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APPLICATION FOR ALLOCATION OF A TATTOO BRAND

Livestock Disease Control Act 1994

Livestock Disease Control Regulations 2006

OFFICE USE ONLY
3

To: Project Officer Livestock Identification

DEDJTR, PO BOX 2500

BENDIGO DELIVERY CENTRE VIC 3554

Or fax completed form to: 03 5430 4505

In accordance with the Livestock Disease Control Regulations 2006, I apply for a tattoo brand for pigs kept on the property listed below.

1. Name of Pig Owner:

Address:

Telephone No:

2. Name of Property Owner:

Address:

Telephone No: .

3. Name and address to which notices should be sent: .

4. Location of Property:

Property / Road / Location Government Area (Shire, etc) / Parish & Section / Allotments / Rate Assessment Number
A
B
C

5. Name of owner of pigs previously kept on this property:

6.  Previous pig tattoo brand issued for this property (if any):

7.  Please provide the Property Identification Code (PIC or “tail tag number”) that applies to this property (if any):

8. Number of pigs on this property:

Females Boars

Others Total

9. Estimated number of pigs sent to saleyards or abattoirs each year:

Signature: Date:

INSTRUCTIONS FOR COMPLETING THIS FORM

Number of applications required:

Situation / Number of Applications
When pigs are kept on one property / one application
When pigs are kept on more than one property, but the properties are run as a single unit / one application
When pigs are kept on more than one property, but the properties are run as separate units / one application per property

Explanatory Notes

Section number on Application Form / Explanatory Notes
1. / Insert company or trading name if applicable.
2. / Insert name of property owner, irrespective of who owns the pigs.
3. / Insert name and address of the person to whom notices should be sent.
4. / This information is usually available on your rate notice or may be obtained from your local shire office. Fill in home block in Property “A” and outlying blocks in Properties “B” and “C”, if applicable.
5. / Insert name of owner of pigs previously kept on property, if applicable.
6. / Insert previous tattoo brand issued for this property, if applicable.
7. / Insert the Property Identification Code (PIC or “tail tag” number) issued for this property, if applicable.
8. / Insert the numbers of pigs currently running on the property.
9. / Estimate the number of pigs dispatched for sale or slaughter each year.

Application for Allocation of a Tattoo Brand Page 1 of 2 Version: 19 October 2016 Printed: 10/21/2016 1:41:55 PM