Form GH-1 "Greyhound Dog Application for Iowa-Whelped Litter Registration" - Iowa

What Is Form GH-1?

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 printable version of Form GH-1 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 GH-1 "Greyhound Dog Application for Iowa-Whelped Litter Registration" - Iowa

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GREYHOUND DOG
APPLICATION FOR IOWA-WHELPED LITTER REGISTRATION
Date____________________________
Enclose $10 Fee Make check payable to IDALS or IA Dept of Ag
Enclose
National Greyhound Association Litter Acknowledgment
DAM________________________________________SIRE___________________________________
Breeding Date_____________ Whelp Date________________ No. of males________females________
OWNER INFORMATION:
(Owner of dam & litter at time of whelping)
NAME
______________________________________________________
ADDRESS
_____________________________________________________
CITY, STATE, ZIP
______________________________________________________
PHONE NUMBER
______________________________________________________
WHELPING LOCATION INFORMATION
NAME OF PERSON IN CHARGE
______________________________________________________
ADDRESS
______________________________________________________
CITY, STATE, ZIP
______________________________________________________
COUNTY
______________________________________________________
PHONE NUMBER
______________________________________________________
To qualify individual dogs in a litter for Iowa registration under the Iowa Breeders Program a dog shall have been registered,
whelped, inspected, and raised for the first six months of its life in Iowa by a 100% Iowa owner who qualifies as a two year
resident PRIOR to whelping.
Within 30 days after the litter registration with the NGA, the litter acknowledgement must be received by this department.
Any late registration will be assessed a penalty of $25.00 in addition to the registration fee of $10.00.
ALL LITTER REGISTRATION OF GREYHOUNDS OVER SIX (6) MONTHS OLD WILL NOT BE ACCEPTED.
ALL GREYHOUNDS MUST BE INSPECTED BEFORE LEAVING THE STATE OF IOWA.
I certify that all registered animals are maintained under conditions set by Animal Welfare to ensure that the animals are
properly cared for. This facility SHALL be ANNUALLY INSPECTED and LICENSED to be eligible for the Iowa Dog
Breeders Program.
ANY FALSE INFORMATION WILL BE GROUNDS FOR DENIAL OR WITHDRAWAL OF ALL
REGISTRATIONS OF IOWA WHELPED DOGS.
Signature______________________________________________ Date________________
(Save a copy of the inspection for your records)
For office use only:
Iowa Horse & Dog Breeding Program
Iowa Registration No.___________________
Iowa Department of Agriculture and Land Stewardship
Issued________________________________
Wallace State Office Building
By: __________________________________
Des Moines, Iowa 50319
Telephone: (515) 281-4103
Fax: (515) 281-4282
Additional forms visit our website
www.iowaagriculture.gov
Code 93 - $10 – Form GH-1
GREYHOUND DOG
APPLICATION FOR IOWA-WHELPED LITTER REGISTRATION
Date____________________________
Enclose $10 Fee Make check payable to IDALS or IA Dept of Ag
Enclose
National Greyhound Association Litter Acknowledgment
DAM________________________________________SIRE___________________________________
Breeding Date_____________ Whelp Date________________ No. of males________females________
OWNER INFORMATION:
(Owner of dam & litter at time of whelping)
NAME
______________________________________________________
ADDRESS
_____________________________________________________
CITY, STATE, ZIP
______________________________________________________
PHONE NUMBER
______________________________________________________
WHELPING LOCATION INFORMATION
NAME OF PERSON IN CHARGE
______________________________________________________
ADDRESS
______________________________________________________
CITY, STATE, ZIP
______________________________________________________
COUNTY
______________________________________________________
PHONE NUMBER
______________________________________________________
To qualify individual dogs in a litter for Iowa registration under the Iowa Breeders Program a dog shall have been registered,
whelped, inspected, and raised for the first six months of its life in Iowa by a 100% Iowa owner who qualifies as a two year
resident PRIOR to whelping.
Within 30 days after the litter registration with the NGA, the litter acknowledgement must be received by this department.
Any late registration will be assessed a penalty of $25.00 in addition to the registration fee of $10.00.
ALL LITTER REGISTRATION OF GREYHOUNDS OVER SIX (6) MONTHS OLD WILL NOT BE ACCEPTED.
ALL GREYHOUNDS MUST BE INSPECTED BEFORE LEAVING THE STATE OF IOWA.
I certify that all registered animals are maintained under conditions set by Animal Welfare to ensure that the animals are
properly cared for. This facility SHALL be ANNUALLY INSPECTED and LICENSED to be eligible for the Iowa Dog
Breeders Program.
ANY FALSE INFORMATION WILL BE GROUNDS FOR DENIAL OR WITHDRAWAL OF ALL
REGISTRATIONS OF IOWA WHELPED DOGS.
Signature______________________________________________ Date________________
(Save a copy of the inspection for your records)
For office use only:
Iowa Horse & Dog Breeding Program
Iowa Registration No.___________________
Iowa Department of Agriculture and Land Stewardship
Issued________________________________
Wallace State Office Building
By: __________________________________
Des Moines, Iowa 50319
Telephone: (515) 281-4103
Fax: (515) 281-4282
Additional forms visit our website
www.iowaagriculture.gov
Code 93 - $10 – Form GH-1