"Owner-Shipper Statement (Oss)" - Iowa

Owner-Shipper Statement (Oss) is a legal document that was released by the Iowa Department of Agriculture and Land Stewardship - a government authority operating within Iowa.

Form Details:

  • Released on February 24, 2020;
  • The latest edition currently provided by the Iowa Department of Agriculture and Land Stewardship;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form 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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OWNER-SHIPPER STATEMENT (OSS)
All movements are subject to approval by the shipping and receiving states.
This document should be used when no other Transportation certificate (For example Certificate of
Veterinary Inspection) is required as specified in Iowa Code section 163 and 172B.3 and Iowa Administrative
Rules Chapter 66.
Address animals moved from:
911 Address
City
State
Zip
Owner name:
Driver’s license number
Owner mailing address:
911 Address:
City:
State
Zip
Shipper name:
Driver’s name and Driver’s license number:
Vehicle registration plate number:
State of issuance:
Vehicle Seal Number if any
Shipper address:
911 Address:
City:
State
Zip
Species and number of each and description (breed, sex, age, brands if any):
Cattle
___________
Goats
__________
Sheep
________ Swine
__________ Horses
__________
Other
__________________
Date livestock loaded:________________
Signature:
__________________________________ OR ________________________________
___________________
Owner
Shipper
Date
Destination (Livestock Market, Slaughter plant, Tagging Site or Buying Station Name, Purchaser or Consignee):
911 Address:
City:
State
Zip
Animals are being shipped directly to an approved tagging site for ID.
Directly to Slaughter
Official ID for each animal in the shipment as required in 9 CFR is recorded below.
Certificate of Veterinary Inspection Number (if required)_____________________State issued___________
Please indicate species by C –cattle, G – goats, SH – sheep, SW –swine, H – horse, O – other
*A separate listing of official animal identification numbers may be attached to this form.
This is not an Interstate Certificate of Veterinary Inspection
Form updated 2/24/2020
OWNER-SHIPPER STATEMENT (OSS)
All movements are subject to approval by the shipping and receiving states.
This document should be used when no other Transportation certificate (For example Certificate of
Veterinary Inspection) is required as specified in Iowa Code section 163 and 172B.3 and Iowa Administrative
Rules Chapter 66.
Address animals moved from:
911 Address
City
State
Zip
Owner name:
Driver’s license number
Owner mailing address:
911 Address:
City:
State
Zip
Shipper name:
Driver’s name and Driver’s license number:
Vehicle registration plate number:
State of issuance:
Vehicle Seal Number if any
Shipper address:
911 Address:
City:
State
Zip
Species and number of each and description (breed, sex, age, brands if any):
Cattle
___________
Goats
__________
Sheep
________ Swine
__________ Horses
__________
Other
__________________
Date livestock loaded:________________
Signature:
__________________________________ OR ________________________________
___________________
Owner
Shipper
Date
Destination (Livestock Market, Slaughter plant, Tagging Site or Buying Station Name, Purchaser or Consignee):
911 Address:
City:
State
Zip
Animals are being shipped directly to an approved tagging site for ID.
Directly to Slaughter
Official ID for each animal in the shipment as required in 9 CFR is recorded below.
Certificate of Veterinary Inspection Number (if required)_____________________State issued___________
Please indicate species by C –cattle, G – goats, SH – sheep, SW –swine, H – horse, O – other
*A separate listing of official animal identification numbers may be attached to this form.
This is not an Interstate Certificate of Veterinary Inspection
Form updated 2/24/2020