Form 9-3 "Report of Sales of Hatching Eggs, Chicks, and Poults"

Form 9-3 or the "Report Of Sales Of Hatching Eggs, Chicks, And Poults" is a form issued by the U.S. Department of Agriculture - Animal and Plant Health Inspection Service.

Download a PDF version of the Form 9-3 down below or find it on the U.S. Department of Agriculture - Animal and Plant Health Inspection Service Forms website.

ADVERTISEMENT

Download Form 9-3 "Report of Sales of Hatching Eggs, Chicks, and Poults"

897 times
Rate
4.8(4.8 / 5) 54 votes
This report is required by certain states for the interstate shipment of poultry
See reverse side for additional OMB
FORM APPROVED -
products. Failure to report may result in non-acceptance of shipment.
information.
OMB NO. 0579-0007
REPORT NO.
UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
NATIONAL POULTRY IMPROVEMENT PLAN
1. DATE OF SHIPMENT
REPORT OF SALES OF HATCHING EGGS, CHICKS, AND POULTS
2. NAME & ADDRESS OF PURCHASER (Include zip code)
3. NAME & ADDRESS OF PRODUCER OR SHIPPER (Include zip code)
NATIONAL POUL TRY IMPR OVEMENT PL AN
6. PRODUCT
7. SEX
8. TYPE (Intended use)
9. CLASSIFICATION - U.S.
OTHER
Primary
Commercial
Multiplier
5. VARIETY,
Breeding
( Specify)
Production
Breeding
Stock
Stock
Stock
4. QUAN-
STRAIN,
OR TRADE
TITY
NAME
10. REMARKS (Services performed on products in shipment, e.g.; vaccination, debeaking, dubbing, etc., but not necessarily certified by a State Inspector.)
11. SIGNATURE OF STATE INSPECTOR
12. DATE
This is to certify that the above name producer or shipper is participating
in the National Poultry Improvement Plan.
This report is required by certain states for the interstate shipment of poultry
See reverse side for additional OMB
FORM APPROVED -
products. Failure to report may result in non-acceptance of shipment.
information.
OMB NO. 0579-0007
REPORT NO.
UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
NATIONAL POULTRY IMPROVEMENT PLAN
1. DATE OF SHIPMENT
REPORT OF SALES OF HATCHING EGGS, CHICKS, AND POULTS
2. NAME & ADDRESS OF PURCHASER (Include zip code)
3. NAME & ADDRESS OF PRODUCER OR SHIPPER (Include zip code)
NATIONAL POUL TRY IMPR OVEMENT PL AN
6. PRODUCT
7. SEX
8. TYPE (Intended use)
9. CLASSIFICATION - U.S.
OTHER
Primary
Commercial
Multiplier
5. VARIETY,
Breeding
( Specify)
Production
Breeding
Stock
Stock
Stock
4. QUAN-
STRAIN,
OR TRADE
TITY
NAME
10. REMARKS (Services performed on products in shipment, e.g.; vaccination, debeaking, dubbing, etc., but not necessarily certified by a State Inspector.)
11. SIGNATURE OF STATE INSPECTOR
12. DATE
This is to certify that the above name producer or shipper is participating
in the National Poultry Improvement Plan.
VS FORM 9-3
(Previous editions are obsolete.)
(DEC 2005)
PART 1 - To Accompany Shipment
ADVERTISEMENT
Fill PDF online
Page of 2