www.agriculture.az.gov
DOUGLAS A. DUCEY
Governor
MARK W. KILLIAN
Director
Arizona Department of Agriculture
1688 W. Adams Street, Phoenix, Arizona 85007
(602) 542-4293 Fax: (602) 542-4290
Arizona Flock ID Application
For Sheep and Goats
Producer/Contact Name: __________________________________________
Farm Name: _____________________ ___
Mailing Address: ___
City: _____________________________State:________________ Zip Code: ___________
Physical Address: ___
City: _____________________________State:________________ Zip Code: ___________
County: ______________________ GPS Coordinates (if applicable): ___
Phone: _______________________________________Email:______________________________________
Indicate the type(s) and numbers of the following livestock present at the above location (check all that apply):
SHEEP:
Breeder ________________ (Please Circle: Black Face or White Face)
Dairy __________________
Other __________________ (Please specify: FFA/4-H groups/hobby)
Interested in being contacted about Arizona’s Sheep Genotyping Program (Please Circle: YES or NO)
GOATS:
Breeder ________________
Dairy __________________
Other __________________ (Please specify/ FFA/4-H groups/hobby)
Previously Issued National Premises ID and/or Arizona Flock ID Number: ________________________
Issued Breed Association Herd Number: _______________________________
Owner’s Signature: ___________________________________________Date______________________
Applications can be faxed to 602-542-4290, emailed to cvi@azda.gov, or mailed to:
Arizona Department of Agriculture
Attn: State Vet’s Office
1688 W. Adams
Phoenix, AZ 85007
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