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- Form CF.ACC.47 "Deceased Animal Disposition Form" - Alabama
Form CF.ACC.47 "Deceased Animal Disposition Form" - Alabama
What Is Form CF.ACC.47?
This is a legal form that was released by the Alabama Department of Agriculture and Industries - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.
Form Details:
- Released on November 1, 2010;
- The latest edition provided by the Alabama Department of Agriculture and Industries;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CF.ACC.47 by clicking the link below or browse more documents and templates provided by the Alabama Department of Agriculture and Industries.
![Form CF.ACC.47 "Deceased Animal Disposition Form" - Alabama](https://data.templateroller.com/pdf_docs_html/1786/17866/1786680/page_1_thumb.png "Form CF.ACC.47 "Deceased Animal Disposition Form" - Alabama")
1Deceased Animal Disposition Form
Auburn Case # (Lab Use Only)
Mammal
UPS/FedEx
Thompson Bishop Sparks State Diagnostic Laboratory
___
Cattle/ Bovine BO
PO Box 2209
Courier Address:
____Goat/ Caprine CP
Auburn, Alabama 36831‐2209
890 Simms Road
____Horse/ Equine EQ
Phone 334‐844‐4987 / Fax 334‐844‐7206
Auburn, AL 36830
____Sheep/ Ovine OV
Vet License/Account #
Submitter
Date (Lab Use)
____Pig /Porcine PO
____Dog/ Canine CA
____Cat/ Feline FE
____Deer/ Cervid CV
Address
___Mammal, Other MO
Charge N/C Paid:
Avian
____Chicken/ AC
Mail UPS FedEx Bus
City/State Zip
____Turkey AT
Veterinarian Owner Other
___Quail AQ
____Raptor AR
County (animal origin)
Phone
Fax
Assignments
____Psittacine AP
____Avian, Other AO
(Lab Use)
Veterinarian/ Researcher (if applicable) Phone #
Specimen
Disposal
_____Carcass
Address / Organization
_____Tissue
Requests (Lab Use)
Animal Name / ID
Continued on back
Clinic Case # Owner Name
Add'l info attached
Breed
Animals submitted for final disposition must be completely
identified. This form must be completed and signed.
Sex
1. One animal per form or attach multiple animal listing form.
2. Remove all collars, medical bandages, personal material from or
Cause of death
with the body, such as blankets or toys.
3. Fully identify the animal, including any clinical case number.
Color/ Markings
I, the undersigned,
certify that I am the owner (or duly authorized agent for the
owner) of the animal described to the right and that I request
final disposition of the body of the animal
certify that to the best of my knowledge, the animal has not
bitten any person or animal during the last ten (10) days, and has
not been exposed to rabies; and
I understand that animal remains WILL NOT be returned
I request certification of final disposition ($10 additional fee)
Owner/ Authorized Agent Signature
Date
____
Weight
I certify that the animal described above was disposed of by:
alkaline hydrolysis
______ incinerator
______ renderer
______ other
Date of Disposition
Attendant
CF.ACC.47 Deceased Animal Form KLF November 2010 Page 1 of 1
Deceased Animal Disposition Form
Auburn Case # (Lab Use Only)
Mammal
UPS/FedEx
Thompson Bishop Sparks State Diagnostic Laboratory
___
Cattle/ Bovine BO
PO Box 2209
Courier Address:
____Goat/ Caprine CP
Auburn, Alabama 36831‐2209
890 Simms Road
____Horse/ Equine EQ
Phone 334‐844‐4987 / Fax 334‐844‐7206
Auburn, AL 36830
____Sheep/ Ovine OV
Vet License/Account #
Submitter
Date (Lab Use)
____Pig /Porcine PO
____Dog/ Canine CA
____Cat/ Feline FE
____Deer/ Cervid CV
Address
___Mammal, Other MO
Charge N/C Paid:
Avian
____Chicken/ AC
Mail UPS FedEx Bus
City/State Zip
____Turkey AT
Veterinarian Owner Other
___Quail AQ
____Raptor AR
County (animal origin)
Phone
Fax
Assignments
____Psittacine AP
____Avian, Other AO
(Lab Use)
Veterinarian/ Researcher (if applicable) Phone #
Specimen
Disposal
_____Carcass
Address / Organization
_____Tissue
Requests (Lab Use)
Animal Name / ID
Continued on back
Clinic Case # Owner Name
Add'l info attached
Breed
Animals submitted for final disposition must be completely
identified. This form must be completed and signed.
Sex
1. One animal per form or attach multiple animal listing form.
2. Remove all collars, medical bandages, personal material from or
Cause of death
with the body, such as blankets or toys.
3. Fully identify the animal, including any clinical case number.
Color/ Markings
I, the undersigned,
certify that I am the owner (or duly authorized agent for the
owner) of the animal described to the right and that I request
final disposition of the body of the animal
certify that to the best of my knowledge, the animal has not
bitten any person or animal during the last ten (10) days, and has
not been exposed to rabies; and
I understand that animal remains WILL NOT be returned
I request certification of final disposition ($10 additional fee)
Owner/ Authorized Agent Signature
Date
____
Weight
I certify that the animal described above was disposed of by:
alkaline hydrolysis
______ incinerator
______ renderer
______ other
Date of Disposition
Attendant
CF.ACC.47 Deceased Animal Form KLF November 2010 Page 1 of 1
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Most popular documents
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DD Form 2813
-
DD Form 2977 "Deliberate Risk Assessment Worksheet"
-
AF Form 910 "Enlisted Performance Report (AB Thru Tsgt)"
-
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-
DD Form 1750 "Packing List"
-
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-
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