Form 2 "Iowa Greyhound Dog Application for Iowa-Whelped Individual Registration" - Iowa

What Is Form 2?

This is a legal form that was released by the Iowa Department of Agriculture and Land Stewardship - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Iowa Department of Agriculture and Land Stewardship;
  • 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 2 by clicking the link below or browse more documents and templates provided by the Iowa Department of Agriculture and Land Stewardship.

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Download Form 2 "Iowa Greyhound Dog Application for Iowa-Whelped Individual Registration" - Iowa

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I
D
A
L
S
OWA
EPARTMENT OF
GRICULTURE AND
AND
TEWARDSHIP
Mike Naig, Secretary of Agriculture
Henry A. Wallace Building
www.IowaAgriculture.gov
502 E. 9th Street, Des Moines, IA 50319
IOWA GREYHOUND DOG
APPLICATION FOR IOWA-WHELPED INDIVIDUAL REGISTRATION
(Please type or Print)
Date____________________________
Enclose $5 Fee Make check payable to IDALS or IA Dept of Ag
Enclose
Original NGA certificate of registration or onion skin
DOG NAME_______________________________________________________SEX_______________
TATTOOS: L. E.____________________R. E. ____________________
WHELP DATE_____________________ NGA Litter#__________ Iowa Litter #____________
______________________________________SIRE_______________________________
DAM
PRESENT OWNER
NAME_______________________________________________________________________________
ADDRESS___________________________________________________________________________
CITY, STATE, ZIP_______________________________PHONE_______________________________
OWNER OF DOG AT TIME OF WHELPING
NAME_______________________________________________________________________________
ADDRESS___________________________________________________________________________
CITY, STATE, ZIP_____________________________PHONE_________________________________
If the dog has not been registered with the NGA, the “onion skin” of the individual registration application
to the NGA must accompany this application plus a check for the appropriate amount made out to the
NGA.
If the dog has been registered with the NGA, the original NGA certificate of registration must accompany
this application.
Iowa-Whelped qualifications:
Dog SHALL have been whelped, registered, and raised in Iowa at an annually inspected, licensed farm for
the first six (6) months of its life. To qualify, 100% of all owners or stockholders must qualify as two (2)
year residents of Iowa PRIOR to whelping. Greyhounds SHALL NOT leave the State of Iowa before the
six (6) month inspection has been completed.
ANY FALSE INFORMATION WILL BE GROUNDS FOR DENIAL OR WITHDRAWAL FOR
ALL REGISTRATIONS OF IOWA WHELPED DOGS.
SIGNATURE____________________________________________________________DATE_____________________________
(Save a copy of the inspection for your records)
Mail application to:
Iowa Horse & Dog Breeding Program
For office use only:
Iowa Department of Agriculture and Land Stewardship
Iowa Registration No.________________
Wallace State Office Building
Issued____________________________
502 East 9
th
St
By_______________________________
Des Moines, IA 50319
Phone: (515) 281-4103
Fax: (515) 281-4282
Additional forms on our website
www.iowaagriculture.gov
Code 93 - $5.00 / Form 2
The Iowa Department of Agriculture and Land Stewardship is an equal opportunity employer and provider.
I
D
A
L
S
OWA
EPARTMENT OF
GRICULTURE AND
AND
TEWARDSHIP
Mike Naig, Secretary of Agriculture
Henry A. Wallace Building
www.IowaAgriculture.gov
502 E. 9th Street, Des Moines, IA 50319
IOWA GREYHOUND DOG
APPLICATION FOR IOWA-WHELPED INDIVIDUAL REGISTRATION
(Please type or Print)
Date____________________________
Enclose $5 Fee Make check payable to IDALS or IA Dept of Ag
Enclose
Original NGA certificate of registration or onion skin
DOG NAME_______________________________________________________SEX_______________
TATTOOS: L. E.____________________R. E. ____________________
WHELP DATE_____________________ NGA Litter#__________ Iowa Litter #____________
______________________________________SIRE_______________________________
DAM
PRESENT OWNER
NAME_______________________________________________________________________________
ADDRESS___________________________________________________________________________
CITY, STATE, ZIP_______________________________PHONE_______________________________
OWNER OF DOG AT TIME OF WHELPING
NAME_______________________________________________________________________________
ADDRESS___________________________________________________________________________
CITY, STATE, ZIP_____________________________PHONE_________________________________
If the dog has not been registered with the NGA, the “onion skin” of the individual registration application
to the NGA must accompany this application plus a check for the appropriate amount made out to the
NGA.
If the dog has been registered with the NGA, the original NGA certificate of registration must accompany
this application.
Iowa-Whelped qualifications:
Dog SHALL have been whelped, registered, and raised in Iowa at an annually inspected, licensed farm for
the first six (6) months of its life. To qualify, 100% of all owners or stockholders must qualify as two (2)
year residents of Iowa PRIOR to whelping. Greyhounds SHALL NOT leave the State of Iowa before the
six (6) month inspection has been completed.
ANY FALSE INFORMATION WILL BE GROUNDS FOR DENIAL OR WITHDRAWAL FOR
ALL REGISTRATIONS OF IOWA WHELPED DOGS.
SIGNATURE____________________________________________________________DATE_____________________________
(Save a copy of the inspection for your records)
Mail application to:
Iowa Horse & Dog Breeding Program
For office use only:
Iowa Department of Agriculture and Land Stewardship
Iowa Registration No.________________
Wallace State Office Building
Issued____________________________
502 East 9
th
St
By_______________________________
Des Moines, IA 50319
Phone: (515) 281-4103
Fax: (515) 281-4282
Additional forms on our website
www.iowaagriculture.gov
Code 93 - $5.00 / Form 2
The Iowa Department of Agriculture and Land Stewardship is an equal opportunity employer and provider.