed:_______________________________________________

All Level 2 requirements met and documented.  Weaned a minimum of 30 days.

Certification: I certify that I have owned these calves or yearlings and have been

in the USA for at least 45 days.

Owner’s signature:________________________Date:____________

I certify that the cattle described on this form meet the recommendations and requirements of the

CLA Vaccination Program and that all of the information on this form is true and accurate.  I agree

to indemnify CLA against all claims and expenses, including reasonable attorney fees that arise

as results of this certification.


 Posted by at 2:32 am
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