2009 - 2010 WIU Bull Test Health Protocol Form

 

Name ___________________________________________________________________

 

Address _________________________________________________________________

 

City ____________________________________ State__________ Zip Code______________

 

Phone_______________________________  E-mail______________________________

                                                Bull #1                                    Bull #2                                    Bull #3                        Bull #4

 

Tag No.                                    _________                  _________                  _________      _________

 

Registration Tattoo                    _________                  _________                  _________      _________     

 

Birth Date                                 _________                  _________                  _________      _________

 

Birth Weight                             _________                  _________                  _________      _________

 

Date Weaned                            _________                  _________                  _________      _________

 

Weaning Weight                        _________                  _________                  _________      _________

 

Vaccinations (in addition to the Merial SureHealth program certificate):

 

Haemophyllis somnus (2 doses) _________                   _________                  _________      _________

Leptospirosis (5-way)                _________                  _________                  _________      _________

Vibrio                                       _________                  _________                  _________      _________

Anaplasmosis blood test             _________                  _________                  _________      _________

Johne’s test (see enclosed entry letter for information on the requirements for the Johne’s test)

                                                _________                  _________                  _________      ________

 

            I hereby certify that the above has been performed on the bulls listed. I have examined the bull(s) and found him (them) free of infection, contagious diseases, external parasites, warts, ringworm and mange.

 

Veterinarian name________________________________________________

 

Clinic name_________________________________________   Phone ____________________________

 

Address ___________________________________________

 

City ____________________________________ State______ Zip Code______________

 

 

 

Signature ____________________________________________________  Date____________

 

Bring this completed form, blood test results, SureHealth certificate, and genetic defect documentation when delivering your bull.

 

Note:  Illinois now requires out of state animals to have a permit number on the health certificate for entry into Illinois.  Your veterinarian can obtain this permit number by calling the Illinois Department of Agriculture at their 24-hour number 217/782-4944.