Working Horse Permit Application Form - Idaho

This printable "Working Horse Permit Application Form" is a document issued by the Idaho Department of Agriculture specifically for Idaho residents.

Download a PDF of the latest edition of the form down below or find it through the department's forms library.

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C.L. “BUTCH” OTTER
I
Governor
Celia R. Gould
Idaho State Department of Agriculture
Director
Bill Barton, DVM
Division of Animal Industries
State Veterinarian
Phone: (208) 332-8540 • Fax: (208) 334-4062 • www.agri.idaho.gov
WORKING HORSE PERMIT APPLICATION
Applications for a Working Horse Permit should be submitted to the ISDA, Division of Animal Industries
at least 15 days prior to the anticipated movement. Permits are issued in accordance with IDAPA
02.04.21, § 300.02 which states: “Working horses used for seasonal ranching purposes may be exempt
from the requirements of this section if the horses have been included on a current grazing permit which
has received prior approval from the Administrator and the chief livestock sanitary official in a western
state which reciprocates with Idaho in honoring grazing permits.”
This permit is for one pasture grazing season, for the horses, duration, and premises described. Permits
are issued on a case-by-case basis. A copy of the approved permit will be sent to the applicant.
Note: Horses consigned for show, sale, pleasure, breeding, competition or racing purposes are excluded from the
working horse permit application.
Owner Information:
Destination Information:
Name:___________________________________
Owner Name: ___________________________
Address:_________________________________
Address: _______________________________
Phone: __________________________________
Phone: _________________________________
Horse Identification:
Name
Physical Description
Sex
Age
Brand
1.
2.
Male
3.
Male
4.
Male
5.
Male
Male
*Attach a legible copy of the most recent Equine Infectious Anemia (EIA) Laboratory
Test for each horse on the application.*
Owner/Representative Signature: ________________________________________ Date_____________
• Fax#:___________________ Email:________________________
Return by: Fax
Mail
Email
APPROVAL (FOR OFFICIAL USE ONLY)
This application is hereby approved by the Division of Animal Industries.
_____________________________________________________ __________________________
Signature
Date
_____________________________________________________
Title
Authorization: The State of _________________ agrees to offer reciprocal agreement for the length of
the permit, for the horse(s) indicated above, entering the State of _________________ from Idaho,
waiving the requirement of a Certificate of Veterinary Inspection (CVI) every 30 days.
____________________________________________________ ____________________________
Signature
Date
____________________________________________________ ____________________________
Title
Permit Number
Print
C.L. “BUTCH” OTTER
I
Governor
Celia R. Gould
Idaho State Department of Agriculture
Director
Bill Barton, DVM
Division of Animal Industries
State Veterinarian
Phone: (208) 332-8540 • Fax: (208) 334-4062 • www.agri.idaho.gov
WORKING HORSE PERMIT APPLICATION
Applications for a Working Horse Permit should be submitted to the ISDA, Division of Animal Industries
at least 15 days prior to the anticipated movement. Permits are issued in accordance with IDAPA
02.04.21, § 300.02 which states: “Working horses used for seasonal ranching purposes may be exempt
from the requirements of this section if the horses have been included on a current grazing permit which
has received prior approval from the Administrator and the chief livestock sanitary official in a western
state which reciprocates with Idaho in honoring grazing permits.”
This permit is for one pasture grazing season, for the horses, duration, and premises described. Permits
are issued on a case-by-case basis. A copy of the approved permit will be sent to the applicant.
Note: Horses consigned for show, sale, pleasure, breeding, competition or racing purposes are excluded from the
working horse permit application.
Owner Information:
Destination Information:
Name:___________________________________
Owner Name: ___________________________
Address:_________________________________
Address: _______________________________
Phone: __________________________________
Phone: _________________________________
Horse Identification:
Name
Physical Description
Sex
Age
Brand
1.
2.
Male
3.
Male
4.
Male
5.
Male
Male
*Attach a legible copy of the most recent Equine Infectious Anemia (EIA) Laboratory
Test for each horse on the application.*
Owner/Representative Signature: ________________________________________ Date_____________
• Fax#:___________________ Email:________________________
Return by: Fax
Mail
Email
APPROVAL (FOR OFFICIAL USE ONLY)
This application is hereby approved by the Division of Animal Industries.
_____________________________________________________ __________________________
Signature
Date
_____________________________________________________
Title
Authorization: The State of _________________ agrees to offer reciprocal agreement for the length of
the permit, for the horse(s) indicated above, entering the State of _________________ from Idaho,
waiving the requirement of a Certificate of Veterinary Inspection (CVI) every 30 days.
____________________________________________________ ____________________________
Signature
Date
____________________________________________________ ____________________________
Title
Permit Number
Print

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